- Humana (Harrisburg, PA)
- …support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex ... experience to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment… more
- Geisinger (Danville, PA)
- …is Monday through Friday, from 8:00 AM to 4:30 PM. Flexibility is needed to provide care at the right time. You'll occasionally cover weekends as part of a shared ... network for out-of-area employees and dependents + Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings… more
- Geisinger (Lewistown, PA)
- …is Monday through Friday, from 8:00 AM to 4:30 PM. Flexibility is needed to provide care at the right time. You'll occasionally cover weekends and call as part of ... network for out-of-area employees and dependents + Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings… more
- Geisinger (Danville, PA)
- …is to assist the providers with accurately identifying and documenting the healthcare services provided to the patient. This is accomplished with the recognition ... CDIS staff and other support services. The program does not challenge the provider 's medical judgement, but rather provides a methodology in which to clarify… more
- Devereux Advanced Behavioral Health (North Versailles, PA)
- …**TCV Community Services, located in Western PA, has been a leading community provider for over 50 years in supporting individuals with mental health, intellectual ... and physical. * Have experience with the developmentally disabled or as a care provider (ADL required in care delivery). * Be empathetic, patient with behaviors and… more
- RELX INC (Philadelphia, PA)
- …actively involved in developing advanced information and decision support tools for healthcare professionals. One notable initiative is the launch of ClinicalKey AI, ... more junior engineers in the activity. + Troubleshooting and debugging issues, provide solutions, and collaborate with quality engineering and product teams. +… more
- Otsuka America Pharmaceutical Inc. (Lancaster, PA)
- **Job Summary** Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better ... In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering… more
- Penn State Health (Hershey, PA)
- …of Associate Professor or higher. + Proven leadership experience in an academic healthcare environment. + A strong commitment to patient care, medical student and ... Medical Center in Reading, Pa.; Pennsylvania Psychiatric Institute, a specialty provider of inpatient and outpatient behavioral health services, in Harrisburg, Pa.;… more
- Highmark Health (Harrisburg, PA)
- …risk and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider ) business processes. + Knowledge of how ... and systems. Supports collaboration with others across the enterprise to provide solutions and recommendations in order to consolidate data repositories,… more
- Geisinger (Danville, PA)
- …members on the unit. The nurse navigator role provides clinical support to the provider and patients to assist in the diagnosis and treatment of conditions. This ... by telephone or review of documentation. + Effectively collaborates with other healthcare providers in coordinating and implementing the patients plan of care, to… more