- Centene Corporation (Harrisburg, PA)
- …will have Facets Claims experience.** **Position Purpose:** Serve as the claims payment expert for the Plan and as a liaison between the plan, claims, and ... and resolve claims issues. Act as the subject matter expert for other Claims Liaisons. + Analyze trends in...Analyze trends in claims processing issues and identify work process solutions + Lead meetings with various departments to… more
- Prime Therapeutics (Harrisburg, PA)
- …Analyst is responsible for serving as a Claims Operations subject matter expert on system functionality which may include implementations, projects, and testing for ... on production issues. **Responsibilities** + Represent Claim Operations as subject matter expert (SME) on both internal and external projects, participating in all… more
- Penn Medicine (Radnor, PA)
- …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... with coverage plans for unexpected needs and act as the subject matter expert for clinical questions and EHR optimization. The Associate Clinical Manager will… more
- Penn Medicine (Lancaster, PA)
- …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... full partner within the continuum of care and consistently demonstrates clinical expert patient intake and care coordination. The HHALPNC triages complex referrals… more
- Penn Medicine (Philadelphia, PA)
- …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... CPUP ambulatory practices. Specifically, he/she (1) directs a systematic process for a timely review and follow up of...patient safety plans. * Serve as a subject matter expert and information for initial systems' design or system… more
- UPMC (Williamsport, PA)
- …expertise and accountabilities in one or more of the following: expert clinical practice, teaching/development, and/or evidence based practice. This senior role ... leads the unit through difficult and complex EBP, process improvement to advance their specialty, and partners with...from improvements with other units and/or spreads across the business unit or system. + Applies nursing knowledge and… more
- UKG (Ultimate Kronos Group) (PA)
- …pipeline from scratch * Consistently execute a thoughtful, strategic sales process including internal business partners and executive engagement. Challenging? ... responsible for net-new logo sales in our S&D West business segment. While each AE owns a few upsell...team to assist with proposals, RFPs, and demos * Expert Technical Sales Support * Highly reference-able customer base… more
- UPMC (Harrisburg, PA)
- …expertise and accountabilities in one or more of the following: expert clinical practice, teaching/development, and/or evidence-based practice. This role leads the ... unit through difficult and complex EBP, process improvement to advance their specialty, and partners with...from improvements with other units and/or spreads across the business unit or system. + Applies nursing knowledge and… more
- Cornerstone onDemand (Philadelphia, PA)
- …management, project management, consulting, or enterprise sales, with strong technical and business process acumen. + Demonstrated success in managing complex ... position demands a versatile and accomplished professional skilled in business development, strategic solution selling, consulting, project management, and customer… more
- Highmark Health (Pittsburgh, PA)
- …and potential recoveries/ savings. Will be called upon as a subject matter expert for investigations providing guidance and mentoring to investigative team. Must be ... Identify all fraudulent activity included in the case, determine what lines of business were involved in the fraudulent activity, and measure overpayment by means of… more