- Pearl Interactive Network (Harrisburg, PA)
- …Interactive Network ** is seeking an experienced and results-oriented **Program Manager ** to oversee the planning, execution, and delivery of complex programs ... supporting our clients and internal operations. The **Program Manager ** (PM) coordinates and monitors the scheduling, pricing, and technical performance of company… more
- Highmark Health (Harrisburg, PA)
- …marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Manager , Information Technology Training oversees teams responsible for Information Technology and ... + Manage team members' daily tasks, keep them accountable for work, and provide frequent and yearly evaluations of staff + Tracks training projects, training support… more
- Guthrie (Sayre, PA)
- …Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as ... Summary The Senior Provider Onboarding Specialist oversees the onboarding process for...Conduct regular audits to ensure compliance with regulatory standards. Provide detailed reports to leadership. Collaborates with credentialing, enrollment,… more
- St. Luke's University Health Network (Bethlehem, PA)
- …The Regional Manager assists in directing and supervising activities to provide comprehensive patient care and services to assigned Outpatient Rehab Clinics in ... in the recruiting and on-boarding of new employees. + Participate in weekly manager 's meeting as needed + Conducts facility site visits on a regular basis… more
- St. Luke's University Health Network (Bethlehem, PA)
- …stay reviews, retro authorizations and other coverage related efforts. The Case Manager actively explores and utilizes available internal and external resources to ... services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND...the interdisciplinary team to briefly review patient progress and provide updates on information relevant to the patient's plan… more
- St. Luke's University Health Network (Sellersville, PA)
- …serve, regardless of a patient's ability to pay for health care. The Care Manager , in partnership with clients and families, works to facilitate mental health, and ... work or school as needed and deemed clinically appropriate. + Provide supportive services including outreach, monitoring, assessment, services planning, crisis… more
- St. Luke's University Health Network (Easton, PA)
- …serve, regardless of a patient's ability to pay for health care. To provide comprehensive care of psychiatric patients admitted to the inpatient psychiatric unit ... needs change, the services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates… more
- Humana (Harrisburg, PA)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Care Manager Social Worker SCH is responsible for providing social work care management services ... care needs. The CM SW SCH also collaborates with the Outpatient Care Manager RN, Care Management Outreach Coordinator and multidisciplinary teams as needed to… more