92 design professional jobs found in Harrisburg

Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Job Description Oracle's Global Physical Security (GPS) Systems Team is responsible for securing the corporation's global datacenter and facility footprint through advanced Physical Access and Identity Management (PIAM) technologies. We are seeking a seasoned Technical Program Manager - Video Management Systems. The Global Physical Security (GPS) Systems Team is responsible for deploying, maintaining, and continuously enhancing Oracle's physical security technology landscape. Oracle seeks a highly skilled Technical Program Manager (TPM) for Video Management Systems (VMS) who will own the end-to-end lifecycle of enterprise video systems, standards, and best practices for a complex and global security environment. Reporting to the Director, Physical Security Products & Services, you will lead the technical roadmap, policies, education, and integrations necessary for VMS excellence, partnering closely with security operations, integration partners, internal maintenance...

About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Revenue Cycle Management (RCM) Business Analyst to join a growing, nationwide healthcare organization with a technology-forward model and strong telehealth presence. In this high-impact role, you will partner directly with Revenue Cycle leadership to uncover and communicate key performance insights. The ideal candidate brings both executive presence and hands-on data...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Manager Rebate Contract Management - Remote Job Description The Manager of Rebate Contract Management oversees contracting, rate generation, reporting, and deliverables for State Medicaid supplemental rebate programs. This role collaborates with internal departments and external partners, including State Medicaid Programs and pharmaceutical manufacturers, to ensure strategic objectives and contractual obligations are met. This role is also responsible for resolving contract disputes and ensuring timely completion of monthly and quarterly deliverables. Responsibilities Partner with internal teams (e.g., Rebate Operations, Account Management, Product Development, Preferred Drug List leadership and analytics) to...

Organizational Change Management Lead General Information Press space or enter keys to toggle section visibility Country United States Department ORGANIZATION LEARNING & DEVELOPMENT Date Thursday, December 4, 2025 Working time Full-time Ref# 20036687 Job Level Executive Manager Job Type Experienced Job Field ORGANIZATION LEARNING & DEVELOPMENT Seniority Level Mid-Senior Level Currency USD - United States - US Annual Base Salary Minimum 103,080 Annual Base Salary Maximum 206,160 The salary range above represents the low and high end in the local currency of Xerox's salary range for this position and is reflected in an annualized amount. Actual salaries will vary based on factors including, but not limited to, geographic location, market competition, and/or the successful applicant's education, experience, knowledge, skills, and abilities. The range listed is just one component of Xerox's total compensation package for...

Become a part of our caring community and help us put health first We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into actionable workflows for clinical practices. The Lead Product & Strategy Manager will work across clinical initiatives focused on reducing 30-day Plan All-Cause Readmissions (PCR). They will partner closely with high-performing and low-performing provider groups to identify clinical best practices, understand operational gaps, and design and...

Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis; and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. ESSENTIAL RESPONSIBILITIES Implement care management review processes that are consistent with established industry and corporate standards and are within the care manager's professional discipline. Function in accordance with applicable state,...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Compliance Analyst (Regulatory Change Management) - Remote Job Description The Compliance Analyst assists in the implementation of Prime's compliance programs within their designated areas and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Develop solutions to moderately complex compliance problems by referring to precedence, policies and standard...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Regulatory Change Management) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Lead project management efforts for highly sensitive...

Company : Highmark Health Job Description : SUMMARY OF JOB RESPONSIBILITIES This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expose the various career opportunities in the business line and related areas, and prepare participants for positions in the business. The intern in this role will be writing automations to streamline/remove manual processes. REQUIRED QUALIFICATIONS Bachelor's degree. Pursuance of a graduate degree full or part-time in an accredited college or university. PREFFERED QUALIFICATIONS Experience with SQL/Python/Service Integration/CICD/AGILE The ability to look at a manual process and devise a plan to automate. The ability to develop in Python, ANSI SQL, SOAP and RESTful...

Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Become a part of our caring community and help us put health first The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of moderate complexity. The Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented...

Project Management Consultant Job ID 251290 Posted 11-Dec-2025 Service line Corporate Segment Role type Full-time Areas of Interest Project Management Location(s) Remote - US - Remote - US - United States of America About the Role: As a CBRE Project Management Consultant, you will be responsible for providing consulting services to an assigned market or client account to help achieve the company's strategic business objectives. This job is part of the Project Management function. They are responsible for the management of projects from initiation through completion. What You'll Do: Project manage the design, implementation, and deployment of a global supplier risk management platform across multiple regions and business units. Act as the primary liaison between global and regional stakeholders, including Procurement, HSE, Privacy, D&T, and Finance teams and work with them to prepare all elements of the project. This includes the...

Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

Become a part of our caring community and help us put health first The Associate Director, Finance Data Management supports all aspects of configuration control, data management, and deficiency reporting. The Associate Director, Finance Data Management requires a solid understanding of how Finance organization data capabilities interrelate across department(s). The Associate Director, Finance Data Management supports implementation of government and industry policies for requirements management, document management, change management, production and delivery, and configuration management of the performance, functional, and physical baselines. Acquires, validates, stores, protects, and processes required data to ensure the accessibility, reliability, and timeliness of the data for its users. Develops and executes architecture, policies, practices and procedures that properly manage the full data lifecycle needs of an enterprise. Decisions are typically related to identifying...

Job Description Manage people for product development Oracle Cloud Infrastructure (OCI) is experiencing unprecedented growth as we rapidly expand to meet global customer demand for new regions and offerings. To fuel this momentum, our Region Build Platform organization is accelerating the delivery of innovative region types (e.g., DR25) designed to address the unique needs of our diverse customer base. We are looking for a results-driven Director (M4) to lead technical programs within the Region Build Platform team. In this pivotal role, you will: Lead a group of high-functioning Technical Program Managers (TPMs) and managers of TPMs, fostering their professional growth and ensuring exceptional program delivery. Inspire and manage a high-performing team that drives collaboration across OCI engineering, product, operations, and executive leadership. Serve as a key partner to senior executives, ensuring cross-functional alignment and seamless program...

Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

The Executive Director, Field Enablement leads the strategy, execution, and continuous optimization of field systems, training and development, logistics, and HCP engagement operations that support sales force effectiveness. This leader oversees four core functional areas: 1) Field Technology - CRM, field reporting, and mobile tools, 2) Field Enablement - Fleet, sample operations, and territory alignment, 3) HCP Program Operations - Speaker Bureau, advisory boards, and congress support, and 4) Field Training and Development - Field Sales and Market Access Training, Field Leadership Capabilities, and Instructional Design & Learning Technology. The Executive Director partners closely with Field Strategy & Operations, Sales and Market Access Leadership, Medical Affairs, Brand Teams, and People and Business Services to ensure all tools, processes, program offerings, and infrastructure are aligned with business priorities and compliance expectations. This role leads a...

Job Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care. We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place. Given the breadth and complexity of the hundreds of products and services developed and provided by Oracle, there are many vastly different attributes (including education, skills, knowledge, experience, and abilities) required for specific roles within this job code. Consult with your manager about the specific...

Rubrik's sales organization is a united group of elite cross-functional sales professionals that help companies & government entities achieve resilience against cyberattacks, malicious insiders, and operational disruptions. We offer continuous professional development through our world class sales enablement program and our One Rubrik selling approach provides all the resources you need to exceed your goals, maximize your earnings potential and take your career to the next level. All this while doing something that truly matters, protecting the world's data. As a Strategic Account Executive, you will have ownership of all elements of bookings growth in new and existing Strategic accounts across a specified set of accounts in the North Central region. We are seeking a relentless self-starter who is hyper-focused on acquiring new logos by discovering and developing new opportunities, managing pipeline and executing account strategies, while also encouraging existing customer...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Position Summary The Senior Manager (Source-to-Applications) will lead the solution, design, and delivery of the company's Source-to-Pay (S2P) technology ecosystem, encompassing Coupa, SAP as ERP, and related integration layers . This role is responsible for ensuring seamless process alignment between Procurement, Finance, and Supply Chain , optimizing technology investments, and enabling digital...

Reference #: 4077900009 We seek to move the world forward through innovative thinking. Woolpert is an award-winning, global leader in architecture, engineering, and geospatial services. We blend design excellence with cutting-edge technology to deliver exceptional client value. Our team is passionate about their work and committed to building the next generation of industry leaders, and as a certified Great Place to Work, Woolpert embraces progress and innovation to create limitless opportunities for career growth. Position Overview Woolpert is hiring a Civil Construction Inspectorto join our dynamic Construction, Engineering, and Inspection (CE&I) teamat our Harrisburg, PA office. The Construction Manager assists in the construction of public and private Infrastructure projects. The Civil Construction Inspector works with other Construction Managers, Design Engineers, Project Managers, Practice Leader, and Market directors for civil engineering projects for the Aviation,...

Job Title: Principal Product Manager Location: Remote Job Type: Full-Time About Pearson: At Pearson, we are committed to helping people make progress in their lives through learning. We create innovative and accessible educational products and services that foster personal and professional growth. We are looking for a passionate and skilled Product Director (IC) to join our team and drive the development of cutting-edge educational products. About the Job: We embrace the SVPG Product Operating Model by empowering our product teams to solve hard problems – customer problems and business problems – in ways that our customers love yet work for our business. Our product teams are cross-functional, durable, and generally comprised of a product manager, product design, tech lead and a program manager (4-in-a-box model). We staff our product teams with the skills necessary to come up with effective solutions that are valuable (our customers choose to buy or use),...