- Guthrie (Troy, PA)
- …contractual reimbursement requirements and to assist in ensuring generation of clean claims in a timely manner + Securing authorization as appropriate + Documenting ... skills, be able to work independently and to complete work within specified time frames. Knowledge of health benefit plans and related UM requirements preferred.… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …applications (mobile and web). The engineers are also responsible for working as part of a cross-functional team to ensure the successful integration of RESTful APIs ... integration solutions, such as APIs, and data integration layers (Batch & Real- Time ) + Proven ability to define and implement effective software development… more
- St. Luke's University Health Network (Bethlehem, PA)
- …role in contacting parents, scheduling timely appointments, obtaining authorizations/pre-certifications and processing insurance claim forms. + Serves a primary ... in managing a system for logging and reporting on sports medicine referrals as part of the Senior Director's financial analysis report. + Assists the Senior Liaison… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …and other CRM systems, analytics tools, and operational applications. This role is part of the Platform Engineering team and will support the Health Experience ... Health Cloud enhancements and CRM development initiatives by ensuring accurate, real- time data flow into analytical platforms and dashboards. + Experience with… more
- Prime Therapeutics (Harrisburg, PA)
- …needs. + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and ... of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing...to remain in a stationary position 50% of the time . Must be able to "move or traverse" +… more
- Geisinger (Danville, PA)
- …manages and issues resolution of Workflow rules that allow for automation of claims processing . + Configures the eligibility process, the configuration migration ... to established policy guidelines and ensuring accurate and timely processing of commission transactions. Job Duties Assists with ongoing...the Geisinger family We offer healthcare benefits for full time and part time positions… more
- Evolent (Harrisburg, PA)
- …to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries ... required to analyze system processing in detail + provide summary information to stakeholders...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Commonwealth of Pennsylvania (PA)
- …30-minute lunch. + Telework: You may have the opportunity to work from home (telework) part - time , up to 60% of the work schedule, upon successful completion of ... Annually Location Beaver County, PA Job Type Non-Civil Service Permanent Full- time Job Number N-2025-31048 Department Department of Transportation Division TR Beaver… more
- Commonwealth of Pennsylvania (PA)
- …lunch. + Telework: You may have the opportunity to work from home (telework) part - time , upon successful completion of on-site training. In order to telework, you ... $60,714.00 Annually Location Dauphin County, PA Job Type Non-Civil Service Permanent Full- time Job Number N-2025-30721 Department Department of State Division ST Div… more
- House of Blues (Philadelphia, PA)
- …THIS ROLE WILL DO + Recruits, hires, trains, and supervises all part - time staff/supervisors, including but not limited to: Department Managers, Receptionist, ... our common ground. There has never been a better time to join Live Nation. WHO ARE YOU? Passionate...monitors records of all incident reports and workers comp claims - investigates and manages all pending cases, including interviewing… more