- Travelers Insurance Company (Harrisburg, PA)
- …for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling ... case . + Work with Manager on use of Claim Coverage Counsel as needed. + Directly investigate each...and thus the technical expertise to evaluate severe and complex claims . + Able to make independent… more
- WellSpan Health (York, PA)
- …with treating providers to resolve issues when necessary. + Provides telephonic and field case management when necessary for complex cases or at the direction of ... plans for injured/ill System employees. Provides internal workers' compensation case management, including attending appointments with injured/ill employees when… more
- Evolent (Harrisburg, PA)
- …with value-based care and programs - Preferred + Working knowledge of Medicare claims , episode and condition groupers, case /episode and risk adjustment, patient ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …restriction on moonlighting Work Schedule: Will be discussed during the interview. Major duties include but are not limited to: Clinical Practice: Appropriately ... provider when indicated to treat changes in the patient's condition. Recognizes complex situations that impact patient care and intervenes, using sound judgment,… more
- CDM Smith (Harrisburg, PA)
- …solicitations, teaming agreements, contracts, subcontracts and other agreements. * Resolving major subcontractor issues, including claims . * Advising division ... budget. * Overseeing the development of cost and pricing proposals for complex projects. * Developing pricing strategy and conducting cost negotiations for … more