- 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
- Elevance Health (Seven Fields, PA)
- …combination of education and experience which would provide an equivalent background. + ** Claims Auditor Senior :** Requires a HS diploma or GED and a ... ** Claims Auditor I, II and Senior **...or any combination of education and experience which would provide an equivalent background. + ** Claims Auditor… 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
- PPL Corporation (Allentown, PA)
- …**_The Category Manager position may be hired at the Intermediate, Senior or Lead level. The position responsibilities listed below reflect those of the ... parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior...Manager position may be hired at the Intermediate, Senior or Lead level. Level offered will be determined… more
- PPL Corporation (Allentown, PA)
- …results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to… more
- PPL Corporation (Allentown, PA)
- …results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to… more
- WellSpan Health (York, PA)
- … provider revenue cycle, to include scheduling/registration, patient accounting, claims submission, and payment and denial processing are critical components of ... experience. Works in a strong dyad or triad relationship with the provider leadership, centralized services leadership and/or clinical leadership on staff, leader… more
- Danaher Corporation (Philadelphia, PA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Philadelphia, PA)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Legrand NA (Canonsburg, PA)
- Position Description At a Glance Legrand has an exciting opportunity for a Senior Customer Project Manager to join the Starline Team in Canonsburg, PA. Starline ... LLC, a company of Legrand NA is seeking a Senior Customer Project Manager . The primary function...for delivery per project timeline and ensure such teams provide the status of production throughout the manufacturing lifecycle.… more
- Walmart (Pittsburgh, PA)
- **Position Summary ** The Senior Manager , Construction, is responsible for leading and managing complex construction projects for Walmart store remodels. In this ... review pre-construction budgets; track monthly and quarterly budget reports; resolve claims with contractors and estimating department; review and approve contractor… more
- World Insurance Associates, LLC. (Philadelphia, PA)
- …work, workflow, standard operating producers, and professional excellence standard. + Provide strong Employee Benefits technical expertise to clients and service ... collaborating with the team to resolve issues (eligibility, carrier coverage and claims issues, compliance; health care reform, HIPAA). + Lead the delivery of… more
- Walgreens (Chadds Ford, PA)
- …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
- Geisinger (Danville, PA)
- …position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider setup. A minimum of one certification ... associated financial impact. Oversees daily coding and reimbursement support to negotiations, claims processors and provider set-up representatives. A minimum of… more
- Geisinger (Danville, PA)
- …best practices and benchmark surveys. Interacts with HRIS representatives to provide benefits operational support. Provides benefit plan interpretation, guidance and ... best meeting needs of organization. + Develop costs by plan and provide recommendations for enhancements and changes to existing programs that are consistent… 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
- IQVIA (Wayne, PA)
- …and forecast processes. + Presents budget and forecast analysis and presentations for senior management. + Responsible for ** claims reconciliations and claims ... . + Identify and manage **payment data related to claims , rebill, and manage overrides.** + Audit readiness and...a team. + Proven record of results working with senior management. + Strong project management skills and the… more
- PPL Corporation (Allentown, PA)
- …Louisville Gas and Electric, Kentucky Utilities and Rhode Island Energy - provide an outstanding experience for our customers, consistently ranking among the best ... build and maintain strong, diverse communities today. Overview The **Associate Project Manager ** position is the single point of accountability for small to routine… more
- IQVIA (Wayne, PA)
- ** Manager , Medical Affairs Strategy** **Overview** IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services ... to superior client solutions as well as exceptional professional development. As a Manager , you will have the opportunity to directly address the most pressing… more