• Sr Specialist, Credentialing, Network and Payor…

    Cardinal Health (Harrisburg, PA)
    …preferred + Pharmacy Technician experience a plus, not required + Familiarity with Medicare and Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
    Cardinal Health (07/24/25)
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  • Home Health Physical Therapist PT Full Time

    Aveanna Healthcare (Scranton, PA)
    …Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers + Maintain effective communication between staff, ... Health Therapy and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (07/24/25)
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  • Clinical Manager (RN) for Pediatric Day Healthcare…

    Aveanna Healthcare (Harrisburg, PA)
    …staff assignments to our classrooms, followed by quality assurance nursing documentation review . From there, you will spend the morning greeting families and ... leaves of absence, compensation, and training. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (07/23/25)
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  • Certified Peer Specialist Senior

    WellSpan Health (York, PA)
    …Advance Directives (PAD) planning among peers. + Partners with peers to create, review and attain goals on the Individual Recovery Plan. + Completes necessary ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
    WellSpan Health (07/23/25)
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  • Senior Account Executive, Team Lead

    World Insurance Associates, LLC. (Philadelphia, PA)
    …and deliver notes to client (includes compliance needs including 5500 filing, Medicare Part D Disclosures, Reporting, HIPAA, ERISA, COBRA) + Engage with clients ... mentor, demonstrates leadership attributes, shares expertise. May plan, assign, monitor, and review progress and accuracy of work, evaluating results of and the work… more
    World Insurance Associates, LLC. (07/22/25)
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  • Licensed Practical Nurse - Outpatient Orthopedics…

    WellSpan Health (Lewisburg, PA)
    …and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
    WellSpan Health (07/22/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Harrisburg, PA)
    …and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
    CVS Health (07/19/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Harrisburg, PA)
    …from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and ... prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical abilities, with a proven track… more
    Evolent (07/18/25)
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  • Supervisor - Access Center Philhaven - Evenings

    WellSpan Health (Mount Gretna, PA)
    …relations, customer service, and oral/written communication skills + Visual ability to review and prepare written information and to observe patient behavior + ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
    WellSpan Health (07/16/25)
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  • Registered Nurse - Surgical ICU - Night

    WellSpan Health (York, PA)
    …through interdisciplinary collaboration, Shared Decision Making activities including peer review . Integrate Shared Decision Making by unit committee membership or ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
    WellSpan Health (07/15/25)
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