- Highmark Health (Pittsburgh, PA)
- …productivity. Plan , organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; ... programs, as well as the overall provider inventive and payment strategy. The role also leads the strategy and...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- CVS Health (Harrisburg, PA)
- …+ Strong verbal and written communication skills + Experience with claims /payor/ payment operations , healthcare technology, or enterprise SaaS + Experience with ... At CVS Health , we're building a world of health...user adoption strategies and change management for frontline operations teams + Strong Excel/SQL/analytics capability + Comfort with… more
- WellSpan Health (York, PA)
- …knowledge **Benefits Offered:** + Comprehensive health benefits + Flexible spending and health savings accounts + Retirement savings plan + Paid time off ... contract performance compliance for the System to ensure fair and adequate payment rates, operational terms that are acceptable and manageable, and payor compliance… 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 ...developing, and maintaining the SOP library within the Medical Pre- Payment Policy and Pre-Certification Management team. This role is… more
- Cardinal Health (Harrisburg, PA)
- …+ Serve as the external subject matter expert on managed care, value-based payment methodologies, and population health trends, leveraging this knowledge to ... as the primary internal liaison, coordinating seamlessly with Sales, Operations , Clinical, and Finance teams to ensure the successful...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) +… 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. Under the direction of a pharmacist, delivers...processes and practices. Communicate with insurance carriers to obtain payment for prescription claims;. At point of sale, verify… more
- Cardinal Health (Harrisburg, PA)
- …health and well-being. + Medical, dental, and vision coverage + Paid time off plan , including eight paid holidays. + Health savings account (HSA) + 401Kk ... are achieved. + Help design, develop, and implement member pharmacy profitability, payment , and adjustment trend analysis and reporting. + Monitor the accuracy and… 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 ...and ad-hoc client and regulatory Prompt Pay and Pharmacy Payment Compliance reporting using SQL and SAS. You will… more
- CDM Smith (Wayne, PA)
- …42747BR **Business Unit:** CCI **Job Description:** Directs the various elements of the health and safety program for the firm. Develops and implements the strategy ... standards and operational guidance. Provides direction for the implementation of the firm's health and safety manuals and updates as required by law or standard.… more
- Veterans Affairs, Veterans Health Administration (Warren County, PA)
- …and disease prevention using evidence-based practice. Develops and implements an individualized plan to achieve optimal population health and disease management. ... the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements...manages a panel of patients with acute and chronic health conditions with an emphasis on health … more