• Provider Engagement and Performance…

    Magellan Health Services (PA)
    …of Microsoft Office suite and data entry experience. General Job Information Title Provider Engagement and Performance Representative (Remote in PA - Bedford ... and other value-based data. This position acts as the conduit between the provider , Magellan, and the customer(s) to ensure streamlined, consistent and supportive … more
    Magellan Health Services (07/24/25)
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  • Medicaid Provider Customer Service

    CVS Health (Harrisburg, PA)
    …Triage resulting rework to appropriate staff. + Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims ... unasked questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
    CVS Health (08/16/25)
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  • Provider Network Contract…

    AmeriHealth Caritas (Harrisburg, PA)
    **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, ... between providers and internal departments such as Credentialing, Clinical, Member Services , and Provider Maintenance, ensuring compliance with state regulations… more
    AmeriHealth Caritas (08/08/25)
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  • Dental Network Provider Relations…

    Guardian Life (Bethlehem, PA)
    …with a positive attitude who is self-driven and focused on delivering exceptional results + Provide best in class customer service to all DHMO and PPO dentists + ... As a Dental Network Provider Relations team member, you will work directly...reasonable efforts to retain providers in the network + Provide outstanding customer service to providers and… more
    Guardian Life (08/20/25)
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  • Human Services Program…

    Commonwealth of Pennsylvania (PA)
    Human Services Program Representative 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5035491) Apply  Human Services Program ... detail-oriented individual to fill the role of a Human Services Program Representative . If you have experience...policy, regulation, and waivers. In this position, you will provide technical assistance and recommendations to ensure services more
    Commonwealth of Pennsylvania (08/19/25)
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  • 2nd Shift Customer Service Telephony…

    Always Best Care Senior Services (Philadelphia, PA)
    …with completion of surveys about services that they receive. The Customer Service Telephony Representative will provide effective customer service ... The Customer Service Telephony Representative primary function is to monitor and follow up on missed telephony calls. The Customer Service Telephony … more
    Always Best Care Senior Services (08/17/25)
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  • Human Services Licensing…

    Commonwealth of Pennsylvania (PA)
    …describes your claim. + A. I have experience conducting inspections of service provider facilities including physical site conditions, facility operations, staff ... RESIDENTIAL environment. + B. I have experience conducting inspections of service provider facilities including physical site conditions, facility operations,… more
    Commonwealth of Pennsylvania (08/21/25)
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  • Participant Services Representative

    ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
    …successfully adapt and perform during times of high call volume. + Ability to provide effective customer service and deal tactfully and courteously with the ... EST** Responsible for routine/basic inbound call, outbound call, email, and web chat services , as well as back-office services . Performs services focused… more
    ASM Research, An Accenture Federal Services Company (08/08/25)
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  • Client Services Representative

    Radial (Allentown, PA)
    Client Services Representative **Job Number:** JO-2506-10984 **Location (City, State):** Allentown, PA **Employee Group:** Regular **Shift:** Day **Travel:** 20% ... $89,500.00 per year Share (http://www.addthis.com/bookmark.php?v=250&username=xa-4bf1a2af57df84a0) ||Email this job **Client Services Representative ** At Radial, our employees are… more
    Radial (07/26/25)
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  • Customer Service Representative

    UPMC (Pittsburgh, PA)
    …our team, you will receive extensive pharmacy training which will allow you to provide best-in-class service to our members. This temporary position is a set ... Are you an advocate of high-quality customer service and have previous customer service ...the provision of pharmaceutical care through member, pharmacy, and provider interactions to discuss and resolve medication-related issues. These… more
    UPMC (08/08/25)
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