- J&J Family of Companies (Horsham, PA)
- …Johnson & Johnson Innovative Medicine R&D is recruiting for an Associate Director, Business Management and Metrics. This position is a hybrid role and can be located ... Horsham, PA; Titusville, NJ; or Raritan, NJ. The Associate Director, Business Management and Metrics will be responsible for collaborating with Global Medical Safety… more
- UPMC (Washington, PA)
- …leadership role in the mentoring and monitoring of documentation expectations in Case Management technology. + Analyzes data for trends and causative factors ... The Manager oversees the day-to-day operations of the Case management department under the direction of the Director. The Manager is accountable for the following… more
- Humana (Harrisburg, PA)
- …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid ... + Experience with Jira Align, ADO, SNOW, and SmartSheets + Project Management Professional (PMP), Lean Six Sigma, or other relevant certifications are advantageous… more
- Humana (Harrisburg, PA)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and ... at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best...and Excel with the ability to type and enter data accurately + Ability to quickly learn new systems… more
- Highmark Health (Wexford, PA)
- …of the outcome. + Provides peers with both verbal and written feedback regarding clinical practice and role performance. + Shares knowledge and skills with peers and ... key. + Collaborates with an interdisciplinary team to evaluate clinical care or health services. + Promotes patient safety...health status of the individuals and families comparing the data with the norm, when possible, to determine patient… more
- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? **Position: Associate Director Rev Cycle Management ** **Entity: Clinical Practices of the University of Pennsylvania (CPUP)** ... this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today...**Department: RAD-O-RBO- Data Admin** **Location: 1500 Market Street** **Hours: Full Time,… more
- WellSpan Health (York, PA)
- …in the development of office workflows that support patient centered care. Specific clinical duties and responsibilities can vary depending on the specialty you work ... information from patient/family members to review with providers or clinical resource over the phone. Uses this information to...care team, including but not limited to in basket management . + Under the direction of your supervisor, takes… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management Consultant ... Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of network contracts, participation requirements,… more
- WTW (Philadelphia, PA)
- … of key operations activities. CCMU is a high touch, custom care management program designed and monitored by WTW clinical specialists and administered ... CCMU reporting process, including: + Quality assurance process, working with carriers and data warehouse vendors to resolve data discrepancies + Execution of… more
- Highmark Health (Monroeville, PA)
- …enhances the activities of the practice by providing administrative and clinical support and coordinating daily operations. ESSENTIAL RESPONSIBILITIES: + Coordinates ... and oversees clerical and clinical functions. + Coordinates and/or performs clinical ...responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be… more