- Highmark Health (Harrisburg, PA)
- …clinical setting ** Preferred ** + 1-3 years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse ** Preferred ** + ... and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes qualitative and quantitative… more
- Visiting Angels of Jenkintown (Philadelphia, PA)
- …HHA, or Direct Care Certification + At least 2 years of hands-on care giving experience, working with seniors preferred + Driver's license, reliable personal ... locations. To be considered for this position, you must have CNA/HHA and Direct Care certifications. Caregiver Benefits: + Competitive Pay + PTO - find the balance… more
- Lutheran SeniorLife (Butler, PA)
- …in hospital medical/surgical nursing, public health nursing or related experience preferred . Prior home health care , hospice, psychiatric and/or mental ... (Living Independence for the Elderly); skilled nursing, home health; personal care ; adoption & foster care ; assisted living; adult day services; memory care ;… more
- CVS Health (Harrisburg, PA)
- …least one state where we have an Integrated plan. Experience with managed care (Medicare and Medicaid) utilization review preferred . **Education** MD (Doctor of ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Visiting Angels of Jenkintown (Havertown, PA)
- …Certification + At least 1 year of hands-on caregiving experience, working with seniors preferred + Dementia /Alzheimer's/ Hospice care experience is a plus + ... Caregiver with Certified Nursing Assistant, Home Health Aide, Direct Care Staff to work in Delaware & Montgomery Counties...Main Line Area. Recognized as a Best of Home Care Provider of Choice since 2010, Visiting Angels offers… more
- UPMC (Pittsburgh, PA)
- …organization and prioritization skills. Proficient medical terminology knowledge is strongly preferred , while direct patient care and/or medical training ... for referring physicians who are requesting the services of UPMC for continued patient care . This office is a 24-hour operation with various shifts, as well as… more
- The Cigna Group (Pittsburgh, PA)
- …experience will be considered in lieu of a bachelor's degree.** MBA or MHA preferred . + **3+ years Managed Care contracting and negotiating experience involving ... of complex reimbursement methodologies, including incentive based models strongly preferred . + Demonstrated experience in seeking out, building and nurturing… more
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... Responsibilities: + Under close supervision, maintains, repairs, and calibrates patient care medical devices, using general knowledge of lowrisk equipment. +… more
- UPMC (Pittsburgh, PA)
- …experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education. + Management experience preferred . ... or FSA certification by Society of Actuaries required; FSA preferred . + Six and a half (6.5) years of...+ Experience with commercial and government health programs is preferred . + In-depth understanding of health insurance market dynamics.… more
- Highmark Health (Pittsburgh, PA)
- …calmly and courteously in stressful situations. + Knowledge of medical terminology Preferred + Previous patient care experience **_Disclaimer:_** _The job ... description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications… more