• Medical Director- South Central

    Humana (Harrisburg, PA)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
    Humana (06/29/24)
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  • Senior Relationship Banker or Relationship Banker-…

    Truist (State College, PA)
    …and prospects 5. Demonstrated proficiency in basic computer applications, such as Microsoft Office 6. Must be SAFE (Mortgage Licensing Act) compliant within 30 days ... with occasional travel and overnights may be included Preferred Qualifications: 1. Associate 's degree or higher 2. Demonstrated ability to handle multiple priorities… more
    Truist (07/24/24)
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  • Medical Office Associate I…

    Penn State Health (Hershey, PA)
    …State Health Medical Group - Contingency Pool is seeking a customer service-focused Medical Office Associate (MOA) to join the travel pool team! Spanning ... over a variety of counties in the South -Central PA area including Dauphin, Cumberland, Lancaster, York, and...or multi-specialty offices, so no two-day are alike! **The Medical Office Associate of the… more
    Penn State Health (07/12/24)
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  • Clinical Services Associate

    Penn Medicine (Philadelphia, PA)
    …PA) Education or Equivalent Experience: + HS Diploma/GED (Required) AND 2+ years Medical office experience OR customer service experience required. + ... shape our future each day. Are you living your life's work? Clinical Services Associate ( Medical Assistant) **Entity:** (CCA) /Penn Primary Care (PPC) and Penn… more
    Penn Medicine (07/17/24)
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  • Assistant / Associate Professor of Oral…

    University of Pennsylvania (Philadelphia, PA)
    …Medicine invites applications for multiple available positions as Assistant or Associate Professor of Oral and Maxillofacial Surgery, Academic Clinician Track. ... Pennsylvania School of Dental Medicine and the Wilmington Veterans Affairs Medical Center. Eligible candidates must have completed a CODA-accredited advanced… more
    University of Pennsylvania (07/16/24)
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  • Medical Coding Auditor

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... ensure correct coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation… more
    Humana (07/27/24)
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  • Medical Coding Coordinator 2

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Medical Coding Coordinator 2 extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Coordinator 2 + Maintains required standards of performance in both coding… more
    Humana (07/16/24)
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  • Provider Contracting Legal Medical Director

    Humana (Harrisburg, PA)
    …part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate ... moderate to substantial. Humana Clinical Contracting Team is looking for a medical director with utilization management process skills. This MD will provide legal… more
    Humana (07/30/24)
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  • Fiscal Assistant

    Commonwealth of Pennsylvania (PA)
    …you are unable to telework, you will have the option to report to the headquarters office in South Mountain. + Salary: In some cases, the starting salary may be ... of Financial Operations / Division of Financial Policy Operations Worksite Address 10058 South Mountain Road City South Mountain, Pennsylvania Zip Code 17261… more
    Commonwealth of Pennsylvania (07/22/24)
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  • Delaware Valley ACO Fellowship/Provider Engagement…

    Humana (Harrisburg, PA)
    …for all employees, starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + ... Requirements **Work-At-Home Requirements** + To ensure Home or Hybrid Home/ Office associates' ability to work effectively, the self-provided internet service… more
    Humana (06/24/24)
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  • Inventory Control Clerk - 4th Shift - Weekends…

    Penske (Shippensburg, PA)
    …learn more visit _https://penske.jobs/benefits/_ _Additional Benefits:_ * Paid Time Off * Medical Insurance * Dental Insurance * Vision Insurance * Life Insurance * ... 401K _with company match_ * Associate Referral Program * $125 Boot Allowance, following 90-days...to grow with the organization! **Job Responsibilities:** * Various office and administrative duties, which may include handling accounts… more
    Penske (07/30/24)
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  • Utilization Management Review Nurse

    Humana (Harrisburg, PA)
    …skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management ... no disciplinary action + 3 - 5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience...+ Where software engineers change lives + Where every associate can build a professional path where they learn… more
    Humana (07/30/24)
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  • National Medicaid Medial Director - Long Term…

    Humana (Harrisburg, PA)
    …a part of our caring community and help us put health first** The Medical Director's primary responsibility is the review of medical authorizations to determine ... necessity of a given service, level of care, or medical item/supply. The Medical Director's work assignments...**Work at Home Guidance** To ensure Home or Hybrid Home/ Office associates' ability to work effectively, the self-provided internet… more
    Humana (07/25/24)
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  • Accounts Receivable/Accounts Payable Processor

    Conviva (Harrisburg, PA)
    …Insurance Billing and/or Collections. + Knowledge of submission and processing of medical claims (HCFA 1500 forms). + Knowledge of government, commercial, policies ... HIPAA compliance rules and regulations. + Experience in MS Office tools such as Outlook, PowerPoint, Excel and Access...Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for… more
    Conviva (07/26/24)
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  • Telephonic Care Manager

    Humana (Harrisburg, PA)
    …and available resources to promote quality, cost-effective outcomes. Coordinate medical , behavioral, and other services for beneficiaries with a primary ... services in an effective and efficient manner in accordance with Medical Management policies and procedures. + Utilize Motivational Interviewing and… more
    Humana (07/19/24)
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  • Sales Representative - Pittsburgh

    DR Horton, Inc. (South Hills, PA)
    …Please visit our website atwww.drhorton.comfor more information. *Required Qualifications* * Associate 's Degree or 2 years related experience * Must have a ... or via DRH Sales applications * Proficiency with MS Office and email * Ability to stand and walk...success. We offer an excellent benefits package including: * Medical , Vision and Dental * 401(K) * Employee Stock… more
    DR Horton, Inc. (07/25/24)
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  • Senior Business Intelligence Medicaid Professional

    Humana (Harrisburg, PA)
    …as it expands to accommodate the increased responsibilities. **Responsibilities:** This associate 's primary responsibility will be managing all aspects of Medicaid ... Work at Home Connectivity To ensure Home or Hybrid Home/ Office employees' ability to work effectively, the self-provided internet...Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for… more
    Humana (07/30/24)
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  • Director | Medicaid Inbound Contacts

    Humana (Harrisburg, PA)
    …to contractual agreements. This role uses member and provider data, associate metrics, and operational intelligence to solve complex enterprise problems and ... best for your schedule.Work At Home StatementTo ensure Home or Hybrid Home/ Office employees' ability to work effectively, the self-provided internet service of Home… more
    Humana (07/27/24)
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  • Lead Enterprise Architect

    Humana (Harrisburg, PA)
    …cloud native architectures and agile delivery **Preferred Qualifications** + Associate or Professional level solution architecture certification in Azure, GCP ... Group, Specialty etc. **Additional Information** To ensure Home or Hybrid Home/ Office employees' ability to work effectively, the self-provided internet service of… more
    Humana (07/19/24)
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  • Senior Enterprise Architect

    Humana (Harrisburg, PA)
    …+ Master's Degree or higher in Computer Science or a related field + Associate or Professional level solution architecture certification in Azure, GCP and/or AWS. + ... Group, Specialty etc. **Additional Information** To ensure Home or Hybrid Home/ Office employees' ability to work effectively, the self-provided internet service of… more
    Humana (07/19/24)
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