- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Network Adequacy Professional 2 understands department, segment, and ... to determine the access and availability of our provider network , + Systems thinker - Highly analytical with the...your skills to make an impact** **Required Qualifications** + 2 years of experience working in a data or… more
- UPMC (Media, PA)
- …significant responsibility for quality management and utilization management and for assuring the adequacy of the provider network for the clinical needs of ... require an in-person presence in Media, PA at least 2 days per week. The selected candidate will have...relationship between Community Care and the providers in its network . + Ensures the quality of clinical care provided… more
- Guthrie (Sayre, PA)
- …established Guthrie Clinic and Lab policies and procedures. Maintains a professional mature, positive attitude while performing job. Methodically refers all ... be present in the operating room or other locations to provide onsite adequacy of FNA's, EBUS, EUS and other procedures when needed. Performs required quality… more
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