- St. Luke's University Health Network (Bethlehem, PA)
- …assignment. Program Evaluation + Assist in implementation and collection of: clinical care/outcomes, customer service improvement, operational data , and safety. ... managing and marketing the Sports Medicine Program. Meets the professional, clinical , technical, communication and documentation requirements and standards and to… more
- Merck (Harrisburg, PA)
- …a relevant field such as Animal Science, Veterinary Science (non- clinical or industry-focused), Food Science, Agriculture, Agribusiness, Business Administration, ... + Strong analytical skills and the ability to leverage operational and commercial data to support decision-making. + Proficiency with MS Office, tablet devices and… more
- Humana (Harrisburg, PA)
- …manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ... Review documents + Building cases + Inventory Management + Data Entry **Use your skills to make an impact**...skills + Intermediate experience with Microsoft Word and Excel ** Preferred Qualifications** + Associate or Bachelor's Degree + Experience… more
- CVS Health (Harrisburg, PA)
- …complaint/appeal criteria as well as identify trends in misrouted work. * Assemble all data used in making denial determinations and can act as subject matter expert ... accuracy and appropriateness of a benefit/administrative denial. * Can review a clinical determination and understand rationale for decision. * Able to research… more
- Highmark Health (Pittsburgh, PA)
- …and providing perioperative nursing care. **ESSENTIAL RESPONSIBILITIES** + Serves as a clinical expert and resource for a specific set of surgical subspecialties ... Certificate + Act 73 FBI Fingerprinting Criminal Background Clearance Certificate ** Preferred ** + BSN preferred **_Disclaimer:_** _The job description has… more
- Merck (West Point, PA)
- …including: authoring and approving technical documentation, process justifications, data analysis, process monitoring, site comparisons and technical risk ... assess product technical risks across supply chain, and lead data -driven improvement initiatives. + Ensure readiness of E2E submission...to 10- 20% in support of critical site needs. ** Preferred Experience & Skills** + Minimum four (4) years… more
- WellSpan Health (Chambersburg, PA)
- …the assigned customer care unit(s). This may include differences in the specific clinical skills required of the RN. Unit based skill lists outline expectations ... of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care… more
- ICON Clinical Research (PA)
- …Engagement you will be joining the world's largest & most comprehensive clinical research organisation, powered by healthcare intelligence. **Hybrid Role: This will ... Responsible for coordinating and executing departmental initiatives related to digital, data , and patient engagement activities. This role supports the Patient… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …planning and business development assessments, ensuring that Otsuka makes data -driven investment decisions for pipeline assets. **Key Responsibilities** + **Early ... + Bachelor's degree in Business, Marketing, or a related field; MBA preferred + 6+ years of experience in early commercial planning, business development,… more
- Highmark Health (Pittsburgh, PA)
- …with attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the practitioners knowledge ... Certificate + Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred + Oncology / Hematology experience preferred . Experience with… more