- St. Luke's University Health Network (Allentown, PA)
- …and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability ... to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials...+ Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity and Late-Pick-Up/Notification that… more
- Medtronic (Pittsburgh, PA)
- …begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers ... and sales support to assist the district in meeting Cardiac Rhythm Management (CRM) sales and customer service objectives. CRM seeks collaborative candidates who… more
- Highmark Health (Pittsburgh, PA)
- …working in a highly matrixed environment. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved in ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more
- Geisinger (Danville, PA)
- Job Summary The Learning Management System (LMS) Administrator Senior will be responsible for leading efforts to configure and optimize our learning management ... response to problem tickets with vendor's Tier I/II support teams and management . Follow-up to ensure adequate resolution. + Collaborates with appropriate IT groups… more
- CVS Health (Harrisburg, PA)
- …business issues and initiatives through direction setting and project management work. Responsibilities include assimilating information to proactively develop ... activities aligned with program goals and objectives; linking the quality management activities to business goals; advance business objectives by supporting and… more
- Coinbase (Harrisburg, PA)
- …alignment. Attendance is expected and fully supported. Join our Coinbase Asset Management team as we seek a detail-oriented individual to manage day-to-day ... part of a forward-thinking entity that leverages cutting-edge technology to optimize asset management in the crypto space!* What you'll be doing (ie. job duties):* *… more
- CVS Health (Harrisburg, PA)
- …might be for you! We are seeking an experienced Lead Director of Product Management to lead the strategic vision, development, and execution of our product roadmap. ... providing product strategic leadership and guidance for an enterprise Pharmacy Benefit Management reporting product. As a key strategic leader, you will partner… more
- Highmark Health (Harrisburg, PA)
- …provide staff with feedback on their quality scores. Provides weekly management reports on quality, work-in-progress, volume trends and training opportunities. ... for timely data entry and report submissions and filings. + Inventory Management + Other duties as assigned or requested. **QUALIFICATIONS** **Minimum** + High… more
- CVS Health (Harrisburg, PA)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules may include weekends, holidays, and ... evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills to...care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For… more
- CVS Health (Harrisburg, PA)
- …The Senior Manager in Commercial Network & Provider is responsible for product management leadership for multiple product teams. They are responsible for owning and ... and product documentation. **Product Value, Cross-Functional Teaming, and Stakeholder Management ** + Sets the direction and provides continuous feedback for… more