- Penn State Health (Hershey, PA)
- …formulary is evidence-based, cost-effective, and aligns with patient care standards. The coordinator works closely with the System Pharmacy and Therapeutics ... or genetic information._ **Union:** Non Bargained **Position** System Formulary Clinical Coordinator - Pharmacy Admin and Education **Location** US:PA: Hershey… more
- Highmark Health (Harrisburg, PA)
- …job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ... drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication… more
- Cardinal Health (Harrisburg, PA)
- …to Cardinal Health_** The Sr. Coord, Individualized Care (Reimbursement Coordinator ) supports patient access to therapy through Reimbursement Support Services ... of DME, MAC practices, preferred * Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy … more
- Brookdale Senior Living (Harrisburg, PA)
- …a positive difference! Brookdale Harrisburg is hiring a Health and Wellness Coordinator / ADON! A Senior Living Community specializing in Assisted Living and Memory ... RN Required + Flexible Schedule Required Details: + As an Health and Wellness Coordinator at Brookdale you will join the amazing Clinical Team. + Interaction with… more
- Cardinal Health (Harrisburg, PA)
- …facilitate coverage and dispense of product in a timely manner. The Coordinator , Individualized mediates effective resolution for complex payer/ pharmacy issues ... the particular needs of an individual patient. **_Job Summary_** The Coordinator , Individualized Care supports patient access to therapy through Reimbursement… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Appeals Coordinator **Job Description** + Maintains a caseload and monitors day to day ... + 4 years of Customer Service experience + Must have an active pharmacy technician license/registration and national certification (eg, PTCB or ExCPT) + Must have… more
- WellSpan Health (Mount Gretna, PA)
- Care Nurse Coordinator RN - Extended Acute Adult Psychiatric Inpatient - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: PRN/Per Diem PRN as needed 7 ... paperwork including return to work/school letters, prescriptions to appropriate pharmacy or electronic submission are provided. + Coordination with families… more
- Cardinal Health (Harrisburg, PA)
- …and strong organizational skill + Mediate effective resolution for complex payer/ pharmacy issues toward a positive outcome to de-escalate + Proactive follow-up ... Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical/ Pharmacy billing and coding is preferred + Important to have a strong attention… more
- Cardinal Health (Harrisburg, PA)
- …that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, ... experience with insurance or in pharmaceutical industry, preferred + Pharmacy benefits management experience preferred with specific knowledge of Medicare,… more
- CVS Health (Harrisburg, PA)
- …to the broader team as well as others in the department, (ie, Pharmacy Account Management and Production Support). The Cash Application Associate will report Sr. ... Manager of Cash Application. This role carries significant responsibility that affects cash flow. Inaccuracy in this role could impact financials. **PRIMARY DUTIES AND RESPONSIBILITIES:** + Research and resolve deposit and remittance exceptions in queue and… more
- AmeriHealth Caritas (Harrisburg, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community… more
- Highmark Health (Harrisburg, PA)
- …RESPONSIBILITIES** + Handle all inbound phone requests from providers or pharmacy for all inbound Prior Authorization requests.Use multiple software systems and ... various resource sites to determine member plans and requirements while gathering all appropriate documentation including verification of benefit eligibility. Ensure conversation highlights are captured within the system.If required, build cases in the… more
- AmeriHealth Caritas (Harrisburg, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member care giver as appropriate, PCP,… more
- Penn State Health (Hershey, PA)
- …Social Work and Care Coordination, Physicians, Surgeons, OR Teams, Pharmacy , Nutrition, Psych, Nurses, Coordinators, Quality Associates, Financial Coordinators, ... Administrative support teams, Outreach Coordinator , Educator, etc.). We have and drive a culture of safety and positive work environment focused on teamwork,… more