Account Manager, Provider Relations (Pa) Sylvan HealthAccount Manager, Provider Relations (Pa)Philadelphia, PAOur unique care model combines clinical expertise with cutting-edge technology, empowering providers to deliver impactful, evidence-based nutrition and lifestyle services that drive better patient outcomes and enhance practice profitability. The Provider Relations Account Manager will play a critical role in helping providers successfully participate in Sylvan Health’s services while acting as a trusted advisor and advocate for partner needs internally.
Provider Relations Account Manager (Pa) Sylvan HealthProvider Relations Account Manager (Pa)Philadelphia, PAOur unique care model combines clinical expertise with cutting-edge technology, empowering providers to deliver impactful, evidence-based nutrition and lifestyle services that drive better patient outcomes and enhance practice profitability. The Provider Relations Account Manager will play a critical role in helping providers successfully participate in Sylvan Health’s services while acting as a trusted advisor and advocate for partner needs internally.
Advanced Practice Provider (CRNP/PA) New Jersey UrologyAdvanced Practice Provider (CRNP/PA)Cherry Hill, New JerseyThrough Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.
Director of Provider Compensation Cooper University HospitalDirector of Provider CompensationCamden, New JerseyFull timeCollaborate with senior leadership, including Finance and Physician senior leadership, to develop and implement compensation strategies that support organizational objectives. Collect, consolidate, and analyze data related to compensation, including financial, productivity, and quality metrics, ensuring data integrity and rectifying inconsistencies.
Hospital Provider - Physician CICU-1 Children's Hospital of PhiladelphiaHospital Provider - Physician CICU-1Philadelphia, PAUnder the supervision of a sub-specialty attending physician, a Hospital-Physician is a board-certified or board-eligible pediatrician who evaluates, treats, manages inpatient care, documents medical findings in EPIC, provides support to patients, families and colleagues, collaborates with administration and nursing staff. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, physician assistants, students, and other health care providers.
Advance Practice Provider, Medical Oncology - Fox Chase Cancer Center Temple University Health SystemAdvance Practice Provider, Medical Oncology - Fox Chase Cancer CenterPhiladelphia, PAThis role is ideal for a motivated clinician interested in delivering comprehensive, patient-centered oncology care across the cancer continuum, from diagnosis through active treatment, survivorship, and supportive care. The position includes a combination of independent and shared outpatient clinic care, symptom management, treatment monitoring, survivorship care, and coordination across the continuum of oncology services.
NewManager, Institutional Provider Rebates Pfizer IncManager, Institutional Provider RebatesCollegeville, PA$99,200–$165,400 / yearThe Manager, Institutional/Provider Rebates has the primary purpose of managing the payment requirements of Pfizer's various contractual agreements with Hospital, GPO, IDN's, Clinic for more complex accounts as it relates to size of the customer organization and intricacy of agreements and strategies. The Manager will partner on a variety of strategic initiatives, ongoing internal and external deliverables, working with Leadership team members, and other cross functional business partners to ensure effective support for US Products across HBU, and the I&I and Oncology Business Units.
Telehealth Mental Health Provider (Pennsylvania) MedvidiTelehealth Mental Health Provider (Pennsylvania)Philadelphia, PARemoteAt MEDvidi, we provide comprehensive mental health evaluations and treatment for adult patients experiencing conditions such as ADHD, anxiety, depression, insomnia, and mild-to-moderate OCD. We leverage technology, clinical expertise, and operational support to empower providers and improve patient outcomes across the U.S. Responsibilities: Conduct comprehensive psychiatric evaluations via telehealth.
Full Time Provider OH, AZ, UT, VA, ND, DE, ME, HI, PA, ID Spring Care IncFull Time Provider OH, AZ, UT, VA, ND, DE, ME, HI, PA, IDPARemote$66,000–$70,000 / yearWorking as a full-time provider at Spring Health qualifies you for a robust benefits package valued at $30-$40K: Focus on total health including: Generous medical, dental, vision coverage available day 1 + access to One Medical 20 total yearly no-cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents Start with 20 days of accrued paid time off in your first year, with the opportunity to earn up to 25 days off as you continue with us (one additional day added each year). Why you'll like working at Spring Health You get to learn and grow at an extremely accelerated pace You get to make a transformational impact for the company, mental health, and for real human lives - and you will see that impact quickly You get to be part of a winning team that opens doors in the future You will receive continuous feedback to push you to become the most thriving team member and performer you can be Change is a constant here: your role, team, responsibilities, and success metrics will shift as the company grows.
Advanced Practice Provider- Hematology- 40/hrs, Day Shifts (Temple Hospital) Temple University Health SystemAdvanced Practice Provider- Hematology- 40/hrs, Day Shifts (Temple Hospital)Philadelphia, PAPennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Advanced Practice Provider'',''Advanced Practice Provider'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''401545'',''401545'',''true'',''401545'',''false'',''Submission for the position: Advanced Practice Provider- Hematology- 40/hrs, Day Shifts (Temple Hospital) - (Job Number: 261732)'',''false'',''401545'',''false'',''true''. Conducting comprehensive patient history taking, physical examinations, and reviewing laboratory data to diagnose hematological conditions like anemia, bleeding disorders, blood cancers (leukemia, lymphoma), and myeloproliferative disorders along with working with chemotherapy treatments experience strongly preferred.
Advance Practice Provider, Cardiology (Electrophysiology) - Temple Faculty Practice Temple University Health SystemAdvance Practice Provider, Cardiology (Electrophysiology) - Temple Faculty PracticePhiladelphia, PAPennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Advanced Practice Provider'',''Advanced Practice Provider'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''405621'',''405621'',''true'',''405621'',''false'',''Submission for the position: Advance Practice Provider, Cardiology (Electrophysiology) - Temple Faculty Practice - (Job Number: 263563)'',''false'',''405621'',''false'',''true''. ''405621'',''true'',''405621'',''false'',''Submission for the position: Advance Practice Provider, Cardiology (Electrophysiology) - Temple Faculty Practice - (Job Number: 263563)'',''false'',''405621'',''false'',''true'',''Advance Practice Provider, Cardiology (Electrophysiology) - Temple Faculty Practice '',''263563'',''!*!
Homecare Provider and Companionship One You Love Homecare Valley ForgeHomecare Provider and CompanionshipMalvern, Pennsylvania$15.50–$19 / hourCompensation: $15.50 - $19.00 per hour One You Love Homecare provides high-quality, compassionate, non-medical home care services to help our clients live with dignity and independence. About the Role: Join One You Love Homecare Valley Forge as a Homecare Provider-Companionship, where you will make a meaningful impact in the lives of our clients.
Homecare provider and Companionship One You Love Homecare Valley ForgeHomecare provider and CompanionshipRoyersford, PennsylvaniaAbout the Role: Join One You Love Homecare Valley Forge as a Homecare Provider-Companionship, where you will make a meaningful impact in the lives of our clients. One You Love Homecare provides high-quality, compassionate, non-medical home care services to help our clients live with dignity and independence.
Provider Scheduling Specialist St. Luke's University Health NetworkProvider Scheduling SpecialistBethlehem, PAEDUCATION: Bachelor's degree in health care administration, business administration, or a closely related field and a minimum of 1 year of workforce scheduling experience required; OR associate degree in health care administration, business administration, or a closely related field and a minimum of 1-3 years of workforce scheduling experience required; OR high school diploma and a minimum of 1 year of workforce scheduling experience and 1-3 years of similar healthcare related experience required. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
NewProvider Credentialing Data Analyst (Full-Time/Day) Center City Thomas Jefferson UniversityProvider Credentialing Data Analyst (Full-Time/Day) Center CityPhiladelphia, PennsylvaniaJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
NewProvider Delegated Credentialing Analyst (Full-Time/Day) Center City Thomas Jefferson UniversityProvider Delegated Credentialing Analyst (Full-Time/Day) Center CityPhiladelphia, PennsylvaniaJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
Lead Advanced Practice Provider (NP/PA)- MEND Service Penn MedicineLead Advanced Practice Provider (NP/PA)- MEND ServicePhiladelphia, PAWorking in close partnership with physician leadership, operational leadership, and Advanced Practice leadership, the Lead APP will help optimize care delivery, strengthen APP integration, and support the continued growth and success of the MEND program. Interventions include psychiatric consultation, behavioral care planning, psychosocial and psychotherapeutic support, curbside consultation, patient advocacy, care coordination, psychiatric disposition planning, and team education for nurses, physicians, APPs, social work, and rehabilitation staff.
Credentialing Specialist (Provider Credentialing)- Temple University Hospital Temple University Health SystemCredentialing Specialist (Provider Credentialing)- Temple University HospitalPhiladelphia, PAWorks cooperatively/collaboratively with practitioners, their employer and office staff to facilitate the credentialing process. Also, supports the FPPE/OPPE functions, including assurance of timely evaluation and collection of data.
Advanced Practice Provider American Family Care Willow GroveAdvanced Practice ProviderWillow Grove, Pennsylvaniamagazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine.
Advanced Practice Provider (App) - Department Of Medicine, Gastroenterology - Fox Chase Cancer Center Temple University Health SystemAdvanced Practice Provider (App) - Department Of Medicine, Gastroenterology - Fox Chase Cancer CenterPhiladelphia, PAAreas of Clinical Focus: Some general diagnoses including: Constipation, Diarrhea, GERD, Dysphagia, Nausea/vomiting, Abnormal LFTs, Abdominal pain, GI bleeding/anemia evaluation, Pancreatic cyst surveillance, colitis or hepatitis, Malnutrition/weight loss, Biliary obstruction and jaundice. The APP will work closely with a multidisciplinary team, including gastroenterology physicians and fellow APPs at Fox Chase to provide a full array of diagnostic, therapeutic, and consultative gastrointestinal services to patients with and without cancer.
Advanced Practice Provider (Hybrid) TapestryHealthAdvanced Practice Provider (Hybrid)Cherry Hill, New JerseyThey ensure proactive patient care through the review and discussion of Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI) & daily risk reports with facility healthcare professionals, including physicians, nurse practitioners, and social workers. Job Description: Tapestry Management Providers (TMPs) play a crucial role in delivering comprehensive, in-person clinical support to healthcare facilities.
Advanced Practice Provider - Virtua Center for Liver Disease Virtua Health IncAdvanced Practice Provider - Virtua Center for Liver DiseaseCamden, NJWhat You'll Do: The Virtua Center for Liver Disease provides comprehensive care for all types of liver disease, including hepatitis B and C, fatty liver disease, liver cancer, cirrhosis (scarring) and liver failure. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home.
Electrodiagnostic (EMG/NCS) Provider (Physician or Physical Therapist) Premier Orthopaedic and Sports MedicineElectrodiagnostic (EMG/NCS) Provider (Physician or Physical Therapist)Havertown, PAPart timeFacilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers to ensure timely access to high-quality, patient-focused care. This role is vital in evaluating, diagnosing, and helping map treatment plans for patients presenting with complex neuromuscular and musculoskeletal disorders, including radiculopathy, peripheral neuropathies, carpal tunnel syndrome, and focal nerve injuries.
NewStretch Service Provider/Personal Trainer Massage EnvyStretch Service Provider/Personal TrainerReading, PA$54,000As a highly skilled Personal Trainer/Stretch Service Provider in our Wyomissing clinic, you will have the chance to create personalized stretch sessions that help our members and guests achieve their health goals. The brand is built upon the belief that regular massage, stretch, and facials are integral components of whole-body wellness and keep your body working.
Financial Analyst Provider Compensation Penn MedicineFinancial Analyst Provider CompensationBala Cynwyd, PAProvides analytical support during the annual incentive reconciliation process for all providers (physicians and Advanced Practice Providers (APPs)), base compensation reconciliation/reset for all physicians and CUV/conversion factor reset process. Summary: The Financial Analyst for Provider Compensation supports the activities of the Provider Compensation and Contracting Manager and Provider Recruitment & Finance teams in the area of physician/advanced practice provider compensation and other financial analysis.
Provider Provisioning and Clinical Readiness Analyst Penn MedicineProvider Provisioning and Clinical Readiness AnalystWest Chester, PAReporting to the Senior Director of Clinical Informatics, and working in close partnership with Information Services, Human Resources, the Medical Staff Office, operational leaders, and clinical departments, the analyst coordinates specialty-specific onboarding activities, resolves complex access and provisioning issues, and ensures providers are successfully integrated into the clinical environment. Responsibilities include coordinating multidisciplinary onboarding activities, provisioning and optimizing access to enterprise clinical systems, providing clinical informatics education and personalization, troubleshooting technical and operational issues, and validating provider readiness prior to the start of clinical practice.
NewVascular Institute - Advanced Practice Provider (APN or PA-C), Per Diem Atlantic Medical Imaging LLCVascular Institute - Advanced Practice Provider (APN or PA-C), Per DiemSomerdale, NJInteracts with referring physicians' offices, patients and other potential clients to develop the interventional practice and vein/vascular program, as follows: assists with the development of patient education materials, distributes marketing brochures, promotes growth of the practice and referral sources, represents AMI and the IR program to the community in a positive manner, acts as liaison between AMI, the patient and referring physician to ensure open communication and problem solving objectives. The responsibilities of the APP include, but are not limited to: Conducts comprehensive new patient evaluations, including obtaining detailed histories, performing physical examinations, ordering diagnostic tests (labs, imaging), and coordinating multidisciplinary care plans as appropriate.
Consulting Manager - Innosight Healthcare Provider Strategy & Innovation Huron Consulting Group IncConsulting Manager - Innosight Healthcare Provider Strategy & InnovationPhiladelphia, PARemote$190,000–$220,000 / yearResponsibilities: This is a high-responsibility and high-impact role that requires the Manager to be a thought leader and problem-solver on the team, leading team efforts working closely with the Partner and/or Principal and day-to-day client contact to ensure the project work stays on track and drives impact. Proven leadership in enterprise-level strategic engagements for healthcare provider organizations, including long- and near-term strategic planning, growth initiatives, enterprise transformation, market entry, service line strategy, M&A/strategic partnerships, and system-level margin or cost optimization.
Advanced Practice Provider- Surgery, 36Hr Day Flex Shift (6A-630P W/Flex) TUH Temple University Health SystemAdvanced Practice Provider- Surgery, 36Hr Day Flex Shift (6A-630P W/Flex) TUHPhiladelphia, PAPerforms a wide variety of patient care activities including diagnosis and the prescription of medical therapeutics or corrective measures in collaboration with and under the direction of the licensed physician. The APP treats and evaluates patients; administers advanced nursing care in a particular clinical specialty area under the direction of the licensed physician.
Consulting Director - Innosight Healthcare Provider Strategy & Innovation Huron Consulting Group IncConsulting Director - Innosight Healthcare Provider Strategy & InnovationPhiladelphia, PARemote$215,000–$250,000 / yearDemonstrated experience leading enterprise-level strategic engagements for healthcare provider organizations, including long-term and near-term strategy, growth initiatives, enterprise transformation, market entry, service line strategy, M&A/partnerships, and margin or cost optimization. Expert-level knowledge of the healthcare provider industry, including experience working with diverse provider organizations such as Hospital Systems, Academic Medical Centers, Ambulatory Surgery Centers, Integrated Delivery Networks, Physician Practices/Groups, etc.
Physician & Advanced Practice Provider Recruiter Presbyterian Healthcare ServicesPhysician & Advanced Practice Provider RecruiterPAWorking closely with medical directors, operational leaders, and provider candidates nationwide, the Talent Advisor will provide a high-touch, white-glove recruitment experience while building long-term talent pipelines that support organizational growth. This individual will serve as a full-cycle recruitment consultant supporting a diverse portfolio of physician and APP searches, with a primary focus on specialty care recruitment including cancer services, neurology, and other hard-to-fill clinical specialties.
Provider Partnerships Associate (Territory Sales) NourishProvider Partnerships Associate (Territory Sales)West Chester, PennsylvaniaYou’ll spend the majority of your time in the field meeting with primary care physicians, specialists, medical assistants, office managers, and healthcare administrators; building trust, growing referral volume, and helping more patients access insurance-covered nutrition care. As a Provider Partnerships Associate (PPA), you’ll help grow a provider referral territory by building strong partnerships with healthcare providers and their teams.
Consulting Senior Director - Innosight Healthcare Provider Strategy & Innovation Huron Consulting Group IncConsulting Senior Director - Innosight Healthcare Provider Strategy & InnovationPhiladelphia, PARemote$235,000–$275,000 / yearHealthcare Provider Strategy Experience: At least 10 years of relevant experience working with healthcare providers on strategic initiatives such as enterprise strategic planning, growth and market strategy, business model innovation, service line strategy, M&A and partnerships, provider alignment, and enterprise transformation. Lead Enterprise Strategy Engagements: Provide senior leadership across complex, multi-workstream engagements focused on enterprise strategy, growth, business model transformation, market positioning, partnerships, service line strategy, and organizational transformation.
Advance Practice Provider, Medical Oncology - Fox Chase Cancer Center Temple HealthAdvance Practice Provider, Medical Oncology - Fox Chase Cancer CenterPhiladelphia, PATemple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.
NewCredentialing & Provider Enrollment Coordinator Children's Hospital of PhiladelphiaCredentialing & Provider Enrollment CoordinatorPhiladelphia, PA$62,900–$80,200 / yearThis role requires driving of administrative functions, provision of direct physician support, collaboration with stakeholders, and both efficient and effective management of documentation and credentialing efforts within the Department of Radiology - across the Enterprise and affiliate locations. Advanced proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel.
Provider Partnership Associate Blue Cross and Blue Shield AssociationProvider Partnership AssociatePhiladelphia, PAThe Provider Network Services Provider Partnership Associate supports Integrated Delivery Health Systems (IDS) and community providers including but not limited to primary care physicians, specialists, ancillary, behavioral health, and institutional providers in Pennsylvania and Delaware. Ability to independently manage multiple priorities with varying levels of complexity and customer expectations to a successful conclusion with limited supervision is essential, as is the ability to interact effectively with all levels of management, including medical directors.
Senior Provider Partnership Associate Blue Cross and Blue Shield AssociationSenior Provider Partnership AssociatePhiladelphia, PAThe Provider Network Services Senior Provider Partnership Associate supports Integrated Delivery Health Systems (IDS) and community providers including but not limited to primary care physicians, specialists, ancillary, behavioral health, and institutional providers in Pennsylvania and Delaware. Ability to independently manage multiple priorities with varying levels of complexity and customer expectations to a successful conclusion with limited supervision is essential, as is the ability to interact effectively with all levels of management, including medical directors.
Advanced Practice Provider - Neuro ICU Cooper University HospitalAdvanced Practice Provider - Neuro ICUCamden, New JerseyFull timeThe Advance Practice Provider will manage neuro-critical care patients augmenting existing provider compliment of 2 Neurointensivists along with rotational Residents in Neurology and Neurosurgery. License/Certification Requirements: Board certification Acute Care Nurse Practitioner or Board certification as Physician Assistant; Active New Jersey License; American Heart Association BLS.
Advanced Practice Provider - Otolaryngology Cooper University HospitalAdvanced Practice Provider - OtolaryngologyCamden, NJCooper University Healthcare, Division of Otolaryngology-Head & Neck Surgery is looking to hire an outstanding Advanced Practice Provider (APN or PA) to join our collegial team of providers which includes Attending ENT Surgeons, and Advanced Practice Providers (APP). The APP will perform ENT procedures, such as fiberoptic scope exams, drainage abscesses, control of epistaxis, ear exams, biopsies, tracheostomy care and tracheostomy tube changes, etc.
Advanced Practice Provider - Neuro ICU Nocturnist Cooper University HospitalAdvanced Practice Provider - Neuro ICU NocturnistCamden, NJThe Advance Practice Provider will manage neuro-critical care patients augmenting existing provider compliment of 2 Neurointensivists along with rotational Residents in Neurology and Neurosurgery. Experienced candidates required (ICU, Neurosurgery, In-patient Neurology, Trauma, Surgery, Hospitalist, and/or Emergency Medicine) to meet the needs of this complex patient cohort.
Advanced Practice Provider PRN - Neurology Cooper University HospitalAdvanced Practice Provider PRN - NeurologyCamden, New JerseyPer diemThe Advance Practice Provider will manage neuro-critical care patients augmenting existing provider compliment of Neurointensivists, other APPs, and rotational Residents in Neurology and Neurosurgery. License/Certification Requirements: Board certification Acute Care Nurse Practitioner or Board certification as Physician Assistant; Active New Jersey License; American Heart Association BLS.
Provider Services Coordinator Penn MedicineProvider Services CoordinatorBala Cynwyd, PAThis role serves as an expert in the area of provider onboarding, and the primary liaison between the new hire, the Office of Medical Affairs, and the entity stakeholders, ensuring that all required activities are completed to clear the new hire for a timely and optimal start into the organization. Summary: The Provider Services Coordinator will provide support of all credentialing / re-credentialing activities for onboarding and existing physicians and advanced practice providers within the Regional Practices of Penn Medicine Medical Group.
NewProvider Enrollment Specialist Quest Diagnostics IncProvider Enrollment SpecialistWest Norriton, PAAccurately and efficiently submit enrollment and credentialing applications Effectively manage and update status of enrollments by way of case creation and management Effectively communicate with agencies, health plans and internal stakeholders' on status of enrollments and credentialing applicationsQualifications: Required Work Experience: 3 + years'' relevant experience, including working knowledge of Medicare and Medicaid provider network requirements or health plan payer enrollments Relevant experience in large, complex organizations, commercial labs, or healthcare organizations Skills: Strong analytical and problem-solving skills Strong interpersonal skills; ability to work with external clients and multiple levels internal Ability to handle confidential or sensitive information with discretion Strong written & verbal communication Strong attention to detail Strong technical skills in MS Word and Excel Able to multi-task and perform in a fast-paced environment Lominger's Competencies: Customer Focus Organizational Savvy Learning on the Fly Problem Solving Dealing with Ambiguity Drive for Results EducationBachelor's Degree (Preferred)CompetenciesAction orientedBusiness acumenCustomer FocusedInterpersonal savvyOrganizingPriority SettingTime management66526Quest Diagnostics honors our service members and encourages veterans to apply. Responsibilities: Review, prepare and submit requests for Medicare, Medicaid, and Health Plan payers to include completion of but not limited to: provider enrollment applications, revalidation requests, NPI enrollments, licensure updates, CAQH physician credentialing, health plan credentialing, attestations, and disclosures of ownership Engage with stakeholders such as Health Plans, Legal, Business Development, Compliance, Laboratory Operations and Optum to successfully complete enrollment requests and related activities Engage with payers directly to discuss enrollment issues, inquiries, updates and due dates of enrollment applications Review and monitor credentialing reports of enrolled physicians, facilities, and provider groups to proactively submit credentialing applications in advance of payer-defined enrollment/re-enrollment deadlines.
Director of Provider Compensation Cooper University Health CareDirector of Provider CompensationCamden, NJCompensation Model Management: Design, oversee, and analyze provider compensation models, ensuring they are commercially reasonable, compliant with regulations, and consistent with fair market value. Regulatory Compliance & Fair Market Value: Ensure all provider compensation arrangements are aligned with fair market value principles and comply with federal and state regulations.
Provider Compensation Manager Penn MedicineProvider Compensation ManagerBala Cynwyd, PAResponsibilities include: periodic compensation reconciliation and incentive plan management; performing accurate and timely analysis of complex provider compensation; with reviewing survey data, establish appropriate provider compensation levels; managing process in which physicians transition to productivity compensation plan; effective communication and consultation with new and existing physicians regarding compensation models; managing the communication process for annual physician compensation changes; manage audits to maintain data integrity and compliance to physician contract terms. Accountabilities: Manages provider compensation department to ensure compensation analysts are fully trained and knowledgeable regarding compensation plans and processes for accurate calculations and reconciliations for timely payroll and HR rate adjustments.
Provider Specialist Blue Cross and Blue Shield AssociationProvider SpecialistPhiladelphia, PAKey responsibilities include verifying provider credentialing for suspended claims; verifying professional and facility pricing; maintaining thorough and accurate documentation of all inquiries within designated tracking systems; and applying a working knowledge of provider support systems. The ideal candidate will be self-motivated, highly organized, detail-oriented, able to handle multiple high priorities, as well as possess above average problem solving, analytical and communication skills (both written and verbal).
College Co-op: Provider Network Services Blue Cross and Blue Shield AssociationCollege Co-op: Provider Network ServicesPhiladelphia, PAThe Co-Op will work closely with operational leaders and subject matter experts to support day-to-day provider activities while assisting with data analysis, reporting, and documentation that enables the team to focus on complex provider escalations and priority initiatives. This role is designed to provide hands-on exposure to healthcare operations, provider network management, and data-driven decision-making within a managed care organization.
Advanced Practice Provider - Trauma Cooper University HospitalAdvanced Practice Provider - TraumaCamden, NJPatient Monitoring: Continuously evaluate patient condition, monitor vital signs, and interpret lab results, diagnostic imaging, and other data to guide treatment decisions, including ventilator management, ICP interpretation, IV sedation management, chest tube management and drain management. Patient Assessment & Management: Perform comprehensive assessments of critically injured trauma patients, develop and implement treatment plans, monitor progress, and adjust care as needed in collaboration with attending physicians.
Advanced Practice Provider - Neonatology Cooper University HospitalAdvanced Practice Provider - NeonatologyCamden, NJAdvanced Practice Provider (APP) Functions:• As licensed independent providers, APPs practice autonomously and/or in consultation with a collaborating/supervising physician and other health care professionals to assess, diagnose, treat and manage patients’ health problems/needs.• The Advanced Practice Nurse will function within the scope of practice as defined by the state nurses practice act, delineation of privileges set forth by the practice setting and the American Nurses’ Association Code of Ethics.
Advanced Practice Provider - Orthopedics Cooper University HospitalAdvanced Practice Provider - OrthopedicsCamden, New JerseyFull timeThe role includes first assisting in surgery, inpatient management, perioperative care coordination, and outpatient follow-up, ensuring continuity of care from initial evaluation through postoperative recovery. The Cooper Bone & Joint Institute is seeking an Advanced Practice Provider (Physician Assistant or Advanced Practice Nurse) to join our growing Adult Reconstruction team.