• Precertification Specialist

    Penn Medicine (Philadelphia, PA)
    …**Department: Access Center** **Location: 1500 Market Street, Philadelphia, PA** **Hours: Full - Time ** Summary: + This position is responsible for obtaining ... tools and resources. Serves as the in-house expert for referral and authorization requirements - proactively advises patients and staff on insurance/managed care… more
    Penn Medicine (08/09/25)
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  • CRM Data Specialist

    Philips (Murrysville, PA)
    …this means working in-person at least 3 days per week. Onsite roles require full - time presence in the company's facilities. Field roles are most effectively done ... the facts and circumstances of each case. **Additional Information** US work authorization is a precondition of employment. The company will not consider candidates… more
    Philips (07/26/25)
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  • Licensed Practical Nurse-Endocrinology-…

    Guthrie (PA)
    …chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's ... call in any insurance referrals. Follow up phone call with referral number to specialist if requested. 4. Assists in smooth departmental operation by filling in for… more
    Guthrie (09/02/25)
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  • Graduate Practical Nurse - Ambulatory…

    Guthrie (Sayre, PA)
    …chart as requested. + Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's ... call in any insurance referrals. Follow up phone call with referral number to specialist if requested. + Assists in smooth departmental operation by filling in for… more
    Guthrie (06/19/25)
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  • Licensed Professional Care Manager - Northeast

    UPMC (Tobyhanna, PA)
    UPMC Community Care Behavioral Health is hiring a full - time Licensed Professional Care Manager for the Northeast PA region. The office is in Tobyhanna, PA, ... and all required pre-certification, continued stay and/or discharge reviews; service authorization , and care coordination as needed. The Care Manages executes these… more
    UPMC (07/19/25)
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  • Licensed Professional Care Manager (Williamsport)

    UPMC (Williamsport, PA)
    UPMC Community Care Behavioral Health is hiring a full - time Licensed Care Manager in the Williamsport area. This role will work in a hybrid structure with some ... time spent in office, working from home and traveling...all required pre-certification, continued stay and/or discharge reviews; service authorization , and care coordination as needed. The Care Manager… more
    UPMC (08/29/25)
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  • Support Associate Level IV

    CGI Technologies and Solutions, Inc. (Philadelphia, PA)
    …United States, Pennsylvania, Philadelphia **Position ID:** J0625-0121 **Employment Type:** Full Time **Position Description:** Under the direct supervision ... application. * Communicate with the cashiers office and coordination with Passport Specialist assigned to special task of re-issuance of applications. * Per the… more
    CGI Technologies and Solutions, Inc. (09/04/25)
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  • Referral Tracking Coordinator-Star Community…

    St. Luke's University Health Network (Bethlehem, PA)
    …of a patient's ability to pay for health care. The Referral Scheduling Specialist is a liaison between the providers and the patients. They are responsible ... for scheduling specialist and imaging appointments for Star Community Health patients....clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of… more
    St. Luke's University Health Network (08/08/25)
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  • UM Administration Coordinator

    Humana (Harrisburg, PA)
    …tasks. Typically works on routine and patterned assignments. A pharmacy authorization specialist or UM Administration Coordinator 1 provides non-clinical ... ICD-10 codes + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + Previous...a good faith estimate of starting base pay for full time (40 hours per week) employment… more
    Humana (09/10/25)
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  • Entry-level Software Engineer

    Cognizant (Philadelphia, PA)
    …date of this posting. Cognizant reserves the right to modify this information at any time , subject to applicable law. **Work Authorization ** Due to the nature of ... & communication skills; actively participates in team meetings discussions and be a specialist in Object Oriented analysis and design using common design patterns +… more
    Cognizant (06/24/25)
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