- WTW (Pittsburgh, PA)
- …client deliverables and ensure quality standards are met. Opportunity to enhance project management skills, health and welfare business acumen by working on ... This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following… more
- CenterWell (Lancaster, PA)
- …Provide admission, case management , and follow-up skilled nursing visits for home health patients. + Administer on-going care and case management for each ... physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit … more
- AscellaHealth (Berwyn, PA)
- …cultivating new relationships and managing existing accounts within a pharmacy benefit management (PBM) or health plan environment. This position is ... pharmacy environment. + Strong knowledge of PBM operations preferred, including benefit design, specialty pharmacy services, rebate management , claims… more
- Cardinal Health (Harrisburg, PA)
- …to help support the needs of the patient and/or program + Conducts benefits investigations to identify patients' insurance plan coverage for medications, ... high level customer service + Experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred… more
- CVS Health (Harrisburg, PA)
- …structure and benefit parameters in addressing eligibility matters. + Validates benefit plan enrollment information for assigned clients for accuracy and ... team functions to coordinate the release of eligibility and benefit plan information; reproduces group bills if...be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,**… 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, ... today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com **Job Function:** Project/Program … more
- Humana (Harrisburg, PA)
- …Qualifications** + Education: BSN or Bachelor's degree in a related field + Health Plan experience + Previous Medicare/Medicaid Experience a plus + Call ... part of our caring community and help us put health first** The Utilization Management Registered Nurse... benefits , Humana provides medical, dental and vision benefits , 401(k) retirement savings plan , time off… more
- UPMC (Pittsburgh, PA)
- Are you an RN or social worker interested in care management , case management , or care coordination? UPMC Presbyterian Shadyside is looking for an Expert ... Discharge Plan Manager to support their Clinical Care Coordination and...services access and for the protection of the patient's health , well-being, safety, and rights. + Align practice with… more
- UPMC (Pittsburgh, PA)
- **UPMC Mercy is hiring a Casual Discharge Plan Manager to support our Clinical Care Coordination and Discharge Planning Department!** This position works primarily ... you an RN or social worker interested in care management , case management , or care coordination? UPMC...patients. RNs and social workers function equally in discharge plan roles, serving as the central point of contact… more
- Comcast (Philadelphia, PA)
- …protected by applicable law. **Skills:** Leadership; Human Resources Budgeting; Executive Presence; Benefits Plan Design; Benefits Strategy **Salary:** Pay ... at Comcast. **Job Summary** The Senior Director of Global Benefits is responsible for designing and implementing health...plan payments with actuarial forecasts. + Partners with health plans consultants and Comcast's Data Services team to… more