• Actuarial Lead

    UPMC (Pittsburgh, PA)
    …nursing facility, durable medical equipment, Part B, ambulance, lab, physician and home health ; assist with providing related party reporting regarding the ... variety of topics affecting the financial performance of the health plan; assist with reconciling Medicare Advantage...durable medical equipment, Part B, ambulance, lab, physician and home health ; o Assist with providing related… more
    UPMC (05/31/25)
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  • Clinical Pharmacist - Coverage…

    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 ...Advisor in Government Services you will be directly supporting Medicare Part D members and providers with requests related… more
    CVS Health (05/29/25)
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  • Physician Advisor

    WellSpan Health (York, PA)
    Health Strategies including ACO development, WellSpan Provider Network operations, Medical Home / Neighborhood development and the Bridges to Health programs ... encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central… more
    WellSpan Health (05/09/25)
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  • Regional Nurse Manager

    Option Care Health (Harrisburg, PA)
    …Sr./Director, Operations. Serves as the Administrator and/or Director of Nursing of the home health agency per Medicare Conditions of Participation ... state of practice and at least 4 years of home health /infusion care experience, **OR** at least...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
    Option Care Health (05/20/25)
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  • Ambulatory Care Manager - RN Women's & Children's…

    WellSpan Health (York, PA)
    …patients under value-based care risk arrangements, such as pain, symptom management, behavioral health , DME's, home health , assistance with daily living, ... and preventive care. + Collaborate with social services, behavioral health , home care agencies, and school ...health outcomes and promote wellness. + Performs medication review and uses teach-back methods to confirm patient understanding… more
    WellSpan Health (05/24/25)
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  • ED Patient Access Representative (Per Diem)

    St. Luke's University Health Network (Bethlehem, 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. JOB SUMMARY The Patient Access Representative I...leadership or Revenue Cycle Operational Improvement Team (monthly competencies/policy review ). + Responsible for sign in registry for vendors… more
    St. Luke's University Health Network (05/29/25)
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  • Family Based Therapist - Lancaster - Days…

    WellSpan Health (Lancaster, PA)
    …1. Assesses patients and family members to obtain information about home environment, family relationships, health history, and patient's personality ... encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central… more
    WellSpan Health (05/10/25)
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  • Pay for Value Practice Specialist - Hybrid…

    Highmark Health (Harrisburg, PA)
    **Company :** Allegheny Health Network **Job Description :** **Hybrid Position:** Provide support to several practice locations, 3 days in office and 2 days work ... from home . Location and schedule discussed with hiring manager. **GENERAL...targets across the practices' P4V programs such as ACA, Medicare STARS, HEDIS and risk revenue for all payers.… more
    Highmark Health (03/27/25)
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  • Registered Nurse - Nursing Resource Team - Night

    WellSpan Health (Gettysburg, PA)
    …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... through interdisciplinary collaboration, Shared Decision Making activities including peer review . Integrate Shared Decision Making by unit committee membership or… more
    WellSpan Health (04/10/25)
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  • Licensed Practical Nurse (Outpatient) - Onsite…

    WellSpan Health (Gettysburg, PA)
    …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... care of patients. Functions as a member of the health care team at an intermediate nursing level to...patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results… more
    WellSpan Health (04/05/25)
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