- AmeriHealth Caritas (Newtown Square, PA)
- …and Word + Required to travel 20%-30% of the time **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, ... Reporting to the Director Business Development (Market Leader), the Business Development Manager ( Manager ) oversees the coordination, planning, and execution of… more
- CenterWell (Lancaster, PA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... **Branch Location** : Lancaster, PA **This is not a remote or work-from-home position. This position requires you to...at our Lancaster, PA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services… more
- CenterWell (Lancaster, PA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... **Branch Location** : Lancaster, PA **This is not a remote or work-from-home position. This position requires you to...at our Lancaster, PA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services… more
- Cognizant (Harrisburg, PA)
- **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the ... and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory… more
- Cardinal Health (Harrisburg, PA)
- …through all steps of the patient journey, including referral intake, benefit investigation (pharmacy and medical), prior authorization, and therapy delivery. . ... & Insurance Navigation** . Manage the entire care process from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience.… more
- Merck (Harrisburg, PA)
- …or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related access processes, including ... benefit verification, prior authorization, and appeal processes * Expertise...by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more
- AccentCare, Inc. (Reading, PA)
- Overview Patient Care Manager Location: Reading, PA Position: Patient Care Manager Position Type: Full-Time Remote /Virtual Position: No Find Your Passion and ... Purpose as a Full-Time Patient Care Manager Salary: $90K - $105K Offer Based on Years...preferred. + Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local… more
- Baylor Scott & White Health (Harrisburg, PA)
- **JOB SUMMARY** 100% remote position** The Medical Trend Analytics Manager 1 is responsible for leading the design, execution, and communication of analytical ... excellent healthcare business acumen and communication skills. The Medical Trend Analytics Manager 1 manages a team that provides advanced medical cost trend… more
- Cognizant (Harrisburg, PA)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of… more
- Humana (Harrisburg, PA)
- …us put health first Humana's Product organization is seeking a Lead Product Manager to drive the strategy, development, and optimization of the Adobe Experience ... frameworks and consent management best practices Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more