- UPMC (Pittsburgh, PA)
- …prepare draft Answers to Interrogatories, review Answers to Complaints and Interrogatories prior to Director 's review and signature, schedule and attend meetings ... Risk Management, the role involves systematically managing potential and actual claims . Analyzing clinical data is crucial for identifying liability areas, with… more
- The Cigna Group (Harrisburg, PA)
- **Position Summary** The Supplemental Health National Sales Director (NSD) will be responsible for driving new business sales for Supplemental Health products in ... Internal capabilities and external options + Administrative solutions: Billing and claim processes The NSD role is responsible for proactive and consultative… more
- Evolent (Harrisburg, PA)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty ... Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization… more
- Sedgwick (Pittsburgh, PA)
- …Fortune Best Workplaces in Financial Services & Insurance Client Services Director | REMOTE | Casualty/Workers Compensation Experience required + **Program ... general company performance. Reviews and identifies areas of potential dissatisfaction prior to renewal meetings. + Performs client renewal, contract revision, and… more
- Evolent (Harrisburg, PA)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Scientific Publications Director will support all aspects of global biomedical publications development, with minimal ... generation platforms. Also understands observational research, real world evidence, claims databases, health economics and outcomes research period soft skills… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …Up to 30% travel is required*, based upon business needs. Preferred + Prior experience with successfully launching a brand + Experience within the ADHD space ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Kyndryl (Harrisburg, PA)
- …who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are** **Required Skills and Experience** ... Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is… more
- Commonwealth of Pennsylvania (PA)
- …areas of concern or challenges for review. In coordination with the IDD Director , this position assists in the completion of the following annual processes: Quality ... Support Plan development in HCSIS + Assisting providers with claims resolution or billing issues + Participating in the...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …As a Medical Records Assistant you will support the Medical Records Director by maintaining medical records, reviewing medical records for accuracy and completeness, ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using… more