- Highmark Health (Pittsburgh, PA)
- …responsible for all employment related activities, budgets, fiscal performance and quality assurance. May also function as Technologist to cover departmental ... requirements. **ESSENTIAL RESPONSIBILITIES:** + Provides leadership to staff to ensure quality patient care by utilizing the performance improvement model to correct… more
- Centene Corporation (Harrisburg, PA)
- …years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. ... for issue resolution. Drive optimal performance in contract incentive performance, quality , and cost utilization. + Serve as primary contact for providers… more
- Geisinger (Scranton, PA)
- Job Summary The Northeast Regional Manager is responsible for management of the Northeast Region which includes Luzerne, Lackawanna, and Wyoming Counties; routine ... developing, organizing and directing system resources to effectively manage the clinical utilization of supplies and equipment across the Health System with… more
- Globus Medical, Inc. (Audubon, PA)
- …we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the ... of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and… more
- Humana (Harrisburg, PA)
- …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more
- Public Consulting Group (Harrisburg, PA)
- …respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Services: + ... Access and Markets **Duties and Responsibilities** + Responsible for helping program recipients, family members, and caretakers navigate healthcare benefits +… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... day. Are you living your life's work? Summary: The Manager of Patient Access directs and coordinates all daily...of patients. Oversee employees in the specific areas. Monitors quality of work and compliance with managed care protocols.… more
- St. Luke's University Health Network (Easton, PA)
- …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... and multi-disciplinary care teams to facilitate the achievement of desired patient, quality , and financial outcomes. JOB DUTIES AND RESPONSIBILITIES: + Assesses the… more
- Highmark Health (Pittsburgh, PA)
- …of claims with unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the ... clinical care with the patient, family, physician(s), and other...+ Identifies, analyzes, collects, and communicates data relative to quality and cost issues related to the assigned patient… more
- WellSpan Health (York, PA)
- …and non-research findings. Maintains established policies and procedures, objectives, quality assessment, safety, environmental, and infection control standards as ... collaborates with appropriate stakeholders to use outcomes data to direct quality improvement action plans. Encourages staff to resolve patient/family concerns in… more