• Senior Financial Analytics Professional

    Humana (Harrisburg, PA)
    …Responsibilities:** + Develop models to measure performance, identify trends to support critical business decisions. + Maintain PowerBI reporting and dashboards that ... leadership. + Work closely with cross-functional teams to develop analyses in support of new initiatives. + Maintain strong relationships with key stakeholders… more
    Humana (09/03/25)
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  • CHC Service Coordinator, NF UPMC CHC Service…

    UPMC (Pittsburgh, PA)
    …Plan is seeking a full-time CHC Service Coordinator, Nursing Facilities to support Community HealthChoices in Centre & Mifflin Counties! UPMC Community HealthChoices ... for Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare , Medicaid, or require a nursing facility level of care. The CHC Service… more
    UPMC (08/27/25)
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  • Encounter Data Management Professional

    Humana (Harrisburg, PA)
    …processes, policies and procedures as well as compliance guidelines. Will support achieving operational and compliance key performance indicators. In addition, the ... associate will participate in cross functional teams and support analyzing business processes, error processing, issues and ticket creations with the product… more
    Humana (08/16/25)
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  • Senior Corporate Counsel, Compliance & Commercial

    NASCO (Harrisburg, PA)
    …transactions, including technology agreements, and provides compliance guidance and support throughout the organization to ensure our products and services ... related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with...risks and provide practical solutions to complex issues to support our compliance programs + Ability to work effectively… more
    NASCO (06/27/25)
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  • Bilingual Case Manager

    Cardinal Health (Harrisburg, PA)
    Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while… more
    Cardinal Health (09/03/25)
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  • Bilingual Reimbursement Specialist

    Cardinal Health (Harrisburg, PA)
    Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... phone calls for patient follow ups or confirmations + Demonstrate superior customer support talents + Interact with the patient referral sources to process new… more
    Cardinal Health (09/03/25)
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  • Grievance & Appeals Representative

    Humana (Harrisburg, PA)
    …The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May ... 3 assists members, via phone or face to face, further/ support quality related goals. Investigates and resolves member and...and speak English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS)… more
    Humana (09/02/25)
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  • Director, US Market Access Marketing

    Pfizer (Collegeville, PA)
    …access. The access marketer will advocate for reimbursement and policy approaches that support Brand uptake and performance. The US Market Access Marketer will be ... the development of the Customer/Brand engagement strategy for top accounts within Medicare , Commercial and other channels as appropriate based on clinical and… more
    Pfizer (08/31/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    …for anywhere from 1 - 3 months according to individual needs, with continued support throughout your career here! This is a fully remote position and available if ... have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding… more
    Banner Health (08/30/25)
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  • Territory Manager

    Kestra Medical Technologies, Inc (Harrisburg, PA)
    …territory, the Territory Manager provides training, on-going product service and support , and assistance in the reimbursement process. ESSENTIAL DUTIES + Responsible ... for the sales and ongoing support of Kestra products + Consistently meet or exceed...Food and Drug + Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
    Kestra Medical Technologies, Inc (08/30/25)
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