- Highmark Health (Mcmurray, PA)
- …Advanced Practice Providers at Allegheny Health Network are an integral part of the care delivery system working together to provide a healing environment, by ... documentation to support medical coding and billing. (5%) + Provide instructions and guidance regarding medical care ...+ Provide instructions and guidance regarding medical care matters to patients and/or family. (5%) + Record… more
- AmeriHealth Caritas (Harrisburg, PA)
- …+ Minimum of 2 years of experience in a Behavioral Health or Managed Care environment, with direct provider interaction. **Skills & Abilities:** + Experience in ... **Role Overview:** The Provider Network Contract Representative oversees the daily operations...now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping… more
- CVS Health (Harrisburg, PA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... medical cost management and overall claim/customer service strategies. This role will provide concierge level of service to GLOBAL VIP CLIENT members via timely… more
- WellSpan Health (Shrewsbury, PA)
- …+ Nurse Practitioner or Physician Assistant with Emergency Medicine or Urgent Care experience preferred. + Provides healthcare treatment for patients of all ages ... weekend. + Outpatient only position with the expectation to float to other Urgent Care practices in York County (East York, Shrewsbury, Queen Street, West York) as… more
- Highmark Health (Harrisburg, PA)
- … demographics. Oversees an internal audit quality review program designed to ensure provider data accuracy and completeness, and to provide staff with feedback ... demographics + 3 years of experience in a provider data maintenance department of a managed care organization + Inventory management of production work load +… more
- Highmark Health (Pittsburgh, PA)
- …for the execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The strategic plan focuses on the detection and ... and recoupment of related overpayments associated with the company's provider spending. The incumbent will function as a champion...used in the detection and successful resolution of health care fraud, waste and abuse (FWA) cases **Language (Other… more
- CVS Health (Harrisburg, PA)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Sharecare (Harrisburg, PA)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ... www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic...to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with… more
- CVS Health (Harrisburg, PA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider … more
- CVS Health (Harrisburg, PA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... cost management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by ensuring timely… more