- CVS Health (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 (Erie, 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
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The IT Vendor Management Lead - Network , Telecom & Call Center Platforms is responsible for managing ... not required. **Preferred Qualifications** + Familiarity with hardware lifecycle management , network support agreements, and infrastructure resilience… 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
- 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
- UMB Bank (Harrisburg, PA)
- **Duties and Responsibilities:** ** NETWORK MANAGEMENT ** * Serve as the primary operational point of contact for Visa, Mastercard, Pulse, Interlink, and any ... test cycles, and compliance timelines. * Manage escalations related to Network issues, outages, or defects. **PROCESSOR MANAGEMENT ** * Participate… 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
- Highmark Health (Harrisburg, PA)
- …with contractual terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and ... marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes… more
- Carbon Lehigh Intermediate Unit 21 (Schnecksville, PA)
- …and administrations; Windows, Apple, Linux, Google, 100-40G switched Ethernet, and network management software; multi-protocol network administration; ... LAN/WAN operations. + Two (2) years' experience in direct management responsibility for local and wide area network...or approaches to problems. + Possesses the skills to provide the highest level of customer service, with patience… more
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