- CVS Health (King Of Prussia, PA)
- …plan design and language **Preferred Qualifications** + Prefer experience in Medicaid Managed Care + Strong verbal and written communication, interpersonal, problem ... resolution and critical thinking skills with a passion for constituent support + Working knowledge of business segment specific codes, products, and terminology **Education** Bachelor's degree preferred/specialized training/relevant professional qualification… more
- The Cigna Group (Philadelphia, PA)
- …and policies, contract solutions, provider relations , data load/management and network performance. The Manager will supervise a multi-specialty team who ... The Military OneSource (MOS) Network Management Senior Manager will have...Intimate knowledge of managed care operations (contracting and provider relations ) and outpatient network management in behavioral… more
- The Cigna Group (Philadelphia, PA)
- …partner with large regional and select national systems. In addition, the Senior Manager will contribute to the overall Network Strategy by delivering strategic ... The System Contract Senior Manager will have oversight of a region of...process leveraging transparency data as well as Medicare and Medicaid pricing. + Collaborate with Network Directors,… more
- Lancaster General Health (Lancaster, PA)
- …or weekends required. **POSITION SUMMARY:** Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans, implements and evaluates ... the primary duties listed above:** + In collaboration with the Nurse Manager , counsels employees and takes appropriate disciplinary action for infractions of policy.… more
- Lancaster General Health (Lancaster, PA)
- …creation of policy and procedures. + Observes and reports to department manager /director unusual situations, occurrences, or complaints. + Other duties as assigned. ... technician experience. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from… more
- Lancaster General Health (Lancaster, PA)
- …of care and arranging transition needs under the direction of the Case Manager /Social Worker. HOURS: Full-time, hours vary from 7:30AM - 5:00PM. Will work every ... of a team. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from… more
- Elevance Health (Harrisburg, PA)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. **Pay: The pay for this ... business and system requirements of customers as it pertains to contracting, network management, and credentialing. **Minimum Requirements** + Requires a High School… more