• Manager , Risk Adjustment Analytics

    Datavant (Harrisburg, PA)
    …vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics team and ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...(2+ years) + 3+ years of experience working with Medicare , ACA, and/or Medicaid risk adjustment models + 5+… more
    Datavant (06/03/25)
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  • Product Manager , Risk Adjustment Analytics…

    Datavant (Harrisburg, PA)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... measure product impact, and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
    Datavant (06/06/25)
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  • Inpatient Social Worker (MSW) or Registered Nurse…

    St. Luke's University Health Network (Allentown, PA)
    …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle… more
    St. Luke's University Health Network (04/07/25)
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  • Clinical Transitional Care Manager , Home…

    BAYADA Home Health Care (Philadelphia, PA)
    …OTA, PT, PTA, or Social Worker) to fill the position of **Transitional Care Manager (TCM)** . Clinical Liaisons at BAYADA interact with discharge planners, case ... facilities to coordinate the initiation of home health care ( Medicare ) services. This will be a hybrid role. The...of strong interpersonal skills. + Demonstrated knowledge of the Medicare COPs and other program requirements, as applicable. +… more
    BAYADA Home Health Care (05/30/25)
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  • Lead Product Manager

    Humana (Harrisburg, PA)
    …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design,...oriented, collaborative, and able to adapt to changing use case needs. Our goal is to create safe AI… more
    Humana (05/30/25)
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  • RN Clinical Manager - Hospice - FT…

    Gentiva (Shamokin Dam, PA)
    …Clinical Manager - Hospice - FT - Mon-Fri - 8a-5p** **- Requires Hospice Case Manager Experience** **- The office location is in Shamokin Dam, PA** We're ... looking for a **Patient Care Manager ** to join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You… more
    Gentiva (06/10/25)
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  • Audit & Reimbursement Senior- Appeals

    Elevance Health (Harrisburg, PA)
    …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for… more
    Elevance Health (05/30/25)
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  • Territory Manager

    Kestra Medical Technologies, Inc (Scranton, PA)
    …and their care teams harmoniously monitor, manage, and protect life. A Territory Manager is responsible for securing new business and managing a sales area ... addition to direct sales responsibilities for a given territory, the Territory Manager provides training, on-going product service and support, and assistance in the… more
    Kestra Medical Technologies, Inc (04/08/25)
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  • Rehabilitation Associate- Leadership Opportunities

    BAYADA Home Health Care (Bethlehem, PA)
    …OASIS and care plan coding + Monitor episodic utilization + Act as internal case manager and client advocate + Participate in hiring, interviewing and ... policies and procedures. Rehab Associates are also accountable for internal case management, field staff evaluation and development. The successful Physical… more
    BAYADA Home Health Care (05/15/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (Harrisburg, PA)
    …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
    Elevance Health (05/30/25)
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