- CVS Health (Pittsburgh, PA)
- …and enterprise initiatives. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is ... managed care experience - 3+ years relevant work experience or prior authorization experience - Demonstrated understanding of utilization management interventions… more
- Cardinal Health (Harrisburg, PA)
- …is to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to be ... representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling to… more
- Cardinal Health (Harrisburg, PA)
- …+ Previous experience working in a remote/work from home setting is preferred + Prior experience working with Microsoft Office is preferred + Prior experience ... order placement systems and tools preferred + Customer service experience in prior healthcare industry preferred + Root cause analysis experience preferred +… more
- Qualus (Doylestown, PA)
- …state and local agencies before, during and after construction as required. + Prior to commencement of construction, coordinates with customer(s) at the jobsite to ... based upon several factors, including but not limited to education, qualifications, prior relevant work experience and work location. **Compensation:** $Min - $Max… more
- CVS Health (Harrisburg, PA)
- …of Microsoft Office products (Word, Excel, PowerPoint, Outlook). **Preferred Qualifications** + Prior experience working with claims. + Prior experience in ... relevant factors. This position is eligible for a CVS Health bonus, commission or short -term incentive program in addition to the base pay range listed above. Our… more
- The Salvation Army (Chambersburg, PA)
- …after 1 year of employment) + Eligibility for supplemental insurance plans including Short Term Disability, AFLAC and Voluntary Term Life + Most importantly - a ... + HS diploma or GED equivalent. + Must have prior experience in retail environment. + Must have prior experience in supervising others. + Ability to work cash… more
- Adecco US, Inc. (Philadelphia, PA)
- …territory, the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing ... resolution of high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient… more
- PNC (Pittsburgh, PA)
- …learning of various analytical tools and audit processes. * Conduct ongoing prior issue monitoring according to established follow-up and target completion dates. ... techniques such as SAS, Python, R and SQL. * Prior experience in the financial services industry is preferred...dental and vision options; employee and spouse/child life insurance; short and long-term disability protection; 401(k) with PNC match,… more
- BioLife Plasma Services (Harrisburg, PA)
- …to answer employee and manager questions related to leave of absence, FMLA, short -term disability, and personal leave of absence. + Leave of Absence oversight and ... Human Resources experience in the health care or pharmaceutical industry preferred. + Prior human resource professional experience working with leaders in a large /… more
- PeopleReady (Reading, PA)
- …of our open positions + The choice of long-term positions for steady work or short -term positions for extra cash + The convenience of applying for and accepting jobs ... Shift timings - 1st Shift (Day) **Job requirements:** + Prior construction and demolition experience with ability to work...construction and demolition experience with ability to work on short notice + Ability to use tools of the… more