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Capital Blue Cross jobs

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ONCOLOGY RN CARE MANAGER II

Uses a collaborative process and serves as a liaison between the participant, family and significant others, physician(s) and other members of the treatment team. Develops prioritized goals and health actions that assist participa...

CompanyCapital Blue Cross
AddressHarrisburg, PA
CategoryInformation Technology
Salary$70.2K - $88.9K a year
Job typeFull-time
Date Posted 2 weeks ago See detail

Oncology RN Care Manager II

Capital Blue Cross

Harrisburg, PA

$70.2K - $88.9K a year

Uses a collaborative process and serves as a liaison between the participant, family and significant others, physician(s) and other members of the treatment team. Develops prioritized goals and health actions that assist participa...

2 weeks ago seen See more...

Sales Effectiveness Analyst

Capital Blue Cross

Harrisburg, PA

$66K - $83.6K a year

Act as the primary liaison between Sales and IT&D on the use of our current customer relationship management (CRM) tool. This includes but is not limited to providing training and guidance to the Sales team on how to properly util...

2 weeks ago seen See more...

Population Health Integration Consultant

Capital Blue Cross

Harrisburg, PA

$68.4K - $86.7K a year

Assist with the technical/clinical support and implementation for TruCare functionality for Capitals Population Health efforts - may include, but not limited to, system upgrades, developing use cases and requirement development f...

2 weeks ago seen See more...

Government Programs Risk Adjustment Analyst

Capital Blue Cross

Harrisburg, PA

$68.2K - $86.3K a year

Assist and/or develop new reports or analysis, enhance key existent reports and/or analysis processes, and methodologies of the Risk Adjustment Program operations and initiatives. Support the implementation and on-going activities...

2 weeks ago seen See more...

Rating Analyst I

Capital Blue Cross

Harrisburg, PA

$41.4K - $52.4K a year

Ability to sustain a high level of accuracy throughout a process involving detailed information. Ability to analyze processes to effectively document and communicate procedures. Ability to participate in project work, including th...

3 weeks ago seen See more...

A & G Resolution Nurse RN

Capital Blue Cross

Harrisburg, PA

Represents the Plan by providing complex clinical support as needed for corporate, department and other special projects specific to Complaints, Grievance, and Appeals. Responsible for drafting recommendations concerning items imp...

3 weeks ago seen See more...

Sr Population Health Analyst

Capital Blue Cross

Harrisburg, PA

$71.4K - $90.4K a year

Candidates must have a Bachelors degree in Business, Health Administration, IT or related field. 3+ years of data analytics experience, including statistical analysis. At least one year of experience using SAS and/or SAS Enterpri...

3 weeks ago seen See more...

Medical Director - Behavioral Health

Capital Blue Cross

Harrisburg, PA

$255K - $322K a year

Provides strategic leadership to the development and executes on the strategic direction for Capitals BH strategy, including any vendor-supported programs and services. Helps to promote Capitals clinical vision and programs in t...

2 months ago seen See more...

Chart Retrieval Specialist - Field

Capital Blue Cross

Harrisburg, PA

$34.7K - $44K a year

95% - Retrieval of medical records for Risk Adjustment compliance keeping with CMS and departmental guidelines with a 95%+ accuracy rate and a 95% efficiency rate. Must support continued development of the CBC Government Risk Adju...

2 months ago seen See more...

Operations Support Specialist

Capital Blue Cross

Harrisburg, PA

$39.9K - $50.6K a year

35% - Performs production job and report scheduling. Identifies and implements automation opportunities and enhancements to improve operational efficiencies and ensure service delivery. 35% - Moves/promotes application changes to...

2 months ago seen See more...

Medical Management Nurse II

Capital Blue Cross

Harrisburg, PA

$76.2K - $96.5K a year

Responsible for maintaining unit service level goals. Determines medical necessity and appropriateness of the service requested or incurred by reviewing the members Clinical information, utilizing established criteria to determin...

2 months ago seen See more...

Underwriting Specialist II

Capital Blue Cross

Harrisburg, PA

$41.9K - $53.1K a year

Performs an underwriting audit of all new group business & risk pool changes according to unit procedures. Documents audit progress appropriately and protects PHI. Accurately identifies changes in census between quote and final en...

2 months ago seen See more...

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