- UPMC (Altoona, PA)
- UPMC Altoona Regional Health Services is hiring a full-time Managed Care Specialist . This role will work Monday through Friday 7:30 am to 4:00 pm. This ... + Insures timely flow of information regarding managed care contacts and/or patients to specialist , primary care physicians, staff and patients. + Gives… more
- UPMC (Pittsburgh, PA)
- …US School of Pharmacy. + Experience in pharmacy benefit management, insurance, managed care preferred and be knowledgeable in therapeutic interventions and ... UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Care Management team...education activities. + Preferred Experience: + (1) PA Pharmacist: Managed care residency or 1-3 years … more
- Organon & Co. (Plymouth Meeting, PA)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- Organon & Co. (Plymouth Meeting, PA)
- …utilization while meeting the needs of customers. * Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- University of Pennsylvania (Philadelphia, PA)
- …related to ongoing clinical projects, ensuring CCTR lab's inventory and equipment are well- managed and fully functional. The specialist will assist the PIs with ... and resources, and much more. Posted Job Title Research Specialist , Penn Dental Medicine Job Profile Title Research ...use flexible spending accounts to pay for eligible health care and dependent care expenses with pre-tax… more
- UPMC (Hanover, PA)
- …Knowledge of medical terminology, anatomy, disease processes, CPT and ICD-9 coding, and managed care policies and procedures. + Familiar with Windows software, ... offices to authorize services. + Takes referral requests from patient, specialist , and primary care office. + Answers telephone in a timely, pleasant, and… more
- UPMC (Lancaster, PA)
- …Knowledge of medical terminology, anatomy, disease processes, CPT and ICD-9 coding, and managed care policies and procedures. + Familiar with Windows software, ... offices to authorize services. + Takes referral requests from patient, specialist , and primary care office. + Handles appeal requests with insurance company when… more
- UPMC (Loretto, PA)
- …+ Provide liaison with community and private referral resources, as well as managed care entities. Develop, recommend, and research external providers, as ... UPMC's Health Plan and Workpartners are hiring an EAP Specialist for their LifeSolutions Clinical Services Team. This is a hybrid role that will work partially… more
- Penn Medicine (Philadelphia, PA)
- …+ HS Diploma/GED. (Required) + 6+ years of credentialing experience in a managed care , hospital, or related setting. Extensive knowledge of credentialing ... Or + Bachelor's degree and 4+ years of credentialing experience in a managed care , hospital, or related setting. Extensive knowledge of credentialing processes… more
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... Penn Medicine is seeking a full-time, days Clinical Pharmacy Specialist , Oncology at the Hospital of the University of...Perelman Center. This role is focused on transition of care in hematologic malignancies. Summary: Responsible for provision of… more
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... life's work? Penn Medicine is seeking a full-time, day shift Clinical Pharmacy Specialist in Oncology, Multiple Myeloma for the Hospital of the University of… more
- MSC Industrial Supply Co. (York, PA)
- …Job Category :On-Site Work Location :York, PA BRIEF POSITION SUMMARY: The In-Plant Solutions Specialist is a critical MSC role. The specialist is located at a ... + Manages the MSC ControlPoint Solutions -which could include standard Vendor Managed Inventory, Vending, or Storeroom management programs and may require ordering,… more
- CSL Behring (King Of Prussia, PA)
- …The role involves developing and maintaining standard response documents, presentations, and managed care materials for global use, ensuring compliance with US ... **Summary:** The Medical Information Specialist is responsible for providing accurate, balanced, and...loved ones. CSL offers resources and benefits, from health care to financial protection, so you can focus on… more
- HomeSafe Alliance (King Of Prussia, PA)
- **Title:** Accounts Payable Support Specialist **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods ... . As a member of the HomeSafe Alliance team, the Accounting Support Specialist will support the organization with various Accounts Payable activities focused around… more
- Amergis (Pittsburgh, PA)
- The Program Specialist supports the overall management of Managed Services Programs (MSP). The Program Specialist works closely with the program management ... Hospital Expense Protection Plan, Critical Illness Insurance,Accident Insurance, Dependent Care Flexible Spending Account, Home and AutoInsurance, Pet Insurance,… more
- MSC Industrial Supply Co. (York, PA)
- …:On-Site Work Location :York, PA $1,500 Sign on Bonus Sr. In-Plant Solutions Specialist BRIEF POSITION SUMMARY: The Sr. In-Plant Solutions Specialist is a ... . Manages the MSC ControlPoint Solutions -which could include standard Vendor Managed Inventory, Vending, or Storeroom management programs and may require ordering,… more
- St. Luke's University Health Network (Allentown, PA)
- …necessity, and other requested denials as deemed clinically appropriate. + Investigates managed care and commercial insurance rejections, denials for possible ... serve, regardless of a patient's ability to pay for health care . The Denials Management Specialist reviews inpatient CMS and third party denials for medical… more
- WellSpan Health (Lebanon, PA)
- …This includes the intricacies and nuances of complex funding issues for levels of care , Health Choices, managed care organizations and other funding ... Milieu Specialist - Lebanon Child/Adolescent Day Hospital Location: WellSpan...plans and hospital policies; performs a variety of client care . Duties and Responsibilities Essential Functions: + Provides day-to-day… more
- Penn Medicine (Radnor, PA)
- …: + Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Trinity Health (Pittsburgh, PA)
- …+ Must have proficient typing skills + Record keeping skills and knowledge of managed care criteria preferred. + Act 33/34/73 clearances + Pre-employment Drug ... + Paid Holiday Days Plus more **ABOUT THE ROLE:** The Billing and Liability Specialist provides clerical support for the EAC. Must have the ability to multi-task and… more