- 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 ... to the Utilization Management process, interpretation, guidelines and/or system support . + Participates in on-going training per inter-rater reliability process.… more
- Humana (Harrisburg, PA)
- …Adobe and custom-built platforms. You will partner across IT, analytics, marketing, legal , and compliance to ensure innovation is both effective and ethical. You'll ... on Eastern Standard Time business hours.** To ensure Home or Hybrid Home/ Office employees' ability to work effectively, the self-provided internet service of Home… more
- Commonwealth of Pennsylvania (PA)
- …Susquehanna County? If so, consider joining our County Services for Children and Youth office as a Social Services Aide 1. This position gives you the opportunity to ... other belongings of clients; and supervision of children during office visits and in crisis situations in the home....You must be able to perform essential job functions. Legal Requirements: + You must pass a background investigation.… more
- Highmark Health (Pittsburgh, PA)
- …confidence regardless of the issue at hand. + Works independently of support from a senior customer service representative, frequently utilizing the knowledge ... - 25% **PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS** **Position Type** Office -based Teaches/Trains others regularly Rarely Travels regularly from the office… more
- AECOM (Conshohocken, PA)
- …across our business lines. **On Friday, interviews will take place at our Philadelphia office ** . This is a fantastic opportunity to learn about and connect with ... New Jersey, Maryland, or Virginia offices. This position will support our environmental compliance, remediation, permitting and planning projects within… more
- Health Advocates Network (Harrisburg, PA)
- …and basic Computer Skills to include, but not limited to, Microsoft Office Products Three years of professional experience with medical assistance (MA), health ... under the Medical Assistance Program. Reviews may be conducted in central office with the Medical Assistance Program service provider furnishing the necessary… more
- Highmark Health (Harrisburg, PA)
- …to address member needs and/or triaging members to appropriate resources for additional support . + For assigned case load, create care plans to address members' ... - 25% **PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS** **Position Type** Office -Based Teaches/Trains others regularly Rarely Travels regularly from the office… more
- Highmark Health (Pittsburgh, PA)
- …information on all applicable case management tracking systems. + Provide investigative support and mentoring to investigative team members. + Function as a project ... 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office -based Teaches / trains others regularly Frequently Travel regularly from the … more
- Highmark Health (Pittsburgh, PA)
- …as the primary Group contact for strategic planning and consultation. + Support customers during the implementation of sales contracts and throughout the ... - 100% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office -based Teaches / trains others regularly Occasionally Travel regularly from the… more
- Highmark Health (Harrisburg, PA)
- …value proposition, outlines vision and execution plans, gains alignment and support from key strategic partners and stakeholders, and oversees execution of ... 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office - or Remote-based Teaches / trains others Occasionally Travel from the … more