- Highmark Health (Harrisburg, PA)
- …reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/ regulatory requirements and CMS Stars rating measures including HEDIS, CAHPS, ... and commercial populations with the goal of maximizing quality while reducing healthcare costs. + Support the identification of initiative impacts with other… more
- Highmark Health (Pittsburgh, PA)
- …for each case. Ensures management and staff are aware of all regulatory and customer requirements regarding the department's scope of activities and ensures ... in department projects, process improvements, efficiency initiatives, system enhancements and policy and procedures to improve workflows. Serves in a variety of… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …pharmaceutical/biotechnology or medical device industry. + In-depth knowledge of (US) healthcare systems, health policy , including managed care organizations, ... with development of customer facing tools and programs addressing purchasers, payers and policy makers. + Coordinate with Medical & Clinical Affairs, Regulatory … more
- CVS Health (Pottstown, PA)
- …is not limited to: + Patient Safety + Pharmacy Professional Practice + Regulatory Requirements + Quality Assurance + Customer Service + Inventory Management + ... goals + Adapt to change and adjust plans to thrive in a dynamic community healthcare setting + Seek new ways to grow, collaborate with others, and deliver better… more
- WellSpan Health (York, PA)
- …diversified secretarial/clerical duties requiring knowledge of medical terminology and healthcare billing protocols. Provides support for department head and ... + Ensures compliance with regulations set forth by the regulatory agencies and state governing bodies. + Conducts or...are low. + Monitor temperatures of applicable equipment per policy . + Clean hydroculators, ice pack machines, and paraffin… more
- Adams and Associates (Drums, PA)
- …credentials. Keystone Job Corps is currently seeking a compassionate and experienced healthcare professional who can inspire and educate the next generation of ... training and theoretical knowledge to our students who are pursuing careers in healthcare . If you are passionate about sharing your expertise and shaping the future… more
- WellSpan Health (York, PA)
- …Services at WellSpan York Hospital and be a part of a transformative journey in healthcare . Located in the vibrant city of York, PA, this role offers a unique blend ... & Critical Care Tower expansion project is one of the most significant healthcare projects our regional community has seen. This $427 million investment is designed… more
- Humana (Harrisburg, PA)
- …the customer journey. + Maintain compliance with company policies and regulatory requirements. **Use your skills to make an impact** **Required Qualifications:** ... office setup. **Preferred Qualifications:** + Experience in telecommunications or healthcare sales. + Bilingual or multilingual capabilities are highly desirable.… more
- Humana (Harrisburg, PA)
- …efforts to model future financial performance, incorporating insights from historical trends, regulatory changes, and evolving market dynamics. A key aspect of the ... + 5+ years of relevant work experience with a Healthcare organization + Adanced SQL experience + Demonstrated strong...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Sumitomo Pharma (Harrisburg, PA)
- …support that challenges traditional spending behavior, service level definition, and policy setting to enable productivity and efficiency improvements. The role ... sourcing practices that are in accordance with corporate ethics, financial policy , and internal control requirements + Pursue ongoing development of relevant… more