- CVS Health (Pittsburgh, PA)
- …it all with heart, each and every day. **Key Responsibilities:** **Regulatory Compliance & Mental Health Parity, Department of Insurance Audits and Market Checks** ... + Ensure template formularies design and application of utilization management (UM) criteria align with MHPAEA and other federal/state regulations. + Support PBM… more
- CVS Health (Harrisburg, PA)
- …service to GLOBAL VIP CLIENT members via timely provision of required network access and proactive management of network relationships to ensure seamless direct ... Africa in support of an international network, medical cost management and overall claim/customer service strategies. This role will...settlement access . *Preference is for candidate to reside in the… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Evolent (Harrisburg, PA)
- …the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management ... outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …will drive cross-functional initiatives to enhance product safety, regulatory compliance , and customer experience through advanced data analytics, digital tools, ... analytics to drive digitalization and process simplification while ensuring sustained compliance . + Identify priorities and ensure robust solutions to challenges… more
- GE Aerospace (Imperial, PA)
- …insights. + Work independently, managing workload, travel, and budget with unyielding compliance and integrity. **The Ideal Candidate:** The ideal candidate is a ... Minimum of 3 years of experience in Customer Service Management . + US Citizen. + Ability and willingness to...workplace where every employee can thrive. This role requires access to US export-controlled information. Therefore, for applicants who… more
- RailPros Field Services (PA)
- …reflects work progress and adherence to the railroad utility agreement. + Escalate non- compliance items to management /engineers for review. + Travel 100% of the ... become a part of our exciting journey! Job Summary: The Utility Construction Management Associate 1 ensures that third-party projects on, under, or above our… more
- WellSpan Health (York, PA)
- WellSpan Medical Weight Management is seeking a dynamic Internal Medicine or Family Medicine physician who is board certified in Obesity Medicine. A good ... from a 6-county area & focus on increased patient access . + Hybrid model of remote/in person. + 40-minute...20-minute follow-up. + May eventually develop a Pediatric Weight Management Program. **WellSpan Medical Group Offers:** + Secure employment… more
- Merck (Upper Gwynedd, PA)
- …are the right company for your long-term goals. **About Global Project and Alliance Management (GPAM):** Global Project and Alliance Management (GPAM) is a vital ... & Implementation, Discovery Portfolio Managers, Alliance Managers, and a Project Management Office (PMO) - all key members of cross-functional teams collaborating… more
- Fujifilm (Harrisburg, PA)
- **Position Overview** The Head of Global Program Management (VP) is responsible for leading the Global Program Management team in the Manufacturing Sciences ... business process systems and practices including technology transfer, data management , metrics, and resource utilization. + Collaborate globally with Manufacturing… more