• Pharmacy 340B Program Analyst - Acute Care…

    WellSpan Health (York, PA)
    …patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status. Develops and maintains reports to ... patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans and, if applicable, hospital status. - Ensures that facilities maintain… more
    WellSpan Health (09/23/25)
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  • Director, Strategy Advancement

    Humana (Harrisburg, PA)
    …paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-27-2025 **About us** ... - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (09/23/25)
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  • MSW / Social Worker - Hospice

    BrightSpring Health Services (Altoona, PA)
    …planning with families Benefits and Perks for You! + Medical, Dental, Vision insurance + Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) ... as Noom , SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance , travel and entertainment discounts and more! * Benefits may vary by… more
    BrightSpring Health Services (09/20/25)
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  • Auto Claims Examiner, Bodily Injury

    Sedgwick (Philadelphia, PA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Examiner, Bodily Injury **PRIMARY PURPOSE** : To analyze and process ... and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's,… more
    Sedgwick (09/19/25)
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  • RN Clinical Manager

    CenterWell (Lancaster, PA)
    …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... as a Registered Nurse. + Proof of current CPR. + Valid driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least… more
    CenterWell (09/19/25)
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  • Acquisition Integration Advisor

    Humana (Harrisburg, PA)
    …paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2026 **About us** ... - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (09/18/25)
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  • Director, Federal Government Affairs

    WelbeHealth (Harrisburg, PA)
    …legislative and regulatory affairs function with Congress and the Centers for Medicare and Medicaid Services (CMS) + Develop and implement meaningful engagement ... a clean DMV record and copy of recent vehicle insurance required + Minimum of seven (7) years of...cared for. + 401k + employer match + Medical insurance coverage (Medical, Dental, Vision) starting day one of… more
    WelbeHealth (09/17/25)
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  • Compliance Coding Auditor - Integrity…

    Guthrie (Sayre, PA)
    …documentation in compliance with accepted guidelines (federal, state, local, and insurance regulations as well as The Guthrie Clinic policies, as applicable, ... Medicare , Medicaid, and LCD (Local Coverage Determinations), and NCD...LCD (Local Coverage Determinations), and NCD (National Coverage Determinations), insurance companies) + Performs, and reports coding audits based… more
    Guthrie (09/13/25)
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  • RN Case Manager Emergency, Allegheny General

    Highmark Health (Pittsburgh, PA)
    …unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with ... requirements, severity of illness and intensity of services criteria, insurance benefits/requirements/limits, discharge planning requirements, length of stay and… more
    Highmark Health (09/13/25)
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  • Utilization Management Nurse - Home Solutions…

    Humana (Harrisburg, PA)
    …paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** About OneHome: OneHome coordinates ... first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the… more
    Humana (09/12/25)
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