- CVS Health (Harrisburg, PA)
- …contracts with large or complex provider systems. + Medicaid Network Management/LTSS Contracting experience. + Strong communication, critical thinking, ... Reside in Pennsylvania. **Preferred Qualifications** + Proven working knowledge of provider financial issues and competitor strategies, complex contracting … more
- The Cigna Group (Philadelphia, PA)
- …to implementation of strategic initiatives regarding Network Solutions and Innovative Contracting to enhance provider supply and demand as well as the ... as Medicare, Medicaid and or Individual and Family Plans. + Skills in provider network development and management, value-based care contract execution including… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional communicates contract terms,… more
- The Cigna Group (Philadelphia, PA)
- …what it takes to succeed in healthcare network development and provider (ie, physicians and hospitals) contracting . Throughout this multi-week program, ... **The Cigna Group Sales and Contracting Development Program** ** Network Contracting...Medical Management, Legal, Medical Economics, Compliance, Sales, Marketing, and Provider Relations. **Minimum Program Qualifications** + Senior … more
- The Cigna Group (Philadelphia, PA)
- …Network Track to onboard The Cigna Group's next generation of client and provider facing **Sales and Network Professionals.** **As a Sales Track associate, ... **The Cigna Group Sales and Contracting Development Program** **Sales Associate** **Start Date July...Dental, and Supplemental businesses** _._ Our training program will provide you with an in-depth understanding of what it… more
- UPMC (Pittsburgh, PA)
- …to Value-Based Contracting + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Proficient to expert in ... Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are...and Excel + Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment + Data… more
- UPMC (Pittsburgh, PA)
- …Experience following fields: value-based contracting , pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc + FSA or ... exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team!** This position applies knowledge of mathematics, probability, and… more
- The Cigna Group (Philadelphia, PA)
- …who is accountable for network maintenance and performance. The Military OneSource Senior Manager will utilize in-depth contracting and network knowledge ... The Military OneSource (MOS) Network Management Senior Manager will have...knowledge of managed care operations ( contracting and provider relations) and outpatient network management in… more
- The Cigna Group (Pittsburgh, PA)
- …PA and West Virginia markets** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- Evolent Health (Harrisburg, PA)
- …years of experience preferred working in in provider operations, practice/ network management, provider contracting , UM operations, clinical improvement, ... more connected care journey. We are hiring for a Senior Practice Performance Advisor to join our Provider...markets (both UM and VBI programs/ interventions and APMs); provide insights into the effectiveness of deployed initiatives as… more
- Geisinger (Danville, PA)
- …health plan policies regarding reimbursement methodologies for all types of provider contracting . + Develops and demonstrates exceptional proficiency and ... to determine appropriateness of coding practices, charging practices and fees of the provider network . + Assists in the recovery of inappropriately billed… more
- Xylem (Pittsburgh, PA)
- …innovative and sustainable solutions. **Job Description:** We're Hiring for **a Global Senior Manager for Filtration, Membranes, and Media!** If you are excited and ... key suppliers of each global Category within their responsibility + Provide leadership and drive the execution of strategy via cross-organizational collaboration… more
- Deloitte (Harrisburg, PA)
- …help us position Deloitte as the clear legal technology leader. As a Legal Technology Senior , you will contribute to the growth and success of Deloitte Tax LLP in a ... to aid in the efficiency of tax and legal departments. + Support: Provide training and software support around day-to-day activities, related to processes and… more
- CVS Health (Blue Bell, PA)
- …as a strategic partner to multiple business partners (Segment Management, Network , Contracting , Product, Finance, Compliance, Market Actuaries, External ... forecasting, reserving, actuarial studies, Excel based pricing tools, and provide assistance with external customer/broker utilization reviews. You will collaborate… more
- Cardinal Health (Harrisburg, PA)
- …Managed Care contributes to practice growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject ... This position is responsible for administrative, strategic, business development, and contracting activities related to the Managed Care environment. They will be… more
- GovCIO (Harrisburg, PA)
- …Department. GovCIO is a full-service information technology and enterprise service management provider . For more than 30 years, we have been entrusted with providing ... support for their complex requirements. This includes cyber operations, network engineering, software development, C5ISR, mission services, and sustainment solutions… more
- The Cigna Group (Philadelphia, PA)
- …to SAM for all ad hoc analyses which have a potential financial impact. + Provide support related to contracting process and install process for renewing and new ... financial commitments to our customers. The Risk & Underwriting Senior Analyst role will be responsible for all underwriting...Direct Renewals and Market Checks. The associate will also provide underwriting support for all ad hoc analyses (ie… more
- Comcast (Philadelphia, PA)
- …coax and fiber to the premise solutions. This role reports to the Senior Director of Access Network Infrastructure. Candidates should possess strong ... to develop, champion, and execute category strategies to enable the multiple year network upgrade across the Comcast network to bring multigigabit symmetrical… more
- Lancaster General Health (Lancaster, PA)
- …Medicine. Our approach provides full claims administration, medical management, network development/ contracting , wellness, and insurance agency services. ... or without reasonable accommodation) to perform the following duties: + Provide strategic direction and operational oversight including P&L management, financial… more
- Cardinal Health (Harrisburg, PA)
- …the Fortune 500. We currently have a full-time job opening for a Senior Engineer of Vendor Third Party Risk Management. **_Department overview:_** The Information ... and teams within IT to help manage third party IT risks, vendor contracting and managing customer request for proposal responses. This is a high-visibility position… more