- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Public Consulting Group (Harrisburg, PA)
- …public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in ... the investigations and to recommend corrective actions to the NC Division of Health Benefit (DHB) Office of Compliance and Program Integrity (OCPI). + Create written… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Associate Actuary, Valuation is responsible for estimates of short term and long term ... for non-Actuarial audiences **Preferred Qualifications** + 3 or more years of relevant health -related actuarial work experience + 3 or more years of experience with… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... experience in prior authorization, claims, and/or utilization management in healthcare, health insurance, evaluating medical necessity and appropriateness of care + … more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and ... in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and dashboards in Power BI +… more
- Public Consulting Group (Harrisburg, PA)
- …public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in ... the Maine Center of Excellence (COE) for Innovative Systems and Practice in Behavioral Health is to increase the capacity and quality of HFW provided throughout the… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in ... / HIPAA information Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and… more
- Public Consulting Group (Harrisburg, PA)
- …public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in ... requirements gathering, solution design and implementation + An understanding of health and human services state agency operations, particularly Title IV-E agencies,… more
- Commonwealth of Pennsylvania (PA)
- …basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV ... ! See the total value of your benefits package by exploring ourbenefits calculator. Health & Wellness We offer multiple health plans so our employees can… more