- Evolent (Harrisburg, PA)
- …organizations and health plans + Design systems that support population health management and care coordination across multiple specialties + Implement ... programs is preferred + **Experience with healthcare analytics** and population health management platforms is preferred **Healthcare Domain Knowledge That… more
- Commonwealth of Pennsylvania (PA)
- …Requirements: + Registration as a Medical Records Administrator with the American Health Information Management Association;or + Two years of experience as ... ; and registration as a Medical Records Technician with the American Health Information Management Association; or + Four years of experience in the preparation,… more
- Datavant (Harrisburg, PA)
- …years in a coding lead, auditor, or supervisory role. + Associate's degree in Health Information Management , or related field preferred. + Bachelor's degree in ... Health Information Management or Healthcare Administration preferred. + Required: CCS, RHIA, or RHIT (AHIMA) CDIP, CHC, or other advanced coding/audit… more
- Cardinal Health (Harrisburg, PA)
- **_What Customer Order Management contributes to Cardinal Health_** Customer Service is responsible for establishing, maintaining and enhancing customer business ... through contract administration, customer orders, and problem resolution. Customer Order Management is responsible for expediting orders by acting as a liaison in… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- … insurance policies and policy management . + Experience or exposure to health management strategic planning. + Proficient skills in Microsoft Office products ... to be focused on the following initiatives: + Account Management : Develop and strategically manage renewal process of client...setting: + Bachelor's Degree preferred + Life, Accident, and Health License + 5+ year of employee benefits account… more
- Humana (Harrisburg, PA)
- …Degree or BSN degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. ... + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health ; MED-Deeming accreditation standards knowledge… more
- Highmark Health (Harrisburg, PA)
- …+ Understanding of software applications used Highmark Wholecare(R), such as Managed Health Care System, CACTUS, OnBase Document Management and/or OnBase ... provide staff with feedback on their quality scores. Provides weekly management reports on quality, work-in-progress, volume trends and training opportunities.… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring full-time Quality Management Specialists! This position involves extensive travel throughout Pennsylvania, with ... need to reside within 2 hours of a CCBH office location. The Quality Management Specialist is responsible for performing functions related to quality management … more
- Humana (Harrisburg, PA)
- … first** Become a part of our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis ... accurate, timely, and completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and… more
- Penn Medicine (Lititz, PA)
- …commitment to the Standards of Ethical Coding as set forth by the American Health Information Management Association AHIMA . Assigns codes based upon clinical ... Certifications CPC, COC . + Bachelor of Science degree in Health Information Management with certification as a Registered Health Information Administrator… more