- Humana (Harrisburg, PA)
- …HCHB + Prior experience in a metric driven environment + Prior experience in the healthcare industry **Additional Information** + **Remote position with ... to make an impact** **Required Qualifications** + 1+ years' experience working in an administrative support capacity + Prior...space lacking ongoing interruptions to protect member PHI / HIPAA information **Our Hiring Process** As part of our… more
- Humana (Harrisburg, PA)
- …the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top talent to ... for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to define and… more
- Humana (Harrisburg, PA)
- …the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top talent to ... and measurement. Join us in shaping the future of healthcare through AI excellence. We are building advanced agentic...in SQL, Python, and data analysis/data mining tools. + Experience with machine learning frameworks like Pytorch, Jax, LangChain,… more
- Evolent (Harrisburg, PA)
- …or equivalent years of work experience + General knowledge of data flow and healthcare end to end system landscape + Good knowledge US Healthcare - Payer ... Be Doing:** Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in the specialty… more
- CVS Health (Allison Park, PA)
- …including information referred to as PHI (patient health information) protected under HIPAA * Experience with electronic medical records, eg, Epic preferred ... been identified by their health plan, minute clinic, virtual care to drive healthcare outcomes. This position is responsible for coordinating patient care related to… more
- Highmark Health (Pittsburgh, PA)
- …**Required** + 5 years of experience in Strategic Planning or related work experience in Business or Healthcare or equivalent combination of experience ... **STRATEGY & TRANSFORMATION OFFICE (STO)** Highmark Health is committed to fixing healthcare and solving the challenges facing our communities, such as improving… more
- Highmark Health (Pittsburgh, PA)
- …Prevention Department focuses on the collection, analysis and interpretation of healthcare -associated infection data to prevent the spread of infection and ensure ... part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients...Health, Epidemiology or related field + 3 years clinical experience in a hospital or related setting or disease… more
- Humana (Harrisburg, PA)
- …and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance ... Specialty + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and… more
- Humana (Harrisburg, PA)
- …the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance ... written and communication skills + 5 years of established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid… more
- Datavant (Harrisburg, PA)
- …build predictable review programs. + You have experience with security in healthcare or other highly regulated space. Examples: HIPAA , HITRUST, SOC 2, PCI, ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash… more