- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Medical Science Liaison is a field-based professional with scientific, clinical and therapeutic area expertise responsible ... and scientific support for Organon's Dermatology programs. The Medical Science Liaison engages in scientific exchange with medical and scientific experts, including… more
- Humana (Harrisburg, PA)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in... care . + Minimum of 1 year of managed care experience. The Care … more
- UPMC (Pittsburgh, PA)
- …environmental concerns and needs, and provides unique expertise as the UPMC Health Plan liaison . + Coordinates care and services across the continuum of care ... Plan resources. Additionally, they will help to link Your Care Program eligible members to a Your Care...Makes member referrals and is the UPMC Health Plan liaison to other UPMC Health Plan medical case managers… more
- Penn Medicine (East Petersburg, PA)
- …as a liaison between the Emergency Department, specialists, community resources and managed care insurance plans on behalf of enrolled patients to ensure ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Cardinal Health (Harrisburg, PA)
- …business including Medicare, Medicaid, and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) ... pharmacy accounts from a managed care contracting perspective. The primary purpose...Administrative Organization's (PSAO) efforts. This position will be a liaison for regional chain pharmacy PSAO members, supporting general… more
- Intermountain Health (Harrisburg, PA)
- …payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback ... to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause...recommend and develop process improvement. + Serve as a liaison to internal teams to include the Epic Contract… more
- Commonwealth of Pennsylvania (PA)
- …as needed. Updates and implements programs/policies/services due to changes in managed care , insurance requirements, laws, regulations, etc. Levels of ... I was responsible for implementing new practices to staff due to changes in managed care , insurance requirements, laws, regulations, etc. to meet the new… more
- Penn Medicine (Philadelphia, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...+ 10+ = # of staff directly and indirectly managed . + 15,000+ = # of budgeted annual visits.… more
- Penn Medicine (Plumsteadville, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. Managed Care /Payer Management - Support implementation of managed ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...* 10+ = # of staff directly and indirectly managed * 15,000+ = # of budgeted annual visits… more
- Penn Medicine (Philadelphia, PA)
- …cash management, charge entry, etc. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...+ 20+ = # of staff directly and indirectly managed + 25,000+ = # of budgeted annual visits… more