- Highmark Health (Harrisburg, PA)
- …healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional ... information, statistics, policies and procedures, licensure information, doctors' agreements, contract , etc. + Develop and maintain annual anti-fraud program which… more
- Valor Health (Washington, PA)
- …of local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health , and more. As a ... of Inspector General (OIG), Joint Commission (JC), Environment of Care (EOC) oversight, lab compliance and other...credentialed and remain in good standing through the Veterans Health Administration (VA). + Current certification in Basic Life… more
- Trinity Health (Pittsburgh, PA)
- …Paid Holiday Days; Plus more **ABOUT PITTSBURGH MERCY** We're a community-based health and human services organization using person-centered care to treat ... disorders. This role ensures fidelity to the IDDT model, promotes recovery-oriented care , and provides direct clinical services and supervision to enhance team… more
- Highmark Health (Harrisburg, PA)
- …products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, and clinical data exchange ... closure tracking metrics like closure rate, win rate, total contract value, annual contract value, gross and...Enrollment, Billing, Benefits, Products and Services. Knowlege of Provider Health Systems like EMRs and RCM processes is a… more
- Penn State Health (Hershey, PA)
- …of nurses and staff focused on providing opportunities to supplement the already exceptional care here at Penn State Health Milton S. Hershey Medical Center. + ... **Penn State Health ** - **Hershey Medical Center** **Location:** US:PA: Hershey...also impactful for patients who trust us with their care . What You'll Do: The RN Clinical Research Coordinator… more
- Penn State Health (Hershey, PA)
- …of nurses and staff focused on providing opportunities to supplement the already exceptional care here at Penn State Health Milton S. Hershey Medical Center. + ... **Penn State Health ** - **Hershey Medical Center** **Location:** US:PA: Hershey...also impactful for patients who trust us with their care . **What You'll Do:** The **RN Clinical Research Coordinator… more
- GE Aerospace (Trevose, PA)
- …of GE Aerospace. We are a reinsurance company supporting the long-term care insurance, structure settlements and Life along with other insurance products Responsible ... for driving technical accounting compliance , financial and operational internal controls, process simplification, and operational excellence to deliver accurate… more
- Curtiss-Wright Corporation (Pittsburgh, PA)
- …documentation to authorize work in accordance with contractual specifications. Participates in contract negotiations. **We Take Care of Our People:** Paid Time ... **I** 401K with Employer Match and Profit Sharing **I** Health and Wellness Benefits **I** Learning and Development Opportunities...order to best ensure that work is completed in compliance with division processes, procedures and contract … more
- Highmark Health (Harrisburg, PA)
- …in lieu of degree **Preferred** + None **EXPERIENCE** **Required** + 3 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** HNAS (...through underwriting engagement, from identification through documentation of final sold- contract details + Assess risk by looking at various… more
- St. Luke's University Health Network (Allentown, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we ... serve, regardless of a patient's ability to pay for health care . The Purchasing Service Line Manager...service line personnel. JOB DUTIES AND RESPONSIBILITIES: + Monitors compliance with goals, objectives, policies and procedures of the… more