- CenterWell (Harrisburg, PA)
- …and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director , Home Health Grievances & Appeals assists members, ... part of our caring community and help us put health first** The Director Denials Management provides...related field + 10-15 years progressively responsible experience in home health or hospice industry that includes… more
- Genesis Healthcare (Philadelphia, PA)
- …Responsibilities Make a difference in patient care by joining our team as the Director of Clinical Risk Management. You will champion patient safety and quality care ... will be crucial in guiding nursing centers through reportable events and grievances , ensuring compliance with policies and regulations, and minimizing liability. The… more
- Commonwealth of Pennsylvania (PA)
- …DESCRIPTION OF WORK This position is accountable to the Office Services Bureau Director (BOS Director ) and entails the execution of special projects along ... for the division as requested by both the BOS Director and the Executive Deputy Secretary (EDS) for Administration...Telework: You may have the opportunity to work from home (telework) part-time up to 3 days per week.… more
- Evolent (Harrisburg, PA)
- …requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write and speak the English language fluently ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...work collaboratively with other Utilization Management Leaders including our Director may also be available. **What You Will Be… more
- Commonwealth of Pennsylvania (PA)
- …Supervisor 2, who is responsible for delivering clerical assistance to the Regional Director 's Office and the Air Quality Program. The incumbent also serves as the ... Telework: You may have the opportunity to work from home (telework) part-time up to 2 days per week....value of your benefits package by exploring ourbenefits calculator. Health & Wellness We offer multiple health … more
- Commonwealth of Pennsylvania (PA)
- …aspects of investigative activities to minimize losses as directed by the Director of Asset Protection. Additional responsibilities include: + Maintains a database ... Telework: You may have the opportunity to work from home (telework) part-time, up to four days a week,...value of your benefits package by exploring ourbenefits calculator. Health & Wellness We offer multiple health … more