Provider Transformation Specialist
2 days ago
This role is responsible for driving outcomes for providers contracted in Highmark Health's gain/risk share arrangements. The successful candidate will be a highly skilled expert in practice transformation, with a focus on achieving specific targets set in individual gain/risk share contracts.
Key Responsibilities- Support providers in maximizing quality and ROI through data analysis and decision-making.
- Develop process interventions based on practice-level data, trends, and opportunities.
- Collaborate with the value-based reimbursement team, provider relations, and analytics to provide support for providers with gain/risk share contracts.
- Identify process improvement gaps in workflow and develop individualized plans to remedy.
- Provide educational and training sessions to support provider transformation.
- Develop and maintain relationships with specialists and/or hospital resources for providers employed in multi-specialty groups or health systems.
- Bachelor's Degree in Business, Finance, or Healthcare related field and an RN license or Bachelor's Degree in Nursing.
- 5 years of experience in practice transformation, including population health, ambulatory care setting quality and efficiency metrics, accountable care organization development and support, patient-centered medical home, and electronic health records.
- Familiarity with electronic health records and population health IT solutions.
- Demonstrated experience working with healthcare data and analytics.
- Experience in Lean, Six Sigma, risk management, contract management, finance management.
- Effective issue resolution and problem-solving skills.
- Knowledge of corporate strategies, policy, and scope of authority.
- Integrity, professionalism, diplomacy, and conflict management skills.
- Deep understanding of primary care practice operations and workflow.
- Superior written and verbal communication skills and listening skills.
-
Business Transformation Specialist
4 days ago
Harrisburg, Pennsylvania, United States Itero Group, LLC Full timeJob Title: Technical Business AnalystItero Group, LLC is a Women-Owned Small Business dedicated to simplifying complex transformations. We empower clients in both the private and government sectors to become more optimized, digitally enabled, data-driven organizations through our comprehensive business consulting and innovative delivery solutions.We are...
-
Provider Engagement Specialist
2 weeks ago
Harrisburg, Pennsylvania, United States Centene Corporation Full time{"title": "Provider Engagement Specialist", "content": "Job SummaryCentene Corporation is seeking a skilled Provider Engagement Specialist to join our team. As a key member of our healthcare network, you will play a critical role in building and maintaining strong relationships with our provider partners.Key Responsibilities Serve as primary contact for...
-
Healthcare Provider Enrollment Specialist
3 weeks ago
Harrisburg, Pennsylvania, United States Elevance Health Full timeAbout the RoleThe SCA Provider Enrollment Rep II is a critical position within our organization, responsible for ensuring the accurate and timely processing of Part B provider enrollment applications. This role plays a vital part in maintaining critical provider information on all claims and provider databases.Key ResponsibilitiesMaintains critical provider...
-
Pediatric Rehabilitation Specialist
1 month ago
Harrisburg, Pennsylvania, United States Austill's Educational Therapy Services Full timeJoin Our Team as a Pediatric Rehabilitation SpecialistAustill's Educational Therapy Services is at the forefront of providing exceptional school-based therapy solutions. We are currently looking for a dedicated Pediatric Rehabilitation Specialist to engage with school-aged children in a supportive and dynamic environment.Position OverviewThis role involves...
-
Healthcare Provider Enrollment Specialist II
3 weeks ago
Harrisburg, Pennsylvania, United States Elevance Health Full timeAbout the RoleWe are seeking a skilled Healthcare Provider Enrollment Specialist II to join our team at Elevance Health. As a key member of our organization, you will play a critical role in ensuring the accurate and timely processing of Part B provider enrollment applications.Key ResponsibilitiesMaintain critical provider information on all claims and...
-
Customer Support Specialist
4 weeks ago
Harrisburg, Pennsylvania, United States rabbittransit Full timeLocation: Remote Pay: $16.75/hour, Weekly Pay Schedule: Monday-Friday 7:30am-4pm Our customer support division operates Monday through Friday from 7 AM to 7 PM and Saturdays from 8 AM to 4 PM. Every incoming call represents a chance to positively influence someone's experience. As a Customer Support Specialist at rabbittransit, your role extends beyond...
-
Technical Specialist
2 weeks ago
Harrisburg, Pennsylvania, United States CapB InfoteK Full timeAt CapB InfoteK, we are a global leader in providing cutting-edge IT solutions and managed services. Our research and development focus is on delivering innovative products and solutions across various digital transformation areas, including cloud, artificial intelligence, machine learning, IoT, blockchain, master data management, product information...
-
Talent Acquisition Specialist
4 weeks ago
Harrisburg, Pennsylvania, United States MassGenics Full timeAbout MassGenics:MassGenics is a global technology and business transformation firm with a strong presence worldwide. They are committed to providing equal employment opportunities and a discrimination-free work environment.Job Summary:We are seeking a highly skilled Talent Acquisition Specialist to join our team. As a key member of our recruitment team, you...
-
Creative Music Therapy Specialist
1 month ago
Harrisburg, Pennsylvania, United States Pyramid Healthcare Full timePosition OverviewAs a Creative Music Therapy Specialist, you will play a pivotal role in fostering personal development and transformation through the therapeutic use of music. Your expertise will be essential in guiding individuals towards emotional and psychological growth.Key ResponsibilitiesTherapeutic Engagement: Utilize various musical modalities to...
-
Locum Tenens Anesthesia Provider
3 weeks ago
Harrisburg, Pennsylvania, United States LocumTenens Full timeJob Title: CRNA Anesthesia SpecialistJob Type: Locum TenensLocation: Harrisburg, PennsylvaniaJob Description:We are seeking a skilled CRNA Anesthesia Specialist to provide locum tenens coverage at a busy hospital in Harrisburg, Pennsylvania. The ideal candidate will have experience in anesthesia care and be able to work independently with minimal...
-
Provider Engagement Specialist
1 week ago
Harrisburg, Pennsylvania, United States Centene Corporation Full timeJob Title: Provider Engagement AdministratorCentene Corporation is seeking a highly skilled Provider Engagement Administrator to join our team. As a key member of our organization, you will play a critical role in building and maintaining strong relationships with our healthcare providers.Job Summary:The Provider Engagement Administrator will serve as a...
-
Provider Engagement Specialist
20 hours ago
Harrisburg, Pennsylvania, United States Centene Corporation Full timeJob Title: Provider Engagement AdministratorCentene Corporation is seeking a highly skilled Provider Engagement Administrator to join our team. As a key member of our organization, you will play a critical role in building and maintaining strong relationships with our healthcare providers.Job Summary:The Provider Engagement Administrator will serve as a...
-
Full Life Cycle Recruiter
3 weeks ago
Harrisburg, Pennsylvania, United States MassGenics Full timeJob Title: Recruiter IILocation: RemoteDuration: 6 months, may be extendedJob Description:Key Responsibilities:Source and develop diverse slates of candidates for high-volume full life-cycle recruiting assignments.Conduct interviews to determine candidate knowledge, skills, and abilities compared to job scope and requirements.Evaluate candidate fit to...
-
Customer Support Specialist
1 month ago
Harrisburg, Pennsylvania, United States rabbittransit Full timeLocation: Harrisburg, PA Compensation: $16.75/hour, Paid Weekly Work Schedule: Monday-Friday 7:30am-4pm Our customer support division operates Monday through Friday from 7 AM to 7 PM and Saturdays from 8 AM to 4 PM.Imagine each call as a chance to positively influence someone's day. As a Customer Support Specialist at rabbittransit, your role extends beyond...
-
Culinary Specialist
4 weeks ago
Harrisburg, Pennsylvania, United States Rite of Passage Full timeCULINARY SPECIALISTJob Category: Administrative Requisition Number: COOKPosition OverviewWe are seeking a Culinary Specialist to join our team at Rite of Passage. Our organization is dedicated to fostering positive transformations in the lives of young individuals. Being part of our team is more than just employment; it is a chance to build a rewarding...
-
Traveling Respiratory Care Specialist
1 month ago
Harrisburg, Pennsylvania, United States Epic Travel Staffing Allied Full timeEpic Travel Staffing Allied is actively seeking a traveling Respiratory Care Specialist for an exciting opportunity. Position Overview & Requirements Specialty: Respiratory Care Specialist Discipline: Allied Health Professional Employment Type: Travel Duration: 13 weeks Weekly Hours: 36 hours Shift: 12-hour night shifts Job Highlights Epic...
-
Customer Support Specialist
1 month ago
Harrisburg, Pennsylvania, United States TEKsystems Full timeJob OverviewCustomer Support SpecialistJoin a leading organization in transportation mobility payments that prioritizes exceptional customer service and invests in the professional development of its team members.Role Summary: As a Customer Support Specialist, you will be essential in nurturing positive relationships with customers. Your duties will...
-
IT Support Specialist
1 month ago
Harrisburg, Pennsylvania, United States TEKsystems Full timePosition Overview:This role is pivotal in delivering exceptional desktop and end-user assistance for a significant governmental facility, catering to a user base of approximately 300 individuals. The specialist will ensure the seamless operation of various departments within the organization, facilitating activities such as audio-visual conferences, board...
-
Behavioral Support Specialist
1 month ago
Harrisburg, Pennsylvania, United States Achieving True Self Full timeJoin Our Team as a Behavioral Support Specialist!At Achieving True Self, we are dedicated to transforming the lives of children and their families through the principles of Applied Behavior Analysis (ABA). As a Behavioral Support Specialist, you will play a vital role in delivering personalized behavioral support services in various settings, including homes...
-
Provider Engagement Specialist II
10 hours ago
Harrisburg, Pennsylvania, United States Centene Corporation Full timeJob Title: Provider Engagement Administrator IICentene Corporation is seeking a highly skilled Provider Engagement Administrator II to join our team. As a key member of our organization, you will play a critical role in building and maintaining strong relationships with healthcare providers, driving network performance improvement, and ensuring seamless...