- Evolent Health (Harrisburg, PA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Oncology , Physician Clinical Reviewer you will be a key member ... Will Be Doing:** + Serve as the specialty match reviewer in Oncology cases, that do not...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- UPMC (Williamsport, PA)
- …East. 7 East is an Adult Medical/Surgical unit with a focus on Neurology and Oncology patients.** **This position will be scheduled 36 hours a week with a primary ... and as may be directed by the nurse or physician to assure that the highest degree of quality...in planning and prioritizing activities as needed. Participates in self- review as requested by the unit director. Participates in… more
- Cardinal Health (Harrisburg, PA)
- …staff. + Periodically assess local and global market reimbursement rates for clinical procedures. Develop and communicate with physician and executive leadership ... experience in a contracting related field within a community physician office environment preferably oncology or a...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Harrisburg, PA)
- …and/or relational databases (SQL Server knowledge) preferred + Knowledge of community oncology physician practice systems and operations a plus + Bachelor's ... community oncology practice partners (working with both administrative and clinical practice team members) to monitor and report key operational, clinical… more
- Cardinal Health (Harrisburg, PA)
- **Position Summary** At Navista, our mission is to empower community oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, ... is an oncology practice alliance co-created with oncologists and practice leaders...all practice due diligence, integration and onboarding needs including clinical , administrative, compliance and technology. This role may directly… more
- Humana (Harrisburg, PA)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Evolent Health (Harrisburg, PA)
- …request. + Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion. + Addressing ... our daily operations this individual also works with our clinical team, which includes our First Level Reviewers and...to determine if submitted requests require a prior authorization review or redirect as required. + Entering data into… more
- Intermountain Health (Harrisburg, PA)
- …lines. The Registrar obtains and inputs all necessary demographic, financial, and clinical information from the patient or representative. **This is a 100% remote ... New York, Rhode Island, Vermont, Connecticut and Washington.** + Identifies eligible oncology cases. Abstracts and reports according to the coding, regulatory and… more