- Magellan Health Services (Somerset, PA)
- …members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. ... Collects and analyzes utilization data . Assists with discharge planning and care coordination. Provides...planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements and administers strategic activities related to client retention, growth, and ... monitors targets to ensure sales staff meet goals and standards. HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: The Operations Director plans, organizes, directs, oversees and manages the operations ... of the Health Information Management (HIM) Department. Works closely with the... information management services. Responsible for daily operations and data requests for multiple facilities. Sets the tone of… more
- UPMC (Huntingdon, PA)
- Registered Nurse Home Health Huntingdon Are you a nurse looking for a rewarding career where you can provide direct, one-on-one patient care? UPMC Home Healthcare is ... hiring caring, skilled, and compassionate registered nurses to join our home health nursing team! You'll work in a home setting with a diverse patient population… more
- Highmark Health (Wexford, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Works in coordination with the Quality Director to achieve successful implementation ... process. Interacts regularly with Chairman of Medical Staff sharing data to drive decision making and facilitate Medical Staff...Preferred + Master's Degree in Healthcare Administration, Business, or health related field + LSS Green Belt or Lean… more
- WellSpan Health (Gettysburg, PA)
- …records, receiving, preparing items for shipment and/or return to vendor, etc. Performs data entry into various systems. Investigates and reconciles data issues ... etc. Complies with US Postal Service Regulations. + Performs data entry into various systems. + Ensures data...+ Performs other related duties as identified. + WellSpan Health has adopted and implemented a compliance program to… more
- Highmark Health (Harrisburg, PA)
- …This role drives financial insights and supports strategic decision-making within the Health Plan FP&A team. The Lead Financial Analyst will be responsible for ... variance analysis, and standard reporting contributing to the overall financial health and strategic direction of the organization. **ESSENTIAL RESPONSIBILITIES** +… more
- Highmark Health (Camp Hill, PA)
- …will understand and utilize economic, financial, market and industry segment data to accurately diagnose business strengths and weaknesses, identify key issues ... Teams and Leadership, internal matrix partners peers, and producers, consultants). + Data Analysis and Reporting: Track key performance indicators (KPIs) related to… more
- WellSpan Health (York, PA)
- …(Occurs in the patients home): + Independently completes assessments and collects data on assigned patients according to policy; assesses situations as complexity ... toward outcomes for more complex groups of patients; analyzes data to make recommendations for changes in the plan...+ Performs other related duties as identified. + WellSpan Health has adopted and implemented a compliance program to… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Maintains enrollment databases and coordinates transfer of non-electronic eligibility data . + Responds, researches, and resolves eligibility and/or billing… more