- Grant Thornton (Philadelphia, PA)
- …and/or implementing security solutions and controls across both on-premises and cloud network environments. + Strong project management skills and the ability ... As a Cyber Strategy & Management Manager, you will get the opportunity to...of cybersecurity capability assessments, cyber threat and risk assessments, network and security architecture reviews, compliance and regulatory assessments,… more
- Humana (Harrisburg, PA)
- …an impact** **Required Qualifications** + 5 or more years of progressive network management experience including hospital, health system and large ... part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other … more
- UPMC (Pittsburgh, PA)
- …The Physician Educator will provide feedback to Operations-Risk Adjustment management and work collaboratively and cooperatively with Network Management ... of the annual Risk Adjustment prospective campaigns. + Collaborates with Network Management , Reimbursement, Claims, and other Health Plan departments… more
- The Cigna Group (Pittsburgh, PA)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... Contract Negotiator serves as an integral member of the Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Harrisburg, PA)
- …**Overview** **Meritain Health** provides customized benefits, cost management , and network access for millions of members. The ** Provider Advocate** will ... groups and handles any relevant escalations as needed. **Position Summary** + Resolves provider and network inquiries and escalations. + Serves as single… more
- UPMC (Media, PA)
- …ensure optimal clinical and quality outcomes for members. + Works with Member Services, Network Management and Quality Management staff to assure that ... solves based on advanced-level knowledge of the service delivery system, the provider network , member services policies, members' rights and responsibilities,… more
- St. Luke's University Health Network (Allentown, PA)
- … Provider Services and Contracting, serves as an administrator of the Network provider contract database including updating and maintaining contract profiles. ... care. The SLPG Contracts Administrator provides professional-level contracts administration management services within St. Luke's Physician Group. Major tasks… more
- Humana (Harrisburg, PA)
- …Participate in ongoing training related to Medicaid dental program requirements and provider network management . + Responsible for developing, coordinating, ... in accordance with company and regulatory standards. + Monitor market trends and provider feedback to optimize recruitment efforts and network adequacy. +… more
- St. Luke's University Health Network (Allentown, PA)
- …Acquisition Specialist is responsible for assisting with the mission of the network 's growth and provider satisfaction strategies by supporting the recruitment ... provider roles. Activities include sourcing, advertising, candidate relationship management , interviewing, hiring, onboarding and coordination of / attendance at… more
- UPMC (State College, PA)
- …ensure optimal clinical and quality outcomes for members. + Works with Member Services, Network Management and Quality Management staff to assure that ... solves based on advanced-level knowledge of the service delivery system, the provider network , member services policies, members' rights and responsibilities,… more