- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- The Cigna Group (Philadelphia, PA)
- …and problem-solving skills in a dynamic, fast-paced environment? Join our Risk Management & Underwriting Leadership Development Program (RULDP Evolve) for a unique ... insurance decisions that drive business success. As an RULDP associate , you'll evaluate risk, help determine pricing and make...a future leader. Our 5-year program features: + **Technical Training ** : Learn the ins and outs of underwriting,… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and ... **1 company holiday in 2025** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting comprehensive… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Humana (Harrisburg, PA)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and ... 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is...a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours**… more
- Siemens Energy (Mount Pleasant, PA)
- …Process S4Hana team members to ensure the additional systems interact seamlessly. + Training of the Order Management and District Office teams on S4Hana. ... **A Snapshot of Your Day** The Order Management is the expert for Field Service Outage...and billing in real time. **What You Bring** + Associate 's degree in finance or equivalent work experience is… more
- Humana (Harrisburg, PA)
- …be overseeing the vendor contracting, due diligence and day-to-day relationship management of Interoperability vendor partners. You will contribute to the growth ... expanding partnerships with key vendor partners. As the Vendor Relationship Management Enterprise Transformation Lead, the ideal candidate will be comfortable… more
- Humana (Harrisburg, PA)
- …3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time management ... Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards knowledge is a… more
- Grifols Shared Services North America, Inc (Pittsburgh, PA)
- …countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the launch of a new product within identified hospital accounts. The HSSR… more
- Humana (Harrisburg, PA)
- …concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate ... + Minimum 2 years of experience with a leading management consulting firm + Strong analytical & strategic skillset...a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours**… more