- Humana (Harrisburg, PA)
- …and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts. ... The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of… more
- CVS Health (Harrisburg, PA)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of… more
- Highmark Health (Pittsburgh, PA)
- …national meeting of managed care organizations and/or publish articles in peer-reviewed professional journals. Required and elective rotations will provide the ... exceptional written and verbal communication skills, demonstrated through daily professional interactions; preparing provider , member, and group communications;… more
- Highmark Health (Harrisburg, PA)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of… more
- CenterWell (Harrisburg, PA)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- Highmark Health (Natrona Heights, PA)
- …value based programs in coordination with Clinical Integrated Network and Managed Care Contracting . (5%) + Provide education and training to managers within the ... respective institute regardingfinancial processes and improvement opportunities. (5%) + Provide high level support and follow up for questions and ad-hoc analyses… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of… more
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