- AmeriHealth Caritas (Newtown Square, PA)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com . The ** Provider Network Data Oversight Analyst** performs the ... Network Management team by performing analysis of provider data , payment term changes, and general...Network , and Operational areas to develop lenses that provide event triggered output for monitoring of impending contract… more
- Datavant (Dover, DE)
- …to realize our bold vision for healthcare. **Role Summary:** The Zone Manager, Provider Privacy will provide operational oversight and leadership as ... platform is powered by the largest, most diverse health data network in the US, enabling ...to identify and address privacy risks in daily operations, data handling, and third-party interactions. + Maintain oversight… more
- Oracle (Dover, DE)
- …as needed. + Work collaboratively with partner and cross-functional teams within your data center. + Provide technical guidance to vendors and foster vendor ... data networks. Coordinate terminal orders and cable installation, network system planning, upgrading, monitoring, testing, and servicing. Approves action… more
- Oracle (Dover, DE)
- …and operational leadership for a team of Technical Program Managers driving large-scale data center construction and network build initiatives. You will set the ... Program Oversight ** + Own the strategic delivery roadmap for multiple data center construction and network build programs, ensuring alignment with… more
- Oracle (Dover, DE)
- …design managers, coordinate with internal stakeholders and external consultants, and provide technical oversight from concept through construction documentation. ... coordination across MEP, architectural, and structural systems for new and retrofit data center projects. + Provide strategic and technical leadership through… more
- The Cigna Group (Philadelphia, PA)
- …of the health plan offerings to deliver value through exceptional patient and provider experience, high quality outcomes, more affordable care, and with the use of ... modernized digital, technology, and data capabilities. **Oversees Medical Management** - Provides strategic leadership and oversight for all medical management… more
- AmeriHealth Caritas (Newtown Square, PA)
- …regulatory changes + Collaborate with legal, compliance, analytics, clinical policy, provider network , PI vendors, and other internal/external key stakeholders ... Act as a liaison between payment integrity operations and provider network management to address escalations and...and drive to expedited resolution + Experience with vendor oversight + Strong track record in using data… more
- University of Pennsylvania (Philadelphia, PA)
- …implementing updates to document storage/retention/destruction policies and programs. They will provide leadership to resolve regulatory and data queries through ... News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by… more
- Wolters Kluwer (Wilmington, DE)
- …product utilization across the Wolters Kluwer Health's Clinical Decision Support & Provider Solutions (CDSP) product portfolio. They serve as a trusted advisor for ... working to deepen trust and collaboration. Build a wide network of internal champions for WK products and leverage...accounts + Ensure plan execution by direct contribution and oversight of assigned team members' efforts, prioritizing efforts and… more
- CenterWell (Dover, DE)
- …The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the organization's pre-billing function. This role is responsible for ... The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the organization's pre-billing function. This role is responsible for… more
- Capital One (Dover, DE)
- …**not** **supplied via cellular data or hotspot is required** + **A private network that is password protected where you have ownership or line of site sight to ... include inventory and expense management in conjunction with auction oversight of adherence to Capital One guidelines and policies....every device on the network ** + **Internet service must be provided by Cable… more
- Datavant (Dover, DE)
- …time, in the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and ... Datavant is a data platform company and the world's leader in...The Manager, Risk Adjustment Operations is responsible for the oversight and management of coding production, quality, and vendor… more
- Cardinal Health (Dover, DE)
- …roadmaps to improve compliance posture of the future state IT environment. + Provide oversight to confirm compliance requirements are being designed and ... laboratory products; an operator of nuclear pharmacies and manufacturing facilities; and a provider of performance and data solutions. Working to be healthcare's… more
- Highmark Health (Dover, DE)
- …managing performance. Conducts the oversight of security technology products for network , systems, and data . Controls expenses within the operating unit and ... as necessary; may have budgetary responsibility and authority. + Provide oversight of all aspects of project...Insurance Portability and Accountability Act (HIPPA), Payment Card Industry Data Security Standards (PCI DSS), and FIPS-140 + Strong… more
- University of Pennsylvania (Philadelphia, PA)
- …team staff. Responsible for or participate in the hiring and performance management of staff. Provide training and oversight to network sites on the assigned ... of beacon orders and nursing worksheets as needed during study start-up. Provide oversight of administration of medications, chemotherapeutic drugs, cellular… more
- Merck (West Point, PA)
- …to lead (role has three direct reports) and partner with a cross-functional HR network . The ideal candidate is a highly effective consensus builder, strong in the ... that enable our competitive advantage globally. **Primary Responsibilities** + Provide leadership around the development of compensation-related processes and the… more
- Humana (Dover, DE)
- …to provide thought leadership for Humana Group Medicare. + Assisting with network development and provider contracting, as well as product development to ... Medical, Pharmacy, Risk Adjustment, Stars, Product Design, Trend Bender, and Network operations leaders. The role monitors Groups clinical performance and to… more
- Chemours (Deepwater, NJ)
- …of the position include, but are not limited to, the following:** + Provide technical oversight for day-to-day operations, including process monitoring and ... input (safety, yield, uptime, capacity release, reliability, and cost performance) + Provide technical oversight and lead troubleshooting and root cause analysis… more
- Rubrik (Dover, DE)
- …manage the relationship with our national distributors and maintain strategic oversight of several non-named partners through onboarding, activation and enablement. ... and drive mindshare. **2. Strategic Partner Management** + **Emerging Partner Oversight :** Manage the strategic relationship and comprehensive business planning with… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- **Description** Are you passionate about Family Based and Outpatient Services that provide community based treatments and interventions that support families? Do you ... have experience with program oversight , supervision, budget management, and familiar with regulations &...Family Based Therapy, and Blended Case Management services to provide safe and effective programs and services for individuals… more