- Health Care Service Corporation (Philadelphia, PA)
- …coverage for assigned territory, be responsible for education of providers, and for ongoing provider service. As a manager , this individual will lead a team of ... is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians,… more
- CVS Health (Harrisburg, PA)
- …group/system providers. Conduct extensive cold calling to recruit providers and build provider network + Manage the full contracting process, including pre- ... managing the end-to-end contracting process to ensure timely participation in our network . The position requires a high volume of cold calls, persistent follow-up,… more
- Guthrie (Sayre, PA)
- This is an ON-SITE position located in Sayre, PA. Summary: The Manager of Network Management and Operations plans and manages the service delivery for ... provide a platform for scalable future growth. The Manager will offer business rationale and perspective on technological...Functions: + Plans and manages the activities of the Network Management and Operations department. Works in… more
- TekSynap (New Cumberland, PA)
- …InfiniStream . NGeniusOne + Network Monitoring and Management tools + HPE Network Node Manager (NNMi) + HPE Network Automation (NA) + Concord eHealth ... Network proxy and load balancing: F5 BigIP Proxy/Traffic Management appliances (Preferred) + Network Authentication and...Beacon Server + Cisco ACS + IPAM: InfoBlox Grid Manager + Remote Access VPN: Pulse Secure, Palo Alto,… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs ... Minimum of three (3) years of health care experience + Experience in Provider Network Management preferred + Previous experience in data analysis and… more
- The Cigna Group (Conshohocken, PA)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... need to live in Eastern Pennsylvania or Delaware** The ** Provider Contracting Manager ** serves as an integral...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- St. Luke's University Health Network (Allentown, PA)
- … Provider Services and Contracting, serves as an administrator of the Network provider contract database including updating and maintaining contract profiles. ... or employment documents. In addition to the services listed above, alongside both the Manager of Provider Services and Contracting and a fellow SLPG Contracts… more
- St. Luke's University Health Network (Bethlehem, PA)
- …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... well as to provide supportive counseling, psycho-social assessment, and interventions for designated...Works as a team with other members of care management , including but not limited to: RN care managers,… more
- CVS Health (Harrisburg, PA)
- …each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution ... processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and… more
- CVS Health (Harrisburg, PA)
- …Manager , Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as ... Based Solutions Specialty Partnership team. You will work collaboratively across the Network and Clinical organizations to ensure speed to market and to support… more
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