- GovCIO (Harrisburg, PA)
- …weekly status reports and maintains hours worked on projects + Uses change and case management procedures as required + Provides action plan for resolution of ... position. **Responsibilities** The successful candidate will be able to perform complex functional activities in support of Oracle RDBMS products and services,… more
- Humana (Harrisburg, PA)
- …drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ... a case -by- case consideration of the Medicare rules, Humana...Medical Director's work includes computer based review of moderately complex to complex appeals for coverage for… more
- Datavant (Harrisburg, PA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... Coding products, driving client data standardization, data integrations, database management , and optimization within business verticals for downstream use. You… more
- Lumen (Harrisburg, PA)
- …especially Juniper SRX and Cisco Firepower. + Proficiency in IP Address Management (IPAM) systems. + Experience resolving complex network issues involving ... and international dialing and routing. + Proven ability to handle complex network assignments including implementation, change management , and acceptance… more
- Fujifilm (Harrisburg, PA)
- …primary support across our Synapse products, and the ability to support more complex issues. This engineer must be comfortable with making decisions while working on ... these more complex issues. This role requires a firm grasp of time management and organizational skills. To meet the needs of our customers, working outside… more
- Fujifilm (Harrisburg, PA)
- …support across our product lines for HCUS customers. This role focuses on more complex issue and is the second level support across our Synapse products. This ... comfortable with making decisions while working on these more complex issues. This role requires a firm grasp of...issues. This role requires a firm grasp of time management and organizational skills. To meet the needs of… more
- CVS Health (Harrisburg, PA)
- …Team within Aetna's Special Investigations Unit. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and ... abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare...for clinical and legal review. + Documents all appropriate case activity in case tracking system. +… more
- Highmark Health (Pittsburgh, PA)
- …budgetary responsibility and authority. + Provides daily direction and oversight to management and team leads regarding case investigation activities including ... the development of detailed strategies for each case . Ensures management and staff are aware...Successful experience in achieving results through people in a complex environment + Self-confident with an ability to accept… more
- Black & Veatch (Canonsburg, PA)
- …Regulatory Practice provides highly desired services in market segments including rate case management and support, costing and ratemaking, innovative pricing ... candidate to periodically interact with members of Black & Veatch's asset management , strategy and planning, sustainability, and technology practices to help drive… more
- Datavant (Harrisburg, PA)
- …and collaboration and well developed sense of urgency + Coordinates with site management on complex issues + Knowledge, experience and/or training in accurate ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more