52 Healthcare jobs in Marcus Hook

Healthcare Provider Account Manager

19076 Prospect Park, Pennsylvania Pennsylvania Health & Wellness

Posted 6 days ago

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Job Description

Join Centene and be a pivotal part of transforming healthcare for our 28 million members! As a diversified national organization, we offer competitive benefits and a fresh perspective on workplace flexibility.

Position Purpose: Foster valuable partnerships between our health plan and the provider networks to ensure the highest standard of care for our members. Engage with providers to identify performance opportunities, drive solutions, and hold accountability for issue resolution while enhancing contract incentive performance, quality, and cost utilization.

  • Act as the primary contact for providers, liaising between them and the health plan.
  • Address and triage provider issues in collaboration with internal partners.
  • Respond efficiently to external provider-related inquiries.
  • Investigate, resolve, and communicate provider claim issues and procedural changes.
  • Manage data entry for provider demographic information updates.
  • Educate providers on policies and procedures regarding referrals, claims submission, website usage, and EDI processes.
  • Conduct provider orientations and provide ongoing education through the development and revision of orientation materials.
  • Oversee network performance in assigned territories through a consultative management approach.
  • Evaluate provider performance and create strategic plans for improvement.
  • Drive enhancements in provider performance areas including Risk/P4Q, Health Benefit Ratio (HBR), HEDIS quality measures, and cost/utilization metrics.
  • Complete special projects as assigned.
  • Willingness to travel locally up to four days per week.
  • Perform other duties as assigned and comply with all policies and standards.

Education/Experience: A bachelor's degree in a related field or equivalent experience is required. Candidates should have two years of experience in managed care, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations. Project management experience in a medical group, IPA, or health plan setting is essential.

Proficiency in HEDIS/Quality measures, cost, and utilization is also required.

Generous pay range: $55,100.00 - $99,000.00 per year.

Centene provides a comprehensive benefits package, including competitive pay, health insurance, a 401K plan, stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work options (remote, hybrid, field, or office). Compensation will be based on individual skills, experience, education, and other job-related factors as permitted by law. Additional incentives may also be part of the total compensation package.

As an equal opportunity employer, Centene values diversity and is committed to creating an inclusive environment for all. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

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UX/UI Designer - Healthcare/Pharma

19720 Wilmington Manor, Delaware Motion Recruitment Partners LLC

Posted 1 day ago

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Job Description

UX/UI Designer - Healthcare/Pharma

New Castle, Delaware

Hybrid

Contract

$50/hr - $55/hr

This company develops advanced tools that help scientists and engineers understand how materials behave. Their solutions are used across industries like pharmaceuticals, polymers, and electronics to support research, quality control, and product development.

They're currently looking for a UX/UI Designer to join their team! This role is a W2 6 month contract to start with likelihood of extension or conversion to full time. It is also hybrid to their New Castle, DE office 3x/week.

Required Skills & Experience

  • 3+ years experience as a Digital Designer

  • Experience designing for healthcare, pharmaceutical or data heavy products

  • Experience contributing to design systems

  • Experience with web design

  • Experience with design tools such as Figma

The Offer

You will receive the following benefits:

  • Medical, Dental, Vision Insurance

  • 401k

  • PTO

You will receive the following benefits:

  • Medical Insurance - Four medical plans to choose from for you and your family

  • Dental & Orthodontia Benefits

  • Vision Benefits

  • Health Savings Account (HSA)

  • Health and Dependent Care Flexible Spending Accounts

  • Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance

  • Hospital Indemnity Insurance

  • 401(k) including match with pre and post-tax options

  • Paid Sick Time Leave

  • Legal and Identity Protection Plans

  • Pre-tax Commuter Benefit

  • 529 College Saver Plan

Motion Recruitment Partners (MRP) is an Equal Opportunity Employer. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under MRP's Employment Accommodation policy. Applicants need to make their needs known in advance.

Posted by: Bianca Lagamon

Specialization:

  • UX/UI Design
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Director, Business Development, Salesforce (Healthcare/Life Sciences)

19429 Conshohocken, Pennsylvania EPAM Systems Inc

Posted 1 day ago

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Job Description

EPAM's Salesforce Practice is hiring a Director, Business Development , who will work alongside a dynamic team to identify complex business problems and drive revenue through solution-oriented strategies for some of the most recognized brands in the HLS industry.

This is an exciting opportunity to join a growing and thriving practice! Learn more about the team here:

Apply now to connect with a recruiter about this influential role at EPAM!

Req.#588828880

#LI-DNI

Responsibilities

  • Leverage a consultative selling approach to align Salesforce solutions with clients' business needs, backed by industry expertise across Healthcare and/or Life Sciences domains

  • Stay ahead of industry trends and integrate them into digital strategies and technology solutions

  • Partner with the SVP of Sales to forecast and model team performance across vertical territories and quotas

  • Collaborate with alliances and the Salesforce channel to develop and execute a Go-To-Market (GTM) strategy, driving joint business growth

  • Assess sales activities across accounts and capture teams, identifying areas for improvement and optimizing performance

Requirements

  • 5+ years of experience in sales and/or alliances within Salesforce Services

  • 7+ years in enterprise technology and the channel ecosystem

  • Experience in Solution Integration (SI) sales and partner ecosystems

  • Strong communication, writing, and organizational skills

  • Proven ability to manage relationships, drive business development, and oversee pipeline and sales processes

  • Self-motivated, independent worker with a results-driven mindset

  • Collaborative, proactive team player with a flexible approach

  • Willingness to travel as needed (~25%)

We offer

  • Medical, Dental and Vision Insurance (Subsidized)

  • Health Savings Account

  • Flexible Spending Accounts (Healthcare, Dependent Care, Commuter)

  • Short-Term and Long-Term Disability (Company Provided)

  • Life and AD&D Insurance (Company Provided)

  • Employee Assistance Program

  • Unlimited access to LinkedIn learning solutions

  • Matched 401(k) Retirement Savings Plan

  • Paid Time Off - the employee will be eligible to accrue 15-25 paid days, depending on specific level and tenure with EPAM (accrual eligibility may change over time)

  • Paid Holidays - nine (9) total per year

  • Legal Plan and Identity Theft Protection

  • Accident Insurance

  • Employee Discounts

  • Pet Insurance

  • Employee Stock Purchase Program

  • If otherwise eligible, participation in the discretionary annual bonus program

  • If otherwise eligible and hired into a qualifying level, participation in the discretionary Long-Term Incentive (LTI) Program

This Remote Position Cannot be Performed in New York City.

EPAM is a leading global provider of digital platform engineering and development services. We are committed to having a positive impact on our customers, our employees, and our communities. We embrace a dynamic and inclusive culture. Here you will collaborate with multi-national teams, contribute to a myriad of innovative projects that deliver the most creative and cutting-edge solutions, and have an opportunity to continuously learn and grow. No matter where you are located, you will join a dedicated, creative, and diverse community that will help you discover your fullest potential.

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This posting includes a good faith range of the salary EPAM would reasonably expect to pay the selected candidate. The range provided reflects base salary only. Individual compensation offers within the range are based on a variety of factors, including, but not limited to: geographic location, experience, credentials, education, training; the demand for the role; and overall business and labor market considerations. Most candidates are hired at a salary within the range disclosed. Salary range: $150,000 - $170,000. In addition, the details highlighted in this job posting above are a general description of all other expected benefits and compensation for the position.

Applications will be accepted on a rolling basis.

In accordance with the LA County Fair Chance Ordinance, you may find a copy of the Notice containing a summary of the Ordinance's key provisions here: Concept FCO Posting 8 27 24 (lacounty.gov)

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

EPAM Systems, Inc. is an equal opportunity employer. We recognize the value of diversity and inclusion in creating success for our customers, business partners, shareholders, employees and communities. We are committed to recruiting, hiring, developing and promoting employees without discrimination. As a global employer, this commitment includes complying with all laws in the countries in which we operate. Nevertheless, we believe equal employment practices should not be limited to what the law requires. Equal opportunity and inclusion are essential to motivate, empower and recognize the best in everyone.

At EPAM, employment actions are based on individual qualifications, without regard to race, color, religion, creed, gender, pregnancy status, sexual orientation, gender identity, gender expression, marital or familial status, national origin, ancestry, genetics, age, disability status, veteran status, citizenship status when otherwise legally able to work, or any other characteristic protected by law.

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