- WellSpan Health (Mount Gretna, PA)
- Manager Behavioral Health Operations - Access Center & ED's - Days Location: WellSpan Philhaven, Mount Gretna, PA Schedule: Full time (80 hours biweekly) ... patients in the assigned Emergency Departments with oversite to Supervisors and Behavioral Health Consultants (BHC's) in assigned emergency departments (ED's).… more
- Lancaster General Health (Lancaster, PA)
- …complaints/concerns in a professional manner, escalating more complex issues to supervisor/ manager as needed. + Understands and supports Point of Service ... insurance responses. + Prepares and/or releases records or orders in the e- Health record. Scans all necessary documents into appropriate medical record. Understands… more
- Highmark Health (Harrisburg, PA)
- …combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + ... over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses ...Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** Job Description **JOB SUMMARY** This role within the marketing & experience department will be at the forefront ... This role will report directly to the Director of MarTech and Operations and lead day-to-day optimization, automation and outsourcing of operational processes across… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job plays a critical role in digital product management and delivery for Highmark Health ... the organization. + Responsible for overseeing the effective simultaneous operations of multiple products and platforms within the digital...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job directly supervises and is responsible for the day to day operations of Oracle ... productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is the primary liaison between strategically aligned provider groups in the Highmark ... entities, including ancillary provider networks, independent physician organizations and health systems/integrated delivery networks, to ensure success in value-based… more
- Highmark Health (Camp Hill, PA)
- …service, education on vendor delivered solutions and services, population health capabilities and resources, and alternative reimbursement model. The incumbent ... relationships with and work across many departments in the Health Plan. **ESSENTIAL RESPONSIBILITIES** **Value-Based Reimbursement Support** + Manage relationship… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This position is responsible for leading a team of creative resources to design, test, and ... staff productivity. + Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as… more
- Highmark Health (Harrisburg, PA)
- …of work, and managing performance. Responsible for the oversight of the daily operations . Controls expenses within the operating unit and is responsible for meeting ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Harrisburg, PA)
- …and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... our passion and drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary** Overall management of… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... our passion and drives every decision we make. **Job Posting Title** Account Manager I- REMOTE **Job Description Summary** Overall management of assigned book of… more
- Highmark Health (Harrisburg, PA)
- …of clinical, case/utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience + 1 year in ... over a specified panel of members that range in health status/severity and clinical needs; and assesses health...and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create… more
- Highmark Health (Harrisburg, PA)
- …as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny Health Network philosophies and ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- WellSpan Health (York, PA)
- …the 54 treatment spaces, we have a 3-bed trauma bay and secure unit for behavioral health patients. General Summary Assists in managing the daily operations ... and Responsibilities Essential Functions: + Partners with the Nurse Manager to ensure that the unit strategic plan, vision,...+ Performs other related duties as identified. + WellSpan Health has adopted and implemented a compliance program to… more
- Evolent Health (Harrisburg, PA)
- …Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via fax, email, or ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Manager , Client Services. In support of our daily operations this individual also works with our clinical team,… more
- Highmark Health (Harrisburg, PA)
- …other leaders within the ISRM organization and others throughout Highmark Health including Information Technology, Enterprise Risk and Governance, Human Resources, ... staff productivity. + Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as… more
- CenterWell (Harrisburg, PA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... education team and will work also closely with Coding operations team and Clinical Excellence team under the CenterWell...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Compass Group, North America (Lancaster, PA)
- … manager + Leads Corporate Social Responsibility, food seasonality, health /wellness and high-quality culinary + Analyzes ongoing performance and trends in ... the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership...The purpose of this job is to lead culinary operations at a large 500 plus acute care hospital… more