- The Cigna Group (Erie, PA)
- **WORK LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The ** Manager , Provider Contracting Network Management** serves as an integral member of the ... and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost… more
- UPMC (Pittsburgh, PA)
- The Care Manager Associate (CMA) position will be part of the UPMC Health Plan's Community Services Community Paramedic Team. The team expands paramedic roles from ... Plan to facilitate effective care plans that achieve optimal satisfaction, and clinical , and financial outcomes along the defined continuum of care. Through the… more
- University of Pennsylvania (Philadelphia, PA)
- …of health and wellness programs and resources, and much more. Posted Job Title Manager , Clinical Research Finance Operations (Office of Clinical Research) ... contract . Job Description Description: Responsible for the overall clinical research financial management and other financial matters of...and will be greatly involved in a more complicated contract . Job Duties + Working with clinical … more
- Prime Therapeutics (Harrisburg, PA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** ... management of the account, including P&L responsibility; and accountability for contract compliance.Accountable for developing and executing the strategic plan for… more
- Penn State Health (Hershey, PA)
- …+ Support go-to-market and pilot programs. + Will perform all duties of the Clinical Case Manager - Virtual Health position when needed for staffing and to ... information._ **Union:** Non Bargained IND123 **Position** Virtual Health Client Success Manager / Clinical Development & Implementation Specialist **Location**… more
- Genesis Healthcare (York, PA)
- …while making a meaningful impact in the communities we serve. Responsibilities The Manager , Case Management is responsible for the clinical , administrative, and ... and managed centers is effectively managing resource utilization, improving clinical outcomes, maximizing reimbursement, complying with contractual obligations and… more
- Penn State Health (Hershey, PA)
- …medical or genetic information._ **Union:** Non Bargained **Position** RN Registered Nurse Clinical Case Manager - Endoscopy Suite **Location** US:PA: Hershey | ... a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages… more
- Penn State Health (Hershey, PA)
- …status, and family medical or genetic information._ **Union:** Non Bargained **Position** Clinical Case Manager Medical Group - Orthopaedics **Location** US:PA: ... a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages… more
- Penn State Health (Hershey, PA)
- …and family medical or genetic information._ **Union:** Non Bargained **Position** Manager Clinical Pastoral Education - Residency Program **Location** US:PA: ... **SUMMARY OF POSITION:** Responsible to manage and administer the Clinical Pastoral Education (CPE) Program and maintain compliance with national… more
- Magellan Health Services (Somerset, PA)
- …clinical reviews of Quality of Care (QOC) and Critical/Adverse incidents related to clinical services. + Audits and reviews case manager and provider ... contract requirements. + Reviews provider treatment records against clinical and procedural established standards. + Conducts ongoing activities which monitor… more