- 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
- CVS Health (Blue Bell, 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 ...from specific large employer groups, which may include analyzing data , responding to questions, as well as strategizing how… more
- Highmark Health (Pittsburgh, PA)
- …evaluate claim processes specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk ... Work with audit teams and external audit vendors to identify overbilling, determine data analysis routines and audit approaches. + Work with operational areas to… more
- Highmark Health (Monroeville, PA)
- **Company :** Allegheny Health Network **Job Description :** At AHN, employees trust working together and place patients at the center of all they do. This 9 ... Hospital system, a part of Highmark Health , is transforming the future of healthcare by providing... service providers. + Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes.… more
- Highmark Health (Harrisburg, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job coordinates and implements the credentialing and privileging activities ... reappointment and ongoing verification activities of the Medical Staff and Allied Health Professional Staff of AHN entities. Responsible for the investigation and… more