- Evolent (Harrisburg, PA)
- …Make outbound calls when necessary to obtain additional information pertaining to the research of an appeal. + Collect, organize, and track information received from ... letters for delegated appeals in accordance with regulatory standards. + Initiate, research and refer delegated appeals to the clinical teams. + Utilize multiple… more
- Humana (Harrisburg, PA)
- …requirements: Must have the ability to provide a high speed DSL or cable modem for a home office . Associates or contractors who live and work from home in ... to Manager of IT and other Senior business leaders where necessary. + Research and recommend new technologies and solutions to meet business needs. + Technology… more
- Lincoln Financial (Harrisburg, PA)
- **Alternate Locations:** Work from Home ; Greensboro, NC (North Carolina) **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is not ... hybrid and remote employees. This opportunity will provide a work from home /remote work environment. _Background Details_ As a Regulatory GAAP and Statutory… more
- Evolent (Harrisburg, PA)
- …to Initial Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate ... manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or… more
- Evolent (Harrisburg, PA)
- …Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate ... process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines… more
- Evolent (Harrisburg, PA)
- …to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate ... manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or… more
- UPMC (Verona, PA)
- …15238 **Position Specifics:** This APP will primarily work out of the Verona and Harmarville office . RFP has a home visit program to prevent readmissions and to ... bound patients. Currently two APP in this role of office and home visits. Previous APP experience...a regular basis. + Demonstrates a basic knowledge of research , how it affects practice and who/what resources are… more
- Evolent (Harrisburg, PA)
- …Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate ... process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines… more
- Commonwealth of Pennsylvania (PA)
- …Division Code 00812811 Bureau / Division EX OA Enterprise Technology Services Office - Network Unified Division Worksite Address 1 Technology Parkway City ... Network Administrator 2 in the Commonwealth Enterprise Technology Services Office on the Core Networking Team. We are seeking...Telework: You may have the opportunity to work from home (telework) part-time, two days per week. In order… more
- University of Pennsylvania (Philadelphia, PA)
- …private employer in Philadelphia, is a world-renowned leader in education, research , and innovation. This historic, Ivy League school consistently ranks among ... of atmospheres, Philadelphia is the perfect place to call home for work and play. Posted Job Title Temporary...Summary Reporting to the Slate Application Developer in the Office of Academic Innovation, the Slate System Support Specialist… more