- Humana (Harrisburg, PA)
- …of business. This is a unique opportunity to shape the future of healthcare for vulnerable populations while contributing to Humana's mission to improve the health ... your skills to make an impact** **Required Qualifications** + Bachelor's degree in healthcare , business administration, or a related field. + 3+ years of experience… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Master's degree in social science or healthcare strongly preferred (eg, anthropology, health services research, psychology, public ... or health economics and outcomes research (HEOR) within a managed care or healthcare research organization + Experience in health equity focused research as well as… more
- Humana (Harrisburg, PA)
- …Excel, Access, PowerPoint) + Working knowledge of SQL **Demonstrated understanding of healthcare data exchange formats and industry standards (eg, CSV, XML, JSON, or ... strong relationship-building and stakeholder engagement skills + Familiar with healthcare industry regulations or adjacent sectors **Preferred Qualifications** +… more
- Humana (Harrisburg, PA)
- …and Power BI for creating data visualizations + Proficiency in understanding Healthcare related data + Proficiency in verbal and written communication to senior ... and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors **Additional Information** To ensure Home or Hybrid Home/Office… more
- Humana (Harrisburg, PA)
- …bid process + 2+ years of project leadership experience + 3+ years of healthcare experience + Strong knowledge of claim-line level healthcare data + Preference ... a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours**...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- CVS Health (Monroeville, PA)
- …for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and ... Located in the Monroeville Facility, this opportunity also provides free parking. We will support you by offering all...Role + Shift: Monday-Friday, 8:00AM-4:30PM EST (Flex Start after training ) + Training : First 2-3 weeks of… more
- Humana (Harrisburg, PA)
- …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to drive the ... or multi-agent alignment + Experience in regulated domains such as healthcare , finance, or defense **Additional Information** **Location/Work Style:** Remote US… more
- Humana (Harrisburg, PA)
- …and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance ... experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
- Devereux Advanced Behavioral Health (Berwyn, PA)
- …need. We offer: * Opportunities to learn and grow in the Behavioral Healthcare field * Comprehensive training in crisis prevention/intervention, trauma informed ... ensure quality programming, regulatory compliance, adherence to policy and procedures and training /mentoring staff? If you answered YES to either of these questions,… more
- Humana (Harrisburg, PA)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more