- ChenMed (Philadelphia, PA)
- …resources they need to effectively perform their duties. Leads front office center operations including, quality, compliance, human resources, patient experience, ... appropriate discipline. + Troubleshoots Dashboard, phone, and computer issues. + Orders office and other needed supplies to ensure the Center is properly… more
- Humana (Harrisburg, PA)
- …and Excel, systems and platforms + Ability to work independently under general instructions and with a team **Preferred Qualifications** + Bachelor's degree + ... experience in prior authorization, claims, and/or utilization management in healthcare , health insurance, evaluating medical necessity and appropriateness of care… more
- Highmark Health (Pittsburgh, PA)
- …and/or progressive role, preferably in an audit or compliance discipline in a healthcare or healthcare related industry **Preferred** + None **LICENSES or ... and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes + Knowledge of relevant… more
- CVS Health (Allison Park, PA)
- …been identified by their health plan, minute clinic, virtual care to drive healthcare outcomes. This position is responsible for coordinating patient care related to ... scheduling, organizing, and managing aspects of the patient's healthcare treatment and maintenance. The Care Coordinator is responsible to arrange and manage patient… more
- Highmark Health (Harrisburg, PA)
- …interviewing or dialectical behavior therapy (DBT) + Experience working with the healthcare needs of diverse populations + Understanding of the importance of ... respect and compassion + Broad knowledge of disease processes + Understanding of healthcare costs and the broader healthcare service delivery system +… more
- J&J Family of Companies (Spring House, PA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,...local and central business partners to support inspections and office audits as needed for GCO training insights. +… more
- Highmark Health (Pittsburgh, PA)
- …graphs, and charts to timely identify trends and patterns of potential healthcare fraud, waste and abuse. Communicate findings to company management of various ... **EXPERIENCE** **Required** + 7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3 years in leading projects of varying size and… more
- University of Pennsylvania (Philadelphia, PA)
- …The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement ... FRES is comprised of the following departments: Finance and Administration, Office of the University Architect, Design and Construction, Real Estate Services,… more
- Highmark Health (Camp Hill, PA)
- …role, preferably in a Quality, Accreditation, Audit, or Compliance discipline in a Healthcare or Healthcare related industry + 3 years overseeing quality, ... and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes + Knowledge of relevant… more
- YesCare Corp (Philadelphia, PA)
- …inmates assigned. Where applicable, provide psychiatric services for all inmates referred to Healthcare Unit for those inmates in the general population who need ... practice in the applicable state and certified by the Office of Mental Health to provide psychiatric services in...problem cases, follow up and monitoring of medication, and general psychiatric input. + Provide medication management to all… more