• Medical Director - Medicare…

    Humana (Harrisburg, PA)
    …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 ... and preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
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  • Medicare Grievances and Appeals…

    Humana (Harrisburg, PA)
    …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 ... preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (06/18/25)
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  • Business Analytics, Senior Analyst - Remote

    CVS Health (Harrisburg, PA)
    …creative initiatives that will drive efficiencies. This position will report to the Lead Director of Medicare Grievances . This position has high visibility ... analytics and strategic thinking to help incorporate solutions within the Medicare Grievance department operations. This is an opportunity to partner across… more
    CVS Health (07/23/25)
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  • Administrative Officer 4 (Local Government)…

    Commonwealth of Pennsylvania (PA)
    …Learn more about us at www.dbhs.co . This opportunity is for a Director to oversee the Human Resource and Quality Assurance (HRQA) functional components of ... OF WORK This position serves as the Human Resource and Quality Assurance (HRQA) Director for the Bedford-Somerset DBHS Program. Serves as the HRQA liaison with the… more
    Commonwealth of Pennsylvania (07/22/25)
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  • Supervisor - Access Center Philhaven - Evenings

    WellSpan Health (Lebanon, PA)
    …on patient's clinical presentation. + In conjunction with the Director /Manager, identifies lean management opportunities, implements process improvements and ... customer services to patients, families and personnel by assessing complaints or grievances and appropriately documenting follow up. + Promotes the personal and… more
    WellSpan Health (07/16/25)
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