Jobs near Harrisburg: 2,186
RS
Relevance Score ranked on: NETWORK
Manager Provider Network Analytics
Harrisburg
And Qualifications Recruit, prepare, educate, train and support staff in the preparation of the data analysis for provider network cost of care activities encompassing Capital's total book of business and subpopulations at the various defined market segment, regional, and provider specific levels to ...
Search Terms: Manager, Network, Analytics, Leadership, Operations
85.4
0mi
Updated: August 24
Network Administrator
Harrisburg
Objective: The Network Administrator has responsibility for acquiring, configuring, and maintaining network equipment such as routers, switches, access points, patch panels, servers, and data collection equipment. Proficiency with low voltage cable topology and design, surveillance systems, card key ...
Search Terms: Network, Administrator, Operations, Monitoring, Project Management
85
4.1mi
Updated: September 14
Manager I Network Data - NGS
HARRISBURG, 2400 THEA DR, STE 3B
Oversees all aspects of provider load/audit, troubleshooting, and all aspects of the provider table. Serves as a liaison between all functional areas to resolve provider enrollment issues and ensure uniform and consistent data and data flow. Hires, trains, coaches, counsels, and evaluations the perfo...
Search Terms: Manager, Network, Data, Project Management, Technology
83.2
4.1mi
Updated: October 05
Network Analyst | PAM Health Corporate
Enola
I. Position Responsibilities - Analyzing, reporting, and monitoring network performance with software tools. - Providing network support and resolving connectivity issues for hospitals. - Assisting the Senior network engineers with projects and support. - Configuring Cisco hardware and software to op...
Search Terms: Network Analyst, Health, Corporate, Network, Analyst
75.8
7.9mi
Updated: September 27
OPL Specialist II
Harrisburg
And Qualifications Receives incoming inquiries via telephone, correspondence, fax, and e-mail from individual customers, group administrators, providers, CBC personnel, par plan personnel, attorneys, insurance companies and outside entities working on behalf of the customer. Researches and analyzes t...
Search Terms: Specialist, Customer Service, Processing, Claims, Internet
0
0mi
Updated: October 05
Claims Examiner
Harrisburg
And Qualifications Codes and enters imaged claims and triages adjustments, submitted by members, providers and vendors. Reviews and corrects on-line edit errors by interpreting generated warning messages. Uses appropriate systems to research and accurately process claims. Researches appropriate refer...
Search Terms: Claims, Examiner, Processing, Insurance, Healthcare
0
0mi
Updated: October 05
Utilization Management Clinician- CCR
Harrisburg
And Qualifications Processes acute and post-acute inpatient medical or behavioral health and select intensive outpatient higher level of care requests through review of the submitted request and applicable clinical records and applying approved medical necessity criteria to determine medical necessit...
Search Terms: Clinician, Management, Clinical, Medical Director, Case Manager
0
0mi
Updated: October 05
Manager, Provider Credentialing
Harrisburg
And Qualifications Credentialing and Recredentialing: Oversee and manage the credentialing/recredentialing function for all Capital Blue Cross professional providers and facilities (approximately 18 K providers). Establish new policies and review/revise existing policies to ensure they meet or exceed...
Search Terms: Credentialing, Manager, Technical, Regulatory, Processing
0
0mi
Updated: October 03
Registered Nurse - Home Health
Harrisburg
Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so. Promotes patient health and independence through teaching and appropri...
Search Terms: Registered Nurse, Health, Nurse, Registered, Home
0
1.2mi
Updated: October 05
Customer Service Representative - Harrisburg Airport
Harrisburg
Meet and greet customers in a professional, friendly, and timely manner. Provide superior, efficient customer service by understanding and communicating rental terms and conditions, vehicle features and other services which includes offering optional protection products, upgrades, fuel options and ot...
Search Terms: Customer Service Representative, Customer Service, Representative, Retail, Automotive
0
1.2mi
Updated: October 05
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