- CVS Health (Pittsburgh, PA)
- …and enterprise initiatives. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is ... Pittsburgh, PA offices. Candidates will be required to work in- office 3 days per week, and can work out...care experience - 3+ years relevant work experience or prior authorization experience - Demonstrated understanding of utilization management… more
- Commonwealth of Pennsylvania (PA)
- …Technician reviews registration documents received from other departments within the Office of Unemployment Compensation Tax Services (OUCTS) and directly from ... will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject...which requires you to pass an enhanced background check prior to beginning employment. Under Pub 1075, acceptance of… more
- SAS Retail Services (Carlisle, PA)
- …effectively with associates, clients and customers. The ideal candidate will have prior retail management and sales experience with an understanding of retail ... or GED - 1-3 years of experience in administrative or retail environment. Prior sales and marketing or industry experience preferred- Intermediate level skills in… more
- Allied Universal (Harrisburg, PA)
- …credit card to cover fuel and hotel expenses** + **No office to** **report** **to!** **RESPONSIBILITIES:** + Conduct independent investigations of insurance ... to successfully complete the Allied Universal Investigations' training/orientation course + Prior educational or professional exposure to witness interviews or video… more
- Penn Medicine (Elizabethtown, PA)
- …adequate staffing and inventory of supplies; complete expenditure requisitions for office purchases. + In conjunction with the providers and administrators, develop ... Establish and implement policies and procedures for improvement in office operations that align with practice standards. + Involve...Practice Manger position start date. Current Practice Managers hired prior to 7 1 2021 are grandfathered and must… more
- Penn Medicine (Philadelphia, PA)
- …attending physician and/or APP with patient relations and scheduling during outpatient office hours including traveling to clinic locating when necessary. + Provides ... at attending physician's directing. + Ordinates all procedures that need to occur prior to scheduling surgery, including but not limited to the scheduling of… more
- Veterans Affairs, Veterans Health Administration (York, PA)
- …five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP...status, lab values and vital signs of the patient prior to surgery. Appropriate notes are written in the… more
- Adecco US, Inc. (Philadelphia, PA)
- …in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics. ... territory, the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing… more
- UPMC (Pittsburgh, PA)
- …research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record ... necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in terms of type,… more
- Commonwealth of Pennsylvania (PA)
- …the application and answer the supplemental questions. All documents MUST be uploaded prior to the submission of your application. + Your application must be ... by the county and may vary. Please contact the applicable county human resource office directly to inquire about a specific benefit package. 01 How many years of… more