- Cardinal Health (Harrisburg, PA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- CVS Health (Harrisburg, PA)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ...of care management within Medicare and Medicaid managed care . + Familiarity with community resources… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Peds Infusion Room **Location** US:PA: Hershey |… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Pediatrics Specialties - Hope Drive **Location**… more
- Humana (Harrisburg, PA)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Harrisburg, PA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CVS Health (Harrisburg, PA)
- …Office Suite -Case Management in an integrated model -Discharge Planning experience - Managed care experience **Education** -Associates Degree in Nursing required ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary:** The Case Manager RN role is 100% remote work from home.… more
- CVS Health (Harrisburg, PA)
- …Spanish and English **Preferred Qualifications** + Crisis intervention skills preferred Managed care /utilization review experience preferred + Case management ... and discharge planning experience preferred + Managed care /utilization review experience preferred **Education** Masters Degree in Social Work or Counseling… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... of orientation period **PREFERRED QUALIFICATION(S):** + Experience as a case manager , in discharge planning or insurance issues preferred. + Appropriate… more
- CDM Smith (Harrisburg, PA)
- …CDM Smith currently has an exciting opportunity for a Senior Project Manager with previous experience managing roadway/highway transportation design projects to join ... and deliver on exciting opportunities by: * Serving as the Senior Project Manager for design projects in our transportation program. * Working with current staff… more
- CVS Health (Harrisburg, PA)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Harrisburg, PA)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- UMB Bank (Harrisburg, PA)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- CVS Health (Harrisburg, PA)
- …conduct a thorough analysis **Required Qualifications** + 8+ years of experience in managed care , with a focus in pharmacy benefit management, pharmaceutical ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Stantec (New Cumberland, PA)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Pearle Vision (Camp Hill, PA)
- …and realistic delivery time quotes. * Provide appropriate guidance to patients regarding Managed Vision Care . * Assist with ensuring each store is effectively ... to the Planogram and other Company standards. * Other duties as assigned by Store Manager KNOWLEDGE & SKILLS: * Ability to sell through use of sales skills and… more
- CVS Health (Harrisburg, PA)
- …on opportunities to support program delivery. + In-depth knowledge of managed care industry practices and competitor strategies. **Education:** Bachelor's ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Western Digital (Harrisburg, PA)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Centene Corporation (Harrisburg, PA)
- …preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.Pay ... Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with… more
- Highmark Health (Harrisburg, PA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more