- CVS Health (Harrisburg, PA)
- …Role will support the following initiatives and processes: Provider Experience and related project/workgroup functions; CRT - provider A/R and escalated claim review ... for large hospital organizations; Claim surveillance and related rework reduction activities; AI and BOT related initiatives focused on claim adjudication and efficiencies; and workforce management (inventory) with emphasis on outlier remediation, effective… more
- CVS Health (Harrisburg, PA)
- …partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable Diagnostics, will leverage existing & new ... improvements across key provider journeys including self-service / digital transactions, claims management, dispute resolution, and more. They will directly support… more
- CVS Health (Harrisburg, PA)
- …and senior engineers. + Provide input on technical feasibility, performance optimization, and scalability considerations to ensure that the overall solution ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …Stay focused on key strategic objectives, be accountable for high standards of performance , and take an active role in leading change. **Strategic Thinking & Problem ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- WellSpan Health (York, PA)
- …and Responsibilities** **Essential Functions:** + Responsible for strong financial performance through ensuring proper controls and practices are followed and ... on boards, continuously develops, rewards, retains, and provides transparent performance feedback to all staff, leaders, and physicians. Maintains competencies… more
- Highmark Health (Harrisburg, PA)
- …maintain more complex applications that meet the service levels, system availability, performance and quality levels required by their customers. May mentor less ... roles, including, but not limited to, Developer, Technical Lead and Project Manager , based upon level of experience. + Effectively communicate with team members,… more
- Cardinal Health (Harrisburg, PA)
- …follow-up team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and ... **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing...implement preventive measures. + Prepare and present reports to senior leadership on collection performance , trends, and… more
- Highmark Health (Harrisburg, PA)
- …contracting functions (client and GPO), develops business case and presents to senior leadership throughout organization. + Monitor contract performance to ... clinical and non-clinical products and/or services. Experience in contractual language, performance measures, detailed financial data analysis and claims … more
- Dentsply Sirona (York, PA)
- …are committed to applying it to improve dental care. We live and breathe high performance , working as one global team, bringing out the best in each other for the ... professional development. **Perform better** - as part of a high- performance , empowering culture. **Shape an industry** - with a...regulatory agencies. + Reviews and approves product labelling and claims for the US and EU markets. + Stays… more
- Piedmont Airlines (Harrisburg, PA)
- …injured employees and align with company goals. This position will report to the Senior Manager , Absence and Disability. **Essential Duties:** + Lead, coach, and ... candidate will bring at least three years of experience managing workers' compensation claims and will play a critical role in shaping policies and practices that… more
- CenterWell (Harrisburg, PA)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more