Healthcare Operations Analyst Jobs in Pennsylvania

Description The Staff Mail Operations Pharmacist registered Pharmacist who is responsible for the accurate and timely dispensing of prescribed medication to patients. The Staff Mail Operations Pharmacist work assignments involve moderately ..

... Information Deloitte Manager, C&M - Healthcare - Customer Strategy & Applied ... Pennsylvania Manager, Customer Strategy - Healthcare Health Care Focuses on assisting ... environment. Require business and clinical..

Description Healthcare Business Continuity Analyst- ITIL **Must have experience working ... to state, federal regulatory requirements, healthcare accreditation standards, and all other ... Information Technology, Business Continuity or Healthcare. Preferred..

Job Information Humana Compliance Lead - Illinois Medicaid in Pittsburgh Pennsylvania Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..

Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments involve ..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Job ID 21000HLHAvailable Openings 1Position Specific Information $10K Sign on Bonus PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including ..

Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

... Job Information Deloitte C&M - Healthcare - Customer Strategy & Applied ... Philadelphia Pennsylvania Senior Manager/Specialist Lead, Healthcare Customer Strategy In the current ... environment. Require business and clinical..

Job ID 21000EI5Available Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Qualifications Bachelor's degree in Business, Healthcare,..

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..

Description The Actuarial Analyst 1, General provides actuarial support ... specific product lines. The Actuarial Analyst 1, General work assignments are ... moderate complexity. Responsibilities The Actuarial Analyst 1, General..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

... and services. Partners closely with operations, vendors, customer success teams and/or ... insights Bachelor's degree in Business, Healthcare Administration or other related fields ... 50 market leader in integrated..

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..

Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Description * Position is funded through a multi-year federal grant . Starting salary will vary depending upon the qualifications and employment history of the selected candidate. This professional position is responsible ..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

18,166 Job Information Deloitte Manager, Life Sciences Market Access & Commercialization Operations in Philadelphia Pennsylvania Manager Life Sciences Commercialization - Market Access & Pricing LIFE SCIENCE Focuses on the journey to ..

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..