• Ld Director, Medicaid Provider Compliance

    CVS Health (Harrisburg, PA)
    Provider Data Compliance is responsible for overseeing the compliance of provider data operations in support of federal requirements, state regulations, ... or compliance. + A minimum of 2 years of experience in provider data management and contracting support . + A minimum of 3 years managing, mentoring and growing a… more
    CVS Health (08/20/25)
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  • Provider Engagement and Performance…

    Magellan Health Services (PA)
    …+ Communicate extensively (by telephone, in-person, and email) with Providers for support , issue resolution, and collaboration. (40%) + Provide orientation, ... 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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  • Advanced Practice Wound Care Provider

    Genesis Healthcare (Wyncote, PA)
    …weekends)! We are seeking a full-time (40 hours per week) wound care provider for float between our centers located in southeastern Pennsylvania (cities include ... pillars in our day-to-day operations. Responsibilities The Advanced Practice Wound Provider reports directly to the Director of Clinical Practice and/or the… more
    Genesis Healthcare (08/08/25)
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  • VP Reimbursement, Provider & Network…

    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
    Highmark Health (07/12/25)
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  • Neonatal Advanced Practice Provider Manager…

    UPMC (Pittsburgh, PA)
    …Career in Neonatal Care with UPMC! Position: Neonatal Advanced Practice Provider Manager University of Pittsburgh Physicians, Department of Pediatrics, Division of ... Nurse Practitioner or Neonatal Physician Assistant to lead our Advanced Practice Provider (APP) team. Hours: Primarily 8 and 12-hour rotating shifts. Occasional… more
    UPMC (06/18/25)
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  • Advanced Practice Provider Fellow…

    Penn State Health (Hershey, PA)
    …The Penn State Health Hershey Medical Center Emergency Medicine Advanced Practice Provider (APP) Fellowship is an 18-month post-graduate training program designed to ... Health, the fellowship offers hands-on experience in Event Medicine, providing medical support at Penn State football games and other events. Additionally, fellows… more
    Penn State Health (07/23/25)
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  • Consulting Manager - Innosight Healthcare…

    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 ... and firm development o Work closely with principals and partners to support business development efforts o Actively manage the individual professional development of… more
    Huron Consulting Group (08/10/25)
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  • Provider Contract Analyst

    Highmark Health (Pittsburgh, PA)
    …and compliance with proper guidelines. + Provide control and processing support for final provider settlements and initiating, documenting, processing, and ... site visits and medical records reviews, ensuring resolution of member/ provider complaints in timely manner. + Prepare periodic reports...establishing collection protocols for provider settlements. + Work with sales and customer service… more
    Highmark Health (07/17/25)
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  • Advanced Practice Provider

    WellSpan Health (Chambersburg, PA)
    **Advanced Practice Provider ** **Oncology/Hematology** At WellSpan Health, our community of 23,000 employees, including more than 2,300 physicians and advanced ... you can expect at your practice:** + Seeking Nurse Practitioner to join provider -based doctor and infusion office in Chambersburg and Waynesboro + Full-time 7 am… more
    WellSpan Health (07/16/25)
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  • Advanced Practice Provider - Internal…

    WellSpan Health (Chambersburg, PA)
    …laws, regulations, protocols, etc. and within the individual Advanced Practice Provider 's (APP) particular clinical specialty area, licensure and competency level. ... of medical therapeutic or corrective measures as appropriate. **Advanced Practice Provider ** **Internal Medicine** At WellSpan Health, our community of 23,000… more
    WellSpan Health (06/11/25)
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