- Cardinal Health (Harrisburg, PA)
- …that is reshaping the way high-acuity care is delivered across the country. **_What Category Management Contributes to Velocare (TM) _** Category ... and implements strategy through commercializing the appropriate products and services. Category Management is responsible for cross -functional collaboration… more
- Highmark Health (Jefferson Hills, PA)
- …+ The Physician Advisor would be an active member of the Clinical Resource Management Committee. + Participates in Payer contract reviews to determine ... + Works in concert with the admitting physician, Case Management , and other hospital personnel, to evaluate the medical...in (insert here) + PA License Preferred + Physician Advisor experience in clinical setting + Physician… more
- Adams and Associates (Lopez, PA)
- Residential Advisor Job Details Job Location Red Rock - Lopez, PA Position Type Full Time Education Level High School Salary Range $18.12 - $18.12 Salary Job Shift ... Any Job Category Customer Service Description About Red Rock Job Corps...hands-on training in the following areas: Certified Nurse Assistant, Clinical Medical Assistant, Medical Administration Assistant, Patient Care Technician,… more
- Highmark Health (Pittsburgh, PA)
- …strategic direction on risk adjustment and collaborates and communicates with both clinical and operational executive management and external vendor partners. ... programs and services in collaboration with VP of Revenue Program Management in support of governmental products where Risk Adjustment methodologies apply.… more
- HealthEdge Software Inc (Harrisburg, PA)
- …report to the Chief Medical Officer of Healthedge (HE) and ensure that our clinical suite of products (GuidingCare & Wellframe) support our health plan customers in ... regulatory bodies, as well as a deep knowledge of clinical software programs, and the ability to discern the...where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management… more
- Huron Consulting Group (Harrisburg, PA)
- …Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... partnerships, clinical services and technology is not enough to create...contracts for new work. They also cultivate lasting, trusted advisor business relationships which bring forth positive references-and that… more
- Highmark Health (Harrisburg, PA)
- …customer engagements; collaborates with various stakeholders (such as Product, Sales, Clinical , and IT teams) and external customers and entities to configure ... deliver value to customers; acts as subject matter expert and trusted advisor in solutioning, implementation, and/or executing of various benefits solutions and… more
- Highmark Health (Harrisburg, PA)
- …coordination of care in accordance with recognized standards of practice for Care Management . The incumbent utilizes expertise in care management to promote a ... and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates… more