- Geisinger (Danville, PA)
- …quality and patient satisfaction. + Identifies and analyzes changes in medication utilization and costs including factors driving change trends. + Works in ... to develop processes or programs to address identified issues with medication utilization and overall patient care. + Provides oversight and contributes to the… more
- Highmark Health (Harrisburg, PA)
- …**JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most ... URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team… more
- Kyndryl (Harrisburg, PA)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. Contribute to Profitable ... development; Secure client references Operational Excellence: + Achieve individual and team utilization targets + Lead the design of complex engagements and take… more
- Kyndryl (Harrisburg, PA)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. **Contribute to Profitable ... secure client references. **Operational Excellence:** + Achieve individual and team utilization targets + Lead the design of complex engagements and take… more
- Verint Systems, Inc. (Harrisburg, PA)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... across plans to address issues, discuss trends & best practice, utilization and opportunities for improvement. + Responsible for ensuring internal compliance… more
- Cognizant (Philadelphia, PA)
- …with high accountability and bias for action. + Maintains 50% billable utilization for key client engagements **Benefits** Cognizant offers the following benefits ... for this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + 401(k) plan and contributions + Long-term/Short-term Disability + Paid Parental Leave + Employee Stock Purchase Plan… more
- Geisinger (Danville, PA)
- …+ Develops and oversees the implementation of a comprehensive library of utilization and outcomes metrics related to well-being and professionalism. + Maintains ... financial forecasting of expenditures and oversees feasibility analysis and budget development for both internally and externally funded projects. + Serves as accountable leader overseeing contracted vendor partnerships and national-level policy impacts on… more
- Kyndryl (Harrisburg, PA)
- …and enhanced customer satisfaction. **Operational Excellence:** + Achieve individual and team utilization targets + Lead the design of complex engagements and take ... responsibility for oversight of delivery, ensuring high performance and customer satisfaction **Leadership, Management, People:** + Lead by example; Fostering a culture of continuous personal and professional development and challenging our people to be… more
- Travelers Insurance Company (Harrisburg, PA)
- …**What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties **What Is ... in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k)… more
- UPMC (Somerset, PA)
- …is accountable for achieving quality patient care through appropriate leadership and utilization of human and fiscal resources in their program area. The position ... is accountable for the development, effective operation and evaluation of a program area. This is accomplished through visionary leadership, knowledge of present and future trends, strategic benchmarking and innovative interventions. This position will have… more