- Prime Therapeutics (Harrisburg, PA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network ... Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved… more
- CVS Health (Harrisburg, PA)
- … Network Management ** who provides strategic leadership and oversight for network management and provider relations within the **Keystone territory of ... relationships. You'll make an impact by: + Overseeing key network management contracting activities, including negotiating fee schedules, reimbursement… more
- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job is part of the Home and Community Services Network Performance and Management division and is designed to accelerate development of ... usage/adoption of key tools. The incumbent will also maintain and provide customer information on service trends, care initiatives, improvement opportunities, etc.… more
- Health Care Service Corporation (Philadelphia, PA)
- …is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, ... be responsible for education of providers, and for ongoing provider service. As a manager, this individual will lead...a manager, this individual will lead a team of Network Operations Coordinators. This person will guide and educate… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Minimum of three (3) years of health care experience + Experience in Provider Network Management preferred + Previous experience in data analysis ... **Role Overview** The Manager Provider Network Reporting manages a team...state and federal regulatory requirements + Supports reporting for network intelligence and network management … more
- St. Luke's University Health Network (Allentown, PA)
- …to pay for health care. Performs clerical and discharge support duties to assist the Network Care Management department. The intent of this job description is to ... provide a summary of the major duties and responsibilities...RESPONSIBILITIES: + Performs discharge support functions to assist the network Care Management departments with clerical functions… more
- AmeriHealth Caritas (Newtown Square, PA)
- …of the Vice President - Network Pricing, provides analytical support to the Provider Network Management team by performing analysis of provider ... recommendations. + Facilitates partnerships with Vendors, IT, Payment Systems, Operations Services, Provider Network Management , Market, and Clinical teams… more
- Guthrie (Sayre, PA)
- This is an ON-SITE position located in Sayre, PA. Summary: The Manager of Network Management and Operations plans and manages the service delivery for quality ... manage security risks, lower total cost of ownership and provide a platform for scalable future growth. The Manager...Functions: + Plans and manages the activities of the Network Management and Operations department. Works in… more
- Oracle (Philadelphia, PA)
- …suppliers as necessary. Escalate client problems according to established procedures. Manage the network using network management tools, analyze network ... needs. Recommend enhancements to the network infrastructure, and enhance proactive network management tool set. Troubleshoot network problems on the… more
- Guardian Life (Bethlehem, PA)
- …Finance and Actuarial to develop annual growth plans and obtain buy in from network management . + Collaborate with Finance and Actuarial to prepare and enhance ... and Digital organization. As a leading dental insurance carrier, the growth and ongoing management of Guardian's network of over 138,000 providers is critical to… more