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Develop Provider Network Management application in Salesforce Health Cloud. with Application Architects and Database Administrators to enable full-stack solutions that integrate front-end content management systems and applications and backend database systems or APIs.
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This is a great opportunity for anyone wanting to break into the industry and start building knowledge of Cannabis cultivation and pest management! Curaleaf International is the largest vertically integrated cannabis company in Europe with a unique supply and distribution network throughout the European market, bringing together pioneering science and research with cutting-edge cultivation, extraction and production.
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Powered by the nations largest Gig-speed broadband network and backed by 24/7 customer support, Comcast Business is the nations largest technology provider to small businesses and one of the leading service providers to the Enterprise market.
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With one of the leading alcohol and drug detox and rehab programs in Philadelphia, Fairmount is the provider of choice for individuals requiring specialized co-occurring psychiatric and chemical dependency treatment.
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Delivers an exceptional experience to patients, customers and physicians who contact the Access Center by facilitating patient access throughout Cooper’s provider network. This includes Internal and Family Medicine, Pediatrics, Orthopedics, Cardiology, OB/GYN, Endocrinology, Rheumatology, Gastroenterology, and Pain Management.
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Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
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Education QualificationsHigh School Diploma / GED RequiredBachelor's Degree PreferredExperience QualificationsAt least three (3) years Experience in a healthcare reimbursement environment RequiredAt least one (1) year Supervisory experience RequiredSkills and AbilitiesRequires understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management.
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The manager collaborates with Enterprise Digital, Marketing, Provider Network and other business stakeholders who set the vision and roadmap for member and provider experience. Document and maintain standard operating procedures and processes in support of configuration, problem management, UAT, and claims testing.
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The lead will have deep technical knowledge and experience in server configuration and storage, network, devices, MDI, help desk, data center, identity management, client computing, and testing with the experience of leading a technical workstreams for multiple Epic implementations.
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Assist with network development and provider contracting with various providers and ancillary providers. Participate in Quality Operations including Quality Management Committee, monitor initial peer review on quality of care complaintsParticipate in National, Regional and local meetings of organizations of interest to Group MedicareSpeaking engagements to provide thought leadership on behalf of Humana Group MedicareOversee quality improvement and HEDIS/STARS metrics to improvement with corporate and local market resources.
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Responsibilities/needs for the IAM Engineer:Knowledge of Active Directory, Identity Management, Authentication and Single Sign On/Federation Services technologiesKnowledge of information security, including network security, infrastructure security, application security, compliance frameworks, and other regulatory requirementsComprehensive knowledge and experience with authentication standards and technologies such as multi factor authentication, JSON Web Token (JWT), etc.
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With an integrated set of technical domains, including data center, network, security, cloud, and communications, EVOTEK provides a cohesive approach to digital initiatives while driving business impact.
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Xpedient is a full-service 3rd party logistics provider delivering primarily in dedicated warehousing and trucking, with some network design consulting and final mile. We have experience helping a diverse client base in warehousing services, transportation management, supply chain management, order fulfillment and labor needs.
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At least 3 years of experience in auditing information security (application security, network security, cyber security, data protection), or cloud computing controls (design, operation, risk management, auditing) or a combination.
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Duke Corporate Education (Duke CE), a premier global provider of leadership solutions, is seeking a Client Director to join their management consulting team. As part of Duke University, Duke CE brings together experienced business and learning experts with a global network of faculty and experience providers to help clients find the right leadership solutions to overcome their messy challenges and move their organizations forward.
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provider network management jobs in Philadelphia, PA
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