managed care contracting ewing jobs in Philadelphia

Contracts ManagerEmployment Type: Full-Time, Mid-Level Department: Administrative and Logistics Support CGS is seeking a skilled Contracts Manager to oversee and maintain all current agreements while meticulously negotiating and finalizing new contracts. This role requires expertise in contract management to ensure compliance and optimize terms for both...

ROLE OVERVIEW As part of our Contracts management team, you will own the full lifecycle of commercial contracts, from initial negotiation through drafting, execution, renewal, and amendment, while continuing to drive our push toward automation and standardization. You will be responsible for the integrity and efficient completion of all contracts with our...

Career CategorySales & Marketing OperationsJob DescriptionJoin Amgen’s Mission of Serving PatientsAt Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do.Since 1980, we’ve helped pioneer the world of biotech in our fight against the...

Company DescriptionZolon Tech, Inc. (ZTI) is one of the top small disadvantaged businesses serving federal clients with ISO 9001:2008, ISO/IEC 20000:2005 and SEI rated CMMI ML3 credentials. Zolon’s core offerings include IT Strategic Services, Data Services, and Enterprise Application Services, Application Life Cycle Support, Systems Engineering and...

US Oncology Pricing & Contracting Strategy ManagerDescription:Reporting to the Director, Pricing & Contracting Strategy, the Manager, Oncology Pricing & Contracting Strategy is responsible to help develop, deploy, optimize, and monitor GSK’s overall strategic direction within the key accounts sectors, including Payors, PBMs, Integrated Delivery Networks...

    You deserve a job you love   Volt is immediately hiring Care Management Coordinator in Philadelphia, PA   As a Care Management Coordinator, you will: Apply critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination. Utilizes resources such as; InterQual,...

Role Summary: The Medicaid VBS Network State Manager oversees compliance with Medicaid contractual network responsibilities, focusing on promoting innovative value-based solutions to achieve cost and quality goals. Key Responsibilities: Manage the complete value-based contracting cycle, including planning, negotiation, and loading of provider contracts;...

Company DescriptionAll applicants must apply to the position through the following linkhttps://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=36479&clientkey=703E6F23E139A9E15CD4746A9D25637DThe mission of the Health Federation of Philadelphia is to improve access to and quality of health care services for under served and vulnerable individuals...

Position Type: Independent Contractor (1099)Location: Intercommunity Action, Inc., Greenridge Counseling CenterSchedule: Up to Twelve (12) hours per week; scheduled in coordination with Interact needsCompensation: $250/hourPosition OverviewWe are seeking a licensed Psychiatrist to provide high-quality psychiatric services on a contract basis. The ideal...

A Client Innova Solutions Is Immediately Hiring for Utilization Management RN Position type: Part Time – Contract Duration: 03 Months Location: Philadelphia, PA As a Utilization Management RN you will: Utilizes resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of...

At CLEAResult, we lead the transition to a sustainable, equitable, and carbon-neutral energy-efficient future for our communities and our planet. We do that by creating a people-first culture built on trust, accountability, and transparency; where every employee – regardless of position, role, or identity is treated with respect and given an equal chance...

At CLEAResult, we lead the transition to a sustainable, equitable, and carbon-neutral energy-efficient future for our communities and our planet. We do that by creating a people-first culture built on trust, accountability, and transparency; where every employee – regardless of position, role, or identity is treated with respect and given an equal chance...

Contract Specialist Provider Contract SpecialistLocation: Philadelphia PA 19113 Rate: DOE Contract role 3 months with possibility of extensionThe Provider Contract Specialist is responsible for contract upload and provider data alignment functions for the Plan. The Provider Contract Specialist will operate effectively and efficiently in tracking, reconciling...

Continuing Care Advisor - Landscape Management Consultant Location: Philadelphia, PA Who We Are: We design places where people love to be together. Populous is a global design firm that began with a singular focus: to draw people together around the things they love, through experiences that capture all the senses, amplifying the atmosphere of excitement...

Organizational SummaryMaternity Care Coalition (MCC) is a community-based nonprofit organization serving Pennsylvania and Delaware with over four decades of commitment to improving maternal and child health and early care and education. MCC’s mission is to improve the health and well-being of pregnant women and parenting families and enhance school...

University Overview The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among the top 10 universities in the annual U.S. News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities...

Job DetailsSenior Payer Contract Analyst is responsible for performing scenario modeling and analytics to inform managed care contract negotiations, monitor contract performance, and assess impact of industry trends and government regulations. Senior Payer Contract Analyst will retrieve, aggregate, and analyze data from multiple sources, using a variety of...

Seer Interactive is a digital marketing consultancy that harnesses compassion, data, and technology to make a mark on our communities - our coworkers, our clients, our industry, and our neighbors. We believe in relentlessly pursuing (and sharing) the truth – bringing together millions of data points from quantitative and qualitative sources to base our...

Number of Positions In Requisition1 Job DetailsProvides day to day legal counsel and operational support within a defined business or legal domain. This role works closely with business partners to ensure legal guidance aligns with business objectives and approved risk tolerance.Job DescriptionSummaryProvides day to day legal counsel and operational support...

About Blackbird Health Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across Pennsylvania, Virginia, New Jersey & Maryland—and we’re growing into new markets in...