- 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 role ... 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
- AmeriHealth Caritas (Newtown Square, PA)
- …services. Discover more about us at www.amerihealthcaritas.com . **Position Overview:** The Provider Network Account Executive I (AE I) conducts orientation ... with all updates and revisions. **Key Responsibilities:** + Monitor and manage the provider network to ensure appropriate access to services throughout the… more
- EPAM Systems (Conshohocken, PA)
- We are seeking a **Lead Network Engineer/ Architect** with extensive experience in Wi-fi and Wireless testing to join our team. The ideal candidate will leverage ... expertise to drive process improvements, optimize operations, and deliver data -driven insights to support strategic decision-making. Req.#822159404 **\#LI-DNI** **Responsibilities**… more
- EPAM Systems (Conshohocken, PA)
- We are seeking a **Lead Network Engineer/ Architect** with extensive experience with Wireless technologies to join our team. The ideal candidate will leverage their ... expertise to drive process improvements, optimize operations, and deliver data -driven insights to support strategic decision-making. Req.#825948147 **\#LI-DNI** **Responsibilities**… more
- EPAM Systems (Conshohocken, PA)
- We are seeking a **Lead Network Engineer/ Architect** with extensive experience in KPI and Flex counter to join our team. The ideal candidate will leverage their ... expertise to drive process improvements, optimize operations, and deliver data -driven insights to support strategic decision-making. Req.#822161394 **\#LI-DNI** **Responsibilities**… more
- AmeriHealth Caritas (Newtown Square, PA)
- …across Specialty Products. + Analyze Medicare and Medicaid claims, enrollment, risk adjustment, and provider network data using SQL and/or SAS. + Apply ... and Networks. This role combines deep analytical expertise, technical proficiency in healthcare data , and strategic thinking to support product innovation,… more
- IQVIA (Wayne, PA)
- …and integrated omnichannel vision. We provide authenticated, privacy-enhanced data and analytics, innovative fit-for-purpose healthcare technology, and the ... care and patient outcomes. IQVIA is the leading global provider of data , advanced analytics, technology solutions..., an IQVIA business, is the leader in HCP ( Healthcare Professional) data solutions fueling digital advertising… more
- Merck (West Point, PA)
- …and interpret large volumes of structured and unstructured real-world patient level healthcare data , including but not limited to administrative claims, EHR/EMR, ... Work closely with stakeholders in research, business, and IT functions to provide data -driven insights and solutions. **Project Management:** + Independently… more
- Penn Medicine (Radnor, PA)
- …Responsibilities include understanding key referral relationships, and referring provider needs, and building and supporting relationships, coordinating and ... and audience expert, providing actionable intelligence for inclusion into network and program development + Strategic Capabilities: Responsible for identifying… more
- AmeriHealth Caritas (Newtown Square, PA)
- …their providers: + Identifying and implementing evidence-based practice guidelines throughout the provider network . + Overseeing the quality of clinical care for ... network and non- network providers. + Engaging the provider network in Continuous Quality Improvement through the diffusion of practice standards, and… more
- IQVIA (Wayne, PA)
- …leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We ... leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We… more
- Endo International (Malvern, PA)
- …awareness program. + Provide metrics for operational and management dashboards, utilizing data from IT security processes and tools, as well as benchmark data ... members understand the important role we play in delivering healthcare and are dedicated to supporting each other as...security solutions, controls, policies, and procedures that protect Company data and assets. This includes but is not limited… more
- Elevance Health (Wilmington, DE)
- …required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will you make an impact:** + ... investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client...Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use… more
- AmeriHealth Caritas (Newtown Square, PA)
- …clinical liaison to increase access and adequate care for members in ACFC provider 's offices AND/OR through fully delegated vendor networks. This position will also ... coordinate resolution of provider issues; performs and remains knowledgeable in all workflow...ensuring timely payments + In non-delegated states, contributing to network expansion by recruiting new providers and maintaining existing… more
- EPAM Systems (Conshohocken, PA)
- …and continuously refine your account and pursuit plans + Build an internal network and relationships with key stakeholders, get up to speed on EPAM's history, ... who can quickly learn in a matrixed organization, build an internal network and bring together EPAM's world-class capabilities to deliver strategic value to… more
- Merck (West Point, PA)
- **Job Description** Our Biologics External Manufacturing network spans US, EU and AP, and includes the drug substance and drug product manufacture of biologics ... established commercial products and new product introductions within this complex network . The Biologics External Manufacturing (Bio ExM) Technical Operations lead,… more
- TEKsystems (Malvern, PA)
- …tools and resources to coordinate and complete the placement of a patient Maintain data forms e-faxed from the field and enter in the appropriate database Under the ... with Hospitals, Discharge planners, Case Managers, & teammates across the Village and provide customer service excellence Achieve the metrics and goals set for the… more
- CVS Health (Chester Springs, PA)
- …Physical Requirements** * Acts as a liaison with member/client /family, employer, provider (s), insurance companies, and healthcare personnel as appropriate. * ... **Family Summary/Mission** Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting… more
- Merck (West Point, PA)
- …Development** Our Scientists are our Inventors. We deliver robust scientific data and interpretation that drives the commercialization of breakthrough therapeutics ... allow the candidate to solve complex scientific challenges through application of data modeling, analysis, and visualization tools. Initial focus will be related to… more
- West Pharmaceutical Services (Exton, PA)
- …injectable medicines to millions of patients daily, West's indelible mark on the healthcare industry has just begun. A name started our story. How will yours ... will oversee the logistics operations of our EU regional distribution center, and provide day-to-day support of our EU and Asia road transportation partners. The… more