- CVS Health (Monroeville, PA)
- …- Documenting daily returns by notating patient accounts and updating appropriate systems . - Monitoring pump inventory for issues and scheduled maintenance. - ... **Required Qualifications** + One year computer experience in a Windows based system . + Must have attention to detail and organizational skills + Excellent… more
- Prime Therapeutics (Harrisburg, PA)
- …Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating System (HIM QRS). This position is also responsible to be a subject ... + 5 years of work experience in managed care or Pharmacy Benefit Management, in client engagement, compliance/regulatory, project management, quality improvement… more
- AmeriHealth Caritas (Newtown Square, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... the VP oversees strategic and budgeting functions for the delivery system and optimal operating model, managing National Contacts, Network Strategy, Corporate… more
- WellSpan Health (Lebanon, PA)
- …follows through with recommendations for the purposes of consultation, enhanced unit resources and education to increase patient care. + Oversees care progression in ... paperwork including return to work/school letters, prescriptions to appropriate pharmacy or electronic submission are provided. + Coordination with families… more
- AmeriHealth Caritas (Newtown Square, PA)
- …insurance products and benefits, NCQA and regulatory requirements, along with community resources , programs and Electronic Visit Verification system . + As ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- Prime Therapeutics (Harrisburg, PA)
- …includes all aspects of the contract from formulary compliance, to system capabilities to reconciliation and allocation of payments to clients. **Responsibilities** ... + Analyze small to intermediate manufacturer contract terms to ensure compatibility with rebate system + Perform contract set up for each rebate period + Assist with… more
- WellSpan Health (Lewisburg, PA)
- …of callers needs in the patients EHR + Communicate with ancillary areas ( pharmacy , lab, imaging, etc.) to provide information for the patient/practice + Build ... targets + Possess strong computer skills and the ability to maneuver multiple resources + Utilize communication scripts when handling specific topics + Comply with… more
- CVS Health (Harrisburg, PA)
- …dynamics and shifts, and white space opportunities in the broader health eco- system ; proactively screen for new companies and services that could address these, ... for consumers, for our business, and for the healthcare system at large + Be able to juggle multiple...BU or Corporate strategy role at a payor, provider, pharmacy , other healthcare sector) + Experience working on a… more
- Penn Medicine (King Of Prussia, PA)
- …pricing with payers, and obtain necessary approvals for charity care. + **CPR+ System Proficiency:** Master the CPR+ Admission System , including patient data ... and financial obligations, and resolve issues related to limited financial resources . + **Ongoing Patient Support:** Review and interpret payer guidelines,… more
- Prime Therapeutics (Harrisburg, PA)
- …including occasional member assistance + Utilize Prime's MTM process management system to record member specific information + Assess beneficiary information to ... tasks, prioritize and meet deadlines + Proficient in Excel, Word, and system operations (eg workflow processes and case management) + Government programs (Medicare)… more