- Prime Therapeutics (Harrisburg, PA)
- …and relationship management abilities + Knowledge of healthcare regulations, payer strategies, and compliance requirements + Proficient in Microsoft products, ... including excel and PowerPoint + Ability to manage complex projects across the enterprise through cross-collaboration **Preferred Qualifications** + Master's degree in Business Administration or Public Health or Oncology Pharmacy Specialty Certification BCOP +… more
- Centene Corporation (Harrisburg, PA)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Humana (Harrisburg, PA)
- …performance improvement, physician engagement, informatics, network development, and contract/ payer relations. This design gives the Fellow the opportunity ... to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative meetings.… more
- Highmark Health (Harrisburg, PA)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... team is responsible for identifying those gaps, building requirements to drive the development of new capabilities, and tying them to Highmark's strategic capability roadmap. They will need to work effectively across teams to inform and influence change to… more
- Bristol Myers Squibb (Harrisburg, PA)
- …plan that take into account unique characteristics of region, eg, geography, payer landscape, customer mix, etc. + Develops, reviews and modifies region business ... plan on a proactive basis. + Interprets and integrates complex data to develop communication strategies to drive performance and productivity within the region. + Identifies and secures necessary resources, people and capital, and facilitates alignment with… more
- Select Medical (Edinboro, PA)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + Previous therapy experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Datavant (Harrisburg, PA)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- Kyndryl (Harrisburg, PA)
- …+ Healthcare industry experience is a strong plus, especially in payer /provider operations and care management workflows. **Preferred Qualifications: ** + 15+ ... years' experience in contact center sales, consulting, services, or transformation initiatives. + Previous experience in leading healthcare-focused journey redesign from eligibility verification to care management. + Align contact center transformation with… more
- Select Medical (Pittsburgh, PA)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Additional Data** _Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal-opportunity employer. Qualified applicants are considered for employment, and employees are… more
- Select Medical (Rockledge, PA)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED + 1 Year Front Desk experience + Healthcare experience **Preferred:** + 1 Year of Medical Office Experience + Insurance Verification Experience **Additional Data** _Equal Opportunity Employer/including… more