- Prime Therapeutics (Harrisburg, PA)
- …analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field** **3 years of experience ... using Tableau, SQL, SAS, Alteryx, Teradata, R, or Python technologies** **Must be eligible to work in the United States without the need for work visa or residency sponsorship** **Additional Qualifications** **Extensive PBM industry knowledge and deep… more
- Squirrel Hill Health Center (Squirrel Hill, PA)
- …verifying and updating accounts with new insurance information and ensuring all claims have the appropriate documentation before being coded and submitted. The Front ... Office Representative exhibits accuracy and attention to detail in processing insurance information. The Front Office Representative also channels communications… more
- Cardinal Health (Harrisburg, PA)
- …knowledge of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... working with cloud platforms like Google Cloud Platform (GCP) for data processing , model training, evaluation, monitoring, deployment and support preferred. + Proven… more
- Public Consulting Group (Harrisburg, PA)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets A Test Leader oversees the testing process, developing test strategies and plans, guiding a team of testers, and collaborating with… more
- Guardian Life (Bethlehem, PA)
- …track record of delivering enterprise level AI/ML solutions and products., and natural language processing (NLP). In this role, you will be working in a team led by ... reinforcement learning into practical, production-ready solutions for underwriting automation, claims automation, customer servicing, and risk assessment. + Collaborate… more
- Walmart (Easton, PA)
- …Center in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... tires, and testing and installing batteries), and operating computer equipment when processing Member services. At Sam's Club, we offer competitive pay as well… more
- HNTB (Philadelphia, PA)
- …in project administration by monitoring internal project controls and claims documentation. Reviews schedules and facilitates resolution in problem situations. ... + Responsible for logging, tracking, and processing requests for information, submittals, change orders, and other project deliverables. + Reviews inspector's daily… more
- Health Care Service Corporation (Philadelphia, PA)
- …experience. + Extensive knowledge of provider and facility contracting, products, and claims / processing systems. + Leadership skills to oversee staff, implement ... initiatives, and work across the company to resolve issues. + Negotiation skills. + Relationship building skills. + Knowledge of marketplace. + Meet deadlines and work well under pressure. + Verbal and written communication skills to interact with all levels… more
- Rocky Mountain Garage (New Stanton, PA)
- …State Inspection Books and Stickers - Accounts Receivable and Account Payable - Processing and distributing checks - Track employee hours - Quick Books - Preparing ... taxes for accountant (Local, State, Federal) - Process Unemployment Claims - Process Workman's Compensation Forms - Compile new employee packets Requirements: - High… more
- Kemper (Pittsburgh, PA)
- …you determine . Responding promptly to service requests such as beneficiary changes, claims , and loans . Record keeping, accounting for money collected, and ... processing policy paperwork **Agent Expectations:** . Grow the assigned territory through new sales . Build strong working relationships with customers . Devote the… more
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