- Evolent (Harrisburg, PA)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Highmark Health (Harrisburg, PA)
- … demographics. Oversees an internal audit quality review program designed to ensure provider data accuracy and completeness, and to provide staff with feedback ... Required to report to office once monthly.** This job manages a team of provider file representatives who are responsible for the system implementation of all … more
- Genesis Healthcare (PA)
- …and/or Attending Physician for patient specific medical care. The Advanced Practice Wound Provider provides acute and chronic wound care services to nursing ... seeking a part-time (16-24 hours per week) wound care provider for float between our centers located in southeastern...clinical lead, and specializations in wound or palliative care services *Free subscription to Center to Advance Palliative Care… more
- Sharecare (Harrisburg, PA)
- …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic exchange, delivery ... Health Information to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with 100% of… more
- Highmark Health (Pittsburgh, PA)
- …billing staff to ensure understanding of and compliance with proper guidelines. + Provide control and processing support for final provider settlements and ... for provider settlements. + Work with sales and customer service to respond to questions/inquiries from customers/members related to appropriateness of … more
- Highmark Health (Pittsburgh, PA)
- …This role is accountable for any program or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the ... of value-based reimbursement (VBR) & risk programs, as well as the overall provider inventive and payment strategy. The role also leads the strategy and creation… more
- NTT DATA North America (PA)
- …for the people who work here. For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading ... outsourcing services and automation. With our industry-specific platforms, we deliver...an overall sourcing strategy. NTT Data is seeking a Provider Data Management Processor to join our team working… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The Provider Service representative acts as an advocate for Health Plan customers (providers, vendors, facilities, etc.) by providing guidance, ... within the designated time standards. + UPMC Health Plan Provider Service Representative must adhere to the...60 calls per day. + Maintain employee/insured confidentiality. + Provide assistance to other departments during periods of backlogs.… more
- Huron Consulting Group (Philadelphia, PA)
- …examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth ... consulting firm, specializing in delivering strategic solutions for healthcare provider organization clients. + **Proven leadership** in engagements involving… more
- NTT DATA North America (PA)
- …advantages when executed as part of an overall sourcing strategy. NTT DATA Services currently seeks a ** Provider Data Management Processor** to join our ... work here. For more than 25 years, NTT DATA Services have focused on impacting the core of your...in the USA.** **Role Responsibilities** + Analyzing and processing provider transactions in accordance with plan provisions. + Should… more