- Cardinal Health (Harrisburg, PA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Highmark Health (Pittsburgh, PA)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more
- Highmark Health (Pittsburgh, PA)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience influencing change in ... complex organizational systems **SKILLS** + Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises + Strong quantitative and analytical skills + Demonstrated influencing, and teamwork skills +… more
- UPMC (Pittsburgh, PA)
- …of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to ... effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. + Demonstrate the ability to identify, assess, counsel and effectively intervene with medically and psychosocially complex patients with the ability to… more
- UPMC (Pittsburgh, PA)
- …of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to ... effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. + Demonstrate appropriate professional practice, maintaining respect for confidentiality and freedom of choice as outlined by the Code of Ethics by the… more
- BAYADA Home Health Care (Pittsburgh, PA)
- …Client Services Managers, Clinical Nurse Managers and Field Nurses + Communicate payer information to our internal Insurance Verification team + Provide excellent ... customer service at all times **Qualifications** + College Degree required + 2-3 years' experience in Healthcare, Intake, or Contact Center may be accepted in lieu of degree + 1 year of work experience (to include internships), required. + Proven success in a… more
- Highmark Health (Camp Hill, PA)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more
- Penn State Health (Hershey, PA)
- …clinical data within the patient's EMR. Ability to understand third party payer and insurance complexities. Ability to communicate professionally with all patients, ... peers, providers. Ability to train new hires. Ability to multitask due to the high volume of phone calls. Ability to know and understand complex therapies. **PREFERRED QUALIFICATIONS:** Pharmacy technician or Pharmacy billing experience with Insurers and Third… more
- Cognizant (Harrisburg, PA)
- …ideal candidate will have extensive experience in Kafka and a strong background in the Payer domain. This is a hybrid work model with day shifts and no travel ... required. The candidate will play a crucial role in developing and maintaining our systems ensuring they meet the highest standards of performance and reliability. **Location:** **Owings Mills - MD USA, (Remote** **)** **Candidate must be legally authorized to… more
- Cardinal Health (Harrisburg, PA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more