- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- CVS Health (Harrisburg, PA)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform...that a better care system is more transparent and consumer -focused, and it recognizes physicians for their clinical quality… more
- CVS Health (Harrisburg, PA)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform...that a better care system is more transparent and consumer -focused, and it recognizes physicians for their clinical quality… more
- Humana (Harrisburg, PA)
- …passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Leadership experience in ... community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The Associate...Bachelor's Degree + 6 or more years of technical experience + 2 or more years of management … more
- Humana (Harrisburg, PA)
- … consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
- Humana (Harrisburg, PA)
- … consumer experiences **Preferred Qualifications** + Medical utilization management experience , + working with health insurance organizations, hospitals and other ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including… more
- Hilton (Harrisburg, PA)
- …based in Argentina or Brazil \- with a preference for Argentina\*\*\*_ As the Director , Global Luxury Sales - South America, you will be an important member within ... to our owners and operators\. Reporting to the Managing Director of Sales - Americas, you will identify and...these minimum qualifications:** + Ten \(10\) years of professional experience + Five \(5\) years of progressive experience… more
- ISC2 (Harrisburg, PA)
- …an independent and globally recognized endorsement of cybersecurity knowledge, skills and experience for all career levels. Our charitable arm, the Center for Cyber ... all of our successes. Learn more. **Position Summary** Reporting to the Senior Director , Marketing, you will beinnovative and a results-driven leader who thrives in… more
- Highmark Health (Harrisburg, PA)
- …data exchange capabilities, as well as outsourced technology and BPO services. The Director is a strategic thinker with experience in selling Healthcare ... **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant… more
- CVS Health (Harrisburg, PA)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... our systems remain stable and performant as we scale. The Lead Director of Observability Engineering is a critical leadership role within Solutions Engineering… more
- CVS Health (Harrisburg, PA)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... heart, each and every day. **Position Summary** The Lead Director of Clinical Innovation is a critical leader and...in attracting, retaining, and engaging a diverse and inclusive consumer -centric workforce that delivers on our purpose and reflects… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …+ MBA or other relevant graduate or post-graduate degree + 12+ years commercial experience , ideally spanning HCP, consumer , new product launch experience , ... team members responsible for creating and implementing brand strategy across HCP/PME/ Consumer /NPP marketing. We are looking for a passionate and innovative marketing… more
- CenterWell (Harrisburg, PA)
- …identify and influence enhancements to technology to improve the medical coder experience . + Oversees coding operations by identifying business partner needs and ... skills to make an impact** **Required Qualifications** + Minimum 5 years of management experience + 8 or more years of Medical Coding, IPA, or similar experience… more
- Highmark Health (Harrisburg, PA)
- …product requirements, user stories, and acceptance criteria, ensuring alignment with experience strategy, business objectives, and customer needs. + Manage product ... relevant regulations and industry standards. + Other duties as assigned or requested. ** EXPERIENCE ** **Required** + 7 years of experience in product management,… more
- CVS Health (Harrisburg, PA)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... lead cross-functional teams and drive innovation in Medicare analytics. While hands-on experience in data science and machine learning is not required, familiarity… more
- Acxiom (Harrisburg, PA)
- …achieving benefit realization, their issues are addressed, and their overall experience is positive and satisfactory. + **Relationship Builder:** Ability to ... YOU APART:** + Fifteen (15) + years of relevant experience . In the absence of a bachelor's degree, relevant...and technology. + Deep knowledge of the application of consumer and behavioral data. + Proven track record of… more
- Highmark Health (Harrisburg, PA)
- …impact for those we serve **This role is looking for someone who has leadership experience along with experience with TPA, Stop loss, and self funded clients.** ... or requested. **QUALIFICATIONS:** **Required** + Bachelor's Degree OR 4 years equivalent work experience may be considered in lieu of Degree. + 5 years of sales… more
- CVS Health (Harrisburg, PA)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... require travel to offsite locations for in-person meetings. **Required Experience :** + 5+ years of self-funded health care industry...:** + 5+ years of self-funded health care industry experience . + Expert level experience in Self-Funding,… more
- Highmark Health (Harrisburg, PA)
- …**Preferred** + Master's Degree in Business Administration/Management or Public Health ** EXPERIENCE ** **Required** + 5 years in Clinical, Direct Patient care ... is determined by a variety of factors including a candidate's qualifications, experience , and expected contributions, as well as internal peer equity, market, and… more