Jobs near Harrisburg: 1,828
RS
Relevance Score ranked on: TRIAGE
Triage Coordinator
Harrisburg
And Qualifications 15% - Provides support to unit personnel, company personnel, and outside entities concerning distribution and workflow of cases and general inquiries .5% - When relevant, ensures BCBSA Member Touchpoint Measures (MTM), HIPAA and CMS quality and timeliness standards are met .0% - Co...
Search Terms: Coordinator, Triage, Processing, Operations, Customer Service
85.8
0mi
Updated: January 18
Commercial A&G Res Specialist
Harrisburg
And Qualifications 20% - Researches and analyzes the customer's appeals. Determines appropriate action by reviewing and interpreting applicable policies/procedures that are within the established regulatory requirements. Utilizes the PC, manuals, online reference materials, Imaging, etc., to obtain b...
Search Terms: Specialist, Commercial, Processing, Customer Service, Benefits
0
0mi
Updated: January 18
Clinical Pharmacist
Harrisburg
And Qualifications Formulary management including drug evaluation, P&T Committee, and related physician and member collaterals. Pharmaceutical utilization and trend management via pharmacy clinical initiatives. PBM vendor clinical services and programs oversight. Specialty pharmaceutical management. ...
Search Terms: Clinical, Pharmacist, Pharmacy, Management, Insurance
0
0mi
Updated: January 18
Clinical Support Specialist
Harrisburg
And Qualifications Assists with medical record documentation requests and leverages medical management system to initiate case and/or authorization to support clinical processes (e.g. UM, CM). Conducts fax and telephonic outreach; and written communications to members and/or providers to communicate ...
Search Terms: Support Specialist, Clinical, Support, Specialist, Medical
0
0mi
Updated: January 18
Project Manager
Harrisburg
And Qualifications Project Management-General: Implement projects with a sense of urgency and due diligence regarding "on time and on budget". Drive projects forward leading and modeling behaviors, focusing on collaboration, accuracy, and raising issues and risks. Be the first line of contact to proj...
Search Terms: Project Manager, Project Management, Manager, Project Lead, Business Services
0
0mi
Updated: January 15
Enterprise Architect
Harrisburg
And Qualifications Strategic Planning:Develop and maintain a comprehensive enterprise architecture vision, roadmap, and standards to guide IT decision-making and future technology investments. Architecture Design:Define and document the overall IT architecture, including application, data, infrastruc...
Search Terms: Enterprise, Information Technology, Architect, Network Architect, Technical
0
0mi
Updated: January 15
Business Systems Analyst
Harrisburg
And Qualifications Work with a cross-functional team on large scale projects. Identify potential projects risks and contingencies. Elicit and document detailed business requirements to support system and process changes for cross-functional projects. Considers root cause analysis and identifies proce...
Search Terms: Systems Analyst, Business Systems, Business, Systems, Analyst
0
0mi
Updated: January 15
Opening Manager ( 4am-1pm)- Same Day Pay Available! Free Doctor on Demand!
Harrisburg
Search Terms: Manager, Doctor, Restaurant, Management
0
1mi
Updated: January 17
General Manager- Restaurant Management Experience Required!
Harrisburg
Search Terms: General Manager, Restaurant, Management, Manager, Experience
0
1mi
Updated: January 17
Medical Director - Behavioral Health
Harrisburg
And Qualifications Actively participates in and supports Capital's BH clinical operations and activities, including Utilization Management (UM), Care Management (CM) and clinical rounds. Participates in BH Utilization Management activities, including medical necessity reviews, benefit determinations,...
Search Terms: Behavioral Health, Medical Director, Health, Behavioral, Medical
0
0mi
Updated: January 10
- 1
- 2
- 3
- 4
- >
Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.