- CVS Health (Harrisburg, PA)
- …to promote quality effectiveness of healthcare services and benefit utilization . The Utilization Management Clinician will work in conjunction with the ... every day. **Position Summary** This is a full-time, remote position. The Medicare Behavioral Health Outpatient clinician will be part of the Medicare… more
- Highmark Health (Harrisburg, PA)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more