- Merck (North Wales, PA)
- …our Regulatory Affairs team plays a vital role in delivering new medical advancements to patients around the world. By facilitating seamless communication and ... on the leading edge of healthcare, we bring safe, reliable, and compliant medical products, practices, and solutions to the global market. **Position Overview** The… more
- CVS Health (Harrisburg, PA)
- …and issues. + Assist in compiling claim data for audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating ... be given if schedules are changed. **Required Qualifications** + Familiarity with Microsoft Office products such as OneNote, Outlook, Word, Teams, Excel + Ability to… more
- Humana (Harrisburg, PA)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position may be… more
- Cardinal Health (Harrisburg, PA)
- …policies and guidelines for coverage, preferred + Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear ... understanding of Medical , Supplemental, and pharmacy insurance benefit practices, preferred +...Robust computer literacy skills including data entry and MS Office -based software programs **What is expected of you and… more
- CVS Health (Harrisburg, PA)
- …received by the organization. This includes denied claims, coverage issues, medical necessity, service quality, or other concerns expressed by patients, providers, ... + 2-4 years of experience in appeals. + Knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook). **Preferred Qualifications** + Prior experience… more
- Merck (Upper Gwynedd, PA)
- …manage future or ongoing clinical research projects. Provide scientific and medical leadership for strategic alliances and Co-partnership opportunities Support the ... protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and individuals with disabilities. For… more
- Merck (North Wales, PA)
- …tumor and indication expertise relevant to the asset. Will assess unmet medical need and value across tumors/indications for the asset for asset-level ... The incumbent is expected to work cross-functionally with clinical development, medical affairs, biostatistics, market access, commercial and country affiliates and… more
- CenterWell (Harrisburg, PA)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced...Bilingual We offer tangible and intangible benefits such as medical , dental and vision benefits, 401k with company matching,… more
- Achieving True Self (Forest Hills, PA)
- …time off, and floating holiday hours for those who qualify. + We offer medical , dental, vision, and retirement options, as well as supplemental insurance and short ... 33) and PA Criminal History (Act 34) clearances are required by the Office of Developmental Programs. + Comfort using technology : Proficient in Google Workspace,… more
- dsm-firmenich (Exton, PA)
- …18 days PTO + 2 floating holidays. + Full healthcare benefits day one - medical , dental, eye and life insurance. + 401K with generous company match. + A competitive ... in related fields. + 0-5 years' experience, preferably in Medical Device manufacturing or GMP related industry. + Ability...communication skills. + Proficient in the use of M/S Office , Word, and Excel. + Knowledge and experience working… more