- CVS Health (Harrisburg, PA)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Harrisburg, PA)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Bank of America (Newark, DE)
- …years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Wealth-Management-Fraud-and- Claims Senior -Fraud-Analyst\_25043739-2) **Job ... Wealth Management Fraud and Claims - Senior Fraud Analyst Newark,...offered a role with Bank of America, your hiring manager will provide you with information on… more
- CVS Health (Harrisburg, PA)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- The Cigna Group (Harrisburg, PA)
- …+ Provide expertise in utilization management services including eligibility, provider loads, authorization exports, and claims file exchanges **Skills** + ... **Position Summary** The Client Management Senior Manager owns the output of...metrics) + Lead Joint Operating Committee (JOC) meetings + Provide direction and support to ensure that the CEMs… more
- Humana (Harrisburg, PA)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Walgreens (Newark, DE)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Bank of America (Newark, DE)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Fraud Analytics and Innovation Senior Leader - Emerging Fraud Technology Richmond, Virginia;Plano,...Business, Statistics or quantitative related field + Fraud and/or Claims background with focus on Authentication + Functional knowledge… more
- Bank of America (Newark, DE)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Device and Non-Monetary Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Sun...SAS, SQL, Tableau, and other relational data bases, to provide analytical support on strategies, ensure goals are met,… more
- Cardinal Health (Harrisburg, PA)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Fujifilm (Harrisburg, PA)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- …of the Security Assistance Management Directorate (SAMD). As a Weapons Systems Manager , you'll be making a difference in global security assistance by boosting ... to manage your own workload independently. **Responsibilities** The Weapon Systems Manager will be responsible for logistics and acquisition type duties related… more
- Cardinal Health (Harrisburg, PA)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Army National Guard Units (Havre De Grace, MD)
- …your Educational claims . To receive credit for Education, you must provide documentation of proof that you meet the Education requirements for this position. ... 32 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGER , Position Description Number NGD1015000 and is part of the MD USPFO, National… more
- Army National Guard Units (Havre De Grace, MD)
- …your Educational claims . To receive credit for Education, you must provide documentation of proof that you meet the Education requirements for this position. ... TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGER - T5, Position Description Number NGT5133000 and is part of the MD USPFO,… more
- Dentsply Sirona (York, PA)
- …under a strong portfolio of world class brands. Dentsply Sirona's products provide innovative, high-quality and effective solutions to advance patient care and ... regulatory agencies. + Reviews and approves product labelling and claims for the US and EU markets. + Stays...relationships. + Manages day to day activities for less senior Regulatory Affairs professionals, including but not limited to… 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 ... at least three years of experience managing workers' compensation claims and will play a critical role in shaping...and procedures + Address escalated issues with empathy and provide timely, effective resolutions + Drive continuous improvement by… more
- CenterWell (Harrisburg, PA)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- …Program Analyst, Executive (PEOC3N): Bowhead seeks an Executive Program Analyst (PA) to provide support to the Project Manager , Tactical Network (TN) and Project ... and decision events at the behest of the Project Manager . The PA will perform extensive coordination leading to...groups, as well as the analysis of data to provide responsive and timely information for senior … more
- Walgreens (Dover, PA)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more