- UPMC (Media, PA)
- …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
- UPMC (State College, PA)
- …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
- Humana (Harrisburg, PA)
- …to work with internal and external constituents on all areas of contracting; network management ; adequacy and gaps; provider education; conflict resolution; ... of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other… 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
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and ... Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits to include reviewing medical record documentation for completeness and… more
- Guardian Life (Bethlehem, PA)
- …and relationship management . Strong collaboration with internal stakeholders across Network Operations, Network Recruitment, Provider Relations, Claims ... ensuring best-in-class service and support for the dentists that provide the greatest value to Guardian's proprietary network...skills + Experience with Salesforce, MS Office Suite, and provider management systems preferred Location This is… more
- WellSpan Health (York, PA)
- **Advanced Practice Provider ** **Interventional Pain Management - York, PA** WellSpan Health's vision is to reimagine healthcare through the delivery of ... DC **For confidential consideration, please contact:** Louisa Grosh, Advanced Practice Provider Recruiter ###@wellspan.org or ### \#LI-LG1 ** Quality of Life**… more
- Prime Therapeutics (Harrisburg, PA)
- …Develop and maintain relationships with internal and external stakeholders regarding the management and development of Network Management strategies; ... solving and analytical skills **Preferred Qualifications** + Previous experience in pharmacy network management , legal or compliance + Previous project … more
- WellSpan Health (York, PA)
- …DC **For confidential consideration, please contact:** Louisa Grosh, Advanced Practice Provider Recruiter ###@wellspan.org or ### ** Quality of Life** Founded ... **Advanced Practice Provider ** **Virtual - Menopause Society Certified Practitioner** WellSpan...the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer… more
- EGA Associates (Pottsville, PA)
- …Local **Position Urgency** Normal **Offering** Locums **Profession** Advanced Practice Provider **Specialty** Physician Assistant - General **Job ID** 16154585 ... a Nurse Practitioner (NP) or Physician Assistant (PA) to provide services at our Community Based Outpatient Clinic. The...of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP). The NP or PA is an Advanced… more