- Robert Half Legal (Media, PA)
- Description We are seeking a Claims Advocate Attorney to join our team based in Media, Pennsylvania. In this role, you will serve as a key point of collaboration ... to inquiries from clients, broking department, and insurers on claims , coverages, and exposures. * Advocate for...insurers on claims , coverages, and exposures. * Advocate for the client's interest with insurers, providing strategic… more
- Guardian Life (Bethlehem, PA)
- **2025 Guardian Summer Intern, Group Life & Disability Claims ** Our 2025 Internship Program is a paid 10-week learning experience where you will be immersed in the ... and creativity to develop and empower talent + Employee Resource Groups that advocate for inclusion and diversity in all that we do + Social responsibility… more
- Sharecare, Inc. (Harrisburg, PA)
- …learn more, visit www.sharecare.com. **Job Summary:** The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide ... navigation. Utilizing motivational interviewing and guided approaches, the family health advocate will play a critical role in supporting members to achieve… more
- County of Blair (Altoona, PA)
- Under general supervision, the advocate will work in a department of four who deliver a wide array of assigned services to victims and witnesses of juvenile and ... adult crimes as cases progress through court proceedings. An advocate , specialized case managers, and the coordinator perform responsibilities as allocated within… more
- Centene Corporation (Harrisburg, PA)
- …business and protected health information. + Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. + Acts as the face ... to improve provider performance in areas of Quality, Risk Adjustment, Operations ( claims and encounters). + Schedules doctor appointments for members with care gaps… more
- Sprinklr (PA)
- …to achieve Sprinklr's goals in active litigation + Investigate and respond to threatened claims , serving as a passionate and effective advocate for the Company's ... a law firm setting, including experience with copyright and patent infringement claims , intellectual property matters, and federal securities claims ._** +… more
- Zurich NA (Harrisburg, PA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Evolent Health (Harrisburg, PA)
- …resolved in a timely and appropriate manner. This role also includes serving as an advocate for client needs and an ambassador within Evolent as the go-to expert on ... partnership. + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial… more
- CVS Health (Harrisburg, PA)
- …responsible for auditing Large Group PSS Functions (Implementation, Case Installation, Claims ). The primary responsibilities of the Quality Consultant include but ... - Audit of work completed by Implementation, Case Installation, Claims staff to ensure accuracy of information. - Identify...and improved outputs ensuring we fulfill 'Our Common Purpose: ' Advocate for our members' best health by helping them… more
- J&J Family of Companies (Horsham, PA)
- …identifying scaling and standardization opportunities across TAs. They act as an advocate and champion for AI Products, presenting the value and insights delivered ... industry, preferably within medical affairs + Hands - on experience using healthcare claims datasets, electronic health records, and lab data in real world evidence… more
- Guardian Life (Bethlehem, PA)
- …all while supporting the Law Department's Mission to be a trusted advocate and advisor to drive strategic solutions that advance Guardian's purpose, priorities, ... regulatory compliance support and monitoring of the Guardian Group Benefits Product, Claims and State Filing areas, with significant and specialized focus on support… more
- UPMC (Pittsburgh, PA)
- …contact for the patient. The Contact Center Specialist acts as an advocate for patients by providing guidance, interpretation and education on scheduling, ... to scheduled appointment and handle medicine refill requests. Act as an advocate for patients by providing guidance, interpretation, and education on scheduling,… more
- UPMC (Pittsburgh, PA)
- …and modifications. .** **The Scheduling Specialist, Associate acts as an advocate for patients by providing guidance, interpretation, and education on imaging ... scheduled appointment and handle medicine refill requests. + Act as an advocate for patients by providing guidance, interpretation, and education on scheduling,… more
- UPMC (Pittsburgh, PA)
- …contact for the patient. The Scheduling Specialist, Associate acts as an advocate for patients by providing guidance, interpretation, and education on scheduling. ... not been interviewed within the past 30 days. + Act as an advocate for patients by providing guidance, interpretation, and education on scheduling, registration… more
- UPMC (Pittsburgh, PA)
- …contact for the patient. The Contact Center Specialist acts as an advocate for patients by providing guidance, interpretation and education on scheduling, ... to scheduled appointment and handle medicine refill requests. Act as an advocate for patients by providing guidance, interpretation, and education on scheduling,… more
- CVS Health (Harrisburg, PA)
- …Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and ... + Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that… more
- J&J Family of Companies (Horsham, PA)
- …and facilitate organizational change required to ensure success and patient impact + Advocate for change and foster progress in new ways of thinking regarding the ... Python, SQL, R) is required. + Solid understanding of open and closed claims data sources (eg IQVIA, Symphony Health, Truven, Optum, Komodo) with experience… more
- J&J Family of Companies (Horsham, PA)
- …on (coding knowledge preferred) experience integrating and analyzing healthcare claims , electronic health records, lab results, specialty pharmacy, SDOH/consumer, ... indicators including establishing a measurement framework, and conducting A/B testing + Advocate for change and foster progress in new ways of thinking regarding… more
- Spectrum Health Services (Philadelphia, PA)
- …admission or ED visit) through case finding activities including physician referrals, claims or encounter data review identifying high cost/high risk disease states ... medication, diet needs, exercise, etc. in support of care plan goals. + Advocate for patients to assure access and timely service delivery across the continuum… more
- HealthEdge Software Inc (Harrisburg, PA)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... and intuitive design solutions into our products. Additionally, you will advocate for theHealthRulesPayer line of products, ensuring that our design solutions… more