- 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
- 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
- St. Luke's University Health Network (Bethlehem, PA)
- …ability to pay for health care. The Assistant Vice President and Network Strategist, Business Development and Strategy is responsible for driving the development ... and implementation of planning processes that align with the Network 's overall strategy. Designs and deploys effective structures, tools, and methodologies to create… more
- CVS Health (PA)
- … Network Management ** who provides strategic leadership and oversight for network management and provider relations within the **Keystone territory of ... lead dispute resolution processes, and collaborate with key stakeholders to drive network growth and ensure high- quality provider relationships. You'll… 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
- St. Luke's University Health Network (Bethlehem, PA)
- …complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient ... care teams to facilitate the achievement of desired patient, quality , and financial outcomes. JOB DUTIES AND RESPONSIBILITIES: +...Works as a team with other members of care management , including but not limited to: RN care managers,… 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
- CVS Health (PA)
- …leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high- quality provider relationships. **What ... stakeholders, executives, and network providers. + Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction… more