Healthcare Network Pricing Consultant

19073 Willistown, Pennsylvania AmeriHealth Caritas

Posted 7 days ago

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Job Description

Your career starts now. We're looking for the next generation of health care leaders.
**This position is Hybrid near Newtown Square, PA**
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at .
The **Network Pricing Analyst** will collaborate with team members and other stakeholders toward delivering needed network financial guidance to the organization.
**Responsibilities:**
+ Develop analyses that support the identification of meaningful medical and pharmacy cost trends, collaborating with subject matter experts to identify root causes of trends.
+ Support the Network team with validation of Medicaid/Medicare/Exchange pricing, collaborating with internal partners as well as external consultants and vendors.
+ Assist in the development of financial forecasts and projections.
+ Support the creation of internal and external benchmarks.
+ Participate in strategic discussions and supports strategies for healthy and sustainable growth.
+ Developing contract impact and termination models, presentation materials and communicating results of financial, rate, and payment term analyses to various stakeholders.
+ Help drive the creation and utilization of better systematic and standardized payment term analytics and leveraging of this information to unlock value opportunities and insights around Chargemasters, Outliers and Outlier Thresholds, Fee Schedules, and Grouper information.
**Qualifications / Education:**
+ At least three (3) years of experience.
+ Experience mining large data sets.
+ Advanced capabilities in Excel, SAS/SQL, and database applications used for analysis, proficiency with Microsoft PowerPoint.
+ Programming experience in Python & R is a plus.
+ At least four (4)+ years' experience working in health care and/or Medicaid/ACA products.
+ Problem solving skills, including the ability to work independently and systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement solutions calmly and effectively.
+ Excellent written and verbal communication skills as well as strong data presentation skills.
+ Established ability to manage multiple initiatives, shifting back and forth effectively among activities, to produce positive results in a dynamic environment.
+ Bachelor's Degree
**Diversity, Equity, and Inclusion**
At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
**Our Comprehensive Benefits Package**
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
#CO
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
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Pediatric Hospitalist - Nemours Children's Health at Inspira Health Center Mullica Hill

08062 Mullica Hill, New Jersey Nemours

Posted 4 days ago

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Permanent
Nemours is seeking Pediatric Hospitalists to join our team at Inspira Health Mullica Hill.

Nemours Children's Health collaborates with Inspira Medical Center Mullica Hill to offer specialized pediatric expertise and equipment in Gloucester and Camden counties. Combining Inspira Medical Center Mullica Hill's highly trained staff with Nemours' advanced pediatric care demonstrates our shared belief that kids do better when we work together.

Key Responsibilities

  • Delivery room attendance is required for this position, this includes high risk deliveries also
  • Care for inpatient pediatric and well-baby nursery patients
  • 24/7 in house coverage and consultations for pediatric patients in the emergency department

What we offer
  • Competitive salary and robust benefits package
  • 6-weeks paid family leave
  • Generous CME allowances
  • 403(b) with employer match & 407(b) plan
  • Licensure and dues allowance after hire
  • Tuition reimbursement & tuition discount programs with various Universities for Associates and their dependents
  • Adoption assistance and 6 weeks of Paternity leave

Qualifications
  • MD or DO
  • Board eligible or certified in General Pediatrics
  • Eligible for unrestricted New Jersey medical license and DEA

If you're looking for a position that will allow you to enjoy a work-life balance, have an opportunity for professional growth, and focus on pediatric care, this is the opportunity for you.

#LI-KN1

About Us

Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.

To learn more about Nemours Children's and how we go well beyond medicine, visit us at .

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Network Engineer Consultant - Healthcare

19087 Wayne, Pennsylvania Healthcare IT Leaders

Posted 4 days ago

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Job Summary:

Consultant Advisor, ERP Michael Cooper is recruiting this position.

Our healthcare client located in Wayne, PA is seeking an experienced Network Engineer Consultant to support enterprise-wide network infrastructure, focusing on Cisco ISE implementation, routing, switching, and firewall configuration across their healthcare facility. This is a contract role that does require the ability to work on-site in Wayne, PA.

Requirements:

  • 3+ years of experience in enterprise network engineering
  • Expert knowledge of LAN/WAN environments, including switch and router configuration
  • Advanced experience with EIGRP and BGP routing protocols
  • Strong expertise in Cisco Firewall implementation and management
  • Proven experience with NAT, VPN, and Cisco SecureClient configurations
  • Demonstrated proficiency with Cisco ISE implementation and management
  • Experience with SD-WAN and Cisco Meraki solutions
  • Advanced TCP/IP troubleshooting skills
  • Expertise in RADIUS and TACACS+ authentication protocols
  • Strong knowledge of Cisco wireless controller management
  • Excellent organizational and self-management abilities
  • Healthcare industry experience preferred
Key Technologies:
  • Cisco ISE
  • Cisco Firewalls
  • Cisco Meraki
  • SD-WAN
  • EIGRP/BGP
  • RADIUS/TACACS+
  • TCP/IP
  • VPN
  • NAT
  • Cisco Wireless Controllers
  • SecureClient

To learn more about this and other positions, contact Michael Cooper at or Healthcare IT Leaders is a national leader in IT workforce solutions, connecting healthcare provider, payer and life sciences organizations with experienced technology talent for consulting and full-time hiring. For more information, visit us on the web at

#LI-MC1
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