- CVS Health (Harrisburg, PA)
- …convenient and affordable. **Position Summary** The Business Configuration Sr. Coordinator is responsible for the operational development and performance of ... prior authorization criteria to include configuration data, clinical protocols, and medical notification documents within CVS Health's Medical Claims and Prior Authorization platform (Novologix). The position works closely with other business teams to manage… more
- CVS Health (Harrisburg, PA)
- …Responsible for managing to resolution appeal scenarios for all products, which contain multiple issues and may require coordination of responses from multiple ... business units. Appeals are typically more complex and may require outreach and deviation from standard processes to complete. Develop into a subject matter expert by providing training, coaching, or responding to complex issues. May have contact with outside… more
- CVS Health (Harrisburg, PA)
- …Minimum of 2 years of Medical Billing Experience or health plan claims adjudication experience Preferred Qualifications 3-5 Years of Medical Billing experience or ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.… more
- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal ... request, critically thinks through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical… more
- Intermountain Health (Harrisburg, PA)
- …correlation to benefit set-up, Facets configuration, contract language etc. The Account Coordinator also works assigned Salesforce queues and signs-off on all tasks ... in a timely manner. Account Coordinator is responsible for all data in Salesforce including...act as a resource to Account Coordinators and Account Coordinator Associates. Assists/leads management with complex projects and workflow… more
- American Heart Association (Harrisburg, PA)
- …The American Heart Association has an excellent opportunity for a **Development Coordinator .** **This is a remote temporary position located in the northeast ... Facebook, X (formerly Twitter), and at heart.jobs. **Responsibilities** The Development Coordinator is a key element in supporting a cohesive, efficient, and… more
- The Salvation Army (Harrisburg, PA)
- …and repair broken lives. The Adult Rehabilitation Center is seeking an Intake Coordinator to work cooperatively with Program staff to maintain a quality intake ... bed assignments, and work therapy assignments. + Assist counselor and other senior program staff in crisis intervention as needed. + Meet with supervisor… more
- Brookdale Senior Living (Mechanicsburg, PA)
- …America's Greatest Workplaces for Diversity Brookdale Grandon Farmsis seeking aHealth & Wellness Coordinator (LPN or RN license required) to work 7a-3p. In this role ... you will assist in managing the day to day clinical services of our 103 apartment assisted living and memory care community. Early Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA) Make Lives Better Including Your… more
- Cardinal Health (Harrisburg, PA)
- …information. + Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership. **_Qualifications_** + 1-3 years of ... receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **TRAINING AND WORK SCHEDULES:** Your… more
- Cardinal Health (Harrisburg, PA)
- …information. + Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership. **_Qualifications_** + 1-3 years of ... receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **TRAINING AND WORK SCHEDULES:** Your… more
- Cardinal Health (Harrisburg, PA)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager ... supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of… more
- Cardinal Health (Harrisburg, PA)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **Responsibilities** + Responsible for ... handling inbound calls, with ability to determine needs and provide one call resolution. + Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/physician inquiries and concerns in a timely manner + Enter detailed information into… more
- Gentiva (Camp Hill, PA)
- …+ Reportdirectly to the Administrator, Executive Director or Patient Care Manager Senior and will maintain primary control and professional management of each ... Plans + Wellness Program and Resources including: + A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs +… more
- Prime Therapeutics (Harrisburg, PA)
- …between Sales, Operations, and other stakeholders + Serve as primary coordinator and project manager for Prime's highest visibility sales activities, including ... organization + Develop, execute and maintain effective sales reporting cadence for Senior Leadership + Document Prime's sales processes, develop tools to support… more