- Highmark Health (Harrisburg, PA)
- …STARS, Medicaid HEDIS, risk revenue value streams, and population health management. ** Preferred ** + 7 years of experience in managed care, primary care management ... other quality management certification. + Experiencein health plan provider network performance management, population health management, continuous improvement, or… more
- Highmark Health (Erie, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs various technical and support laboratory duties under the supervision of ... to work in a fast pace and high-volume environment. Preferred + Certificate from an accredited MLA program ...Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy… more
- Highmark Health (Natrona Heights, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: **_Eligible Sign on Bonus details for qualified candidates:_** **_$1,000 (after 90 ... Experience in a supervisory or team leader position is preferred . Preferred + High school diploma required....Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy… more
- Highmark Health (Pittsburgh, PA)
- …external professionals serving on the MRC; prepares and presents provider / network appeal cases; and/or providing technical expertise in evaluating and resolving ... contracting, fraud, waste, and abuse investigations, or related field. ** PREFERRED EDUCATION** + Master's in Business Administration **EXPERIENCE** **Required** +… more
- Travelers Insurance Company (Harrisburg, PA)
- …lead preferred . + Advanced knowledge of infrastructure technologies such as Network , Database, Server, Storage etc. preferred . + Expert knowledge of one ... be responsible for all aspects of the evaluation, configuration, security , implementation, and support of IMS and related software...a plus. + Seven years of experience in Technology preferred . + Two years of experience as a technical… more
- Highmark Health (Harrisburg, PA)
- …the analyses performed, and how the results link directly back to business objectives. Network in the wider organization to find new stakeholders and broaden the ... of relevant work experience in lieu of a Master's Degree ** Preferred ** + Doctorate degree in STEM (Science, Technology, Engineering, Mathematics) **EXPERIENCE**… more
- Amazon (Fairless Hills, PA)
- …want to help. You'll join a diverse team of software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other ... help us deliver the highest standards for safety and security while providing seemingly infinite capacity at the lowest...Even if you do not meet all of the preferred qualifications and skills listed in the job description,… more
- Highmark Health (Harrisburg, PA)
- …Related Field **Substitutions** + 6 years of relevant work experience ** Preferred ** + Master's Degree in Business or Healthcare Administration **EXPERIENCE** ... 4 years Research and strategic planning around emerging trends in reimbursement, network , and payment model design. Demonstrate of the application of healthcare… more
- Magellan Health Services (Newtown, PA)
- …for services do not meet medical necessity criteria. + Participates in network development including identification and recruitment of quality providers as needed. + ... 24 Work Experience - Required Clinical Work Experience - Preferred Education - Required Associate - Nursing, Bachelor's -...employee must understand, comply with and attest to the security responsibilities and security controls unique to… more
- Magellan Health Services (Somerset, PA)
- …for services do not meet medical necessity criteria. + Participates in network development including identification and recruitment of quality providers as needed. + ... 24 Work Experience - Required Clinical Work Experience - Preferred Education - Required Associate - Nursing, Bachelor's -...employee must understand, comply with and attest to the security responsibilities and security controls unique to… more