- Ryder System (Chambersburg, PA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** This ... CI Manager and is closely aligned with a General Manager or Director of Operations. **Essential Functions** + Collects data and performs statistical analysis.… more
- UPMC (Pittsburgh, PA)
- …and other necessary billing information. Participates constructively in the peer- review -driven quality improvement program + Operations Adheres to system ... demographic and medical necessity information. Participates constructively in the peer- review -driven quality improvement program. + Attends and participates in… more
- Humana (Harrisburg, PA)
- …identified gaps. They will work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality ... thresholds and identify appropriate actions when controls indicate process gaps. + Review appeal overturns and provider complaints about coverage policies to make… more
- Aveanna Healthcare (Pittsburgh, PA)
- …appropriately skilled clinician, and within insurance authorization. - Responsible to manage utilization of direct care team members based on patient needs as well ... and distributes the patient/direct care team member schedule. Performs initial review of schedules for productivity/geographic issues. - Completes daily and weekly… more
- CBRE (Harrisburg, PA)
- …Effectively recommends same for direct reports to next level management for review and approval. Monitors appropriate staffing levels and reports on utilization ... **Financial Knowledge** Requires in-depth knowledge of financial terms and principles. Review and analyze complex financial/business analysis and reports prepared by… more
- ENFRA (Glenolden, PA)
- …project is delivered on time, and on budget. Coordinate with the Technical Services Director regularly to ensure staff utilization and skill sets are optimal for ... constraints to achieving project outcomes and scope completion with the director , project manager, engineering project executive, and energy manager. + Ensure… more
- CBRE (Harrisburg, PA)
- …- US - United States of America _This role is equivalent to a Managing Director - Americas Sales Lead_ We are seeking a Business Development Principal to join our ... as part of an on-going client relationship. + Collaborates with Senior Managing Director of Sales and Client Solutions and divisional leadership to develop a concise… more
- Prime Therapeutics (Harrisburg, PA)
- …Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations ... on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a team of directors...items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and… more
- Penn Medicine (Philadelphia, PA)
- …off campus. + Provide Physician leadership and partner with the CNO and Clinical Director (s) and operational leaders to lead the PAH OR committees, represent PAH on ... to PAH and UPHS goals. + Work with Clinical Director (s) to lead in optimizing the advancement of day-to-day...OR Executive Committees including but not limited to: OR utilization , patient access, revenue cycle, patient satisfaction and quality… more
- Commonwealth of Pennsylvania (PA)
- …As a Medical Records Assistant you will support the Medical Records Director by maintaining medical records, reviewing medical records for accuracy and completeness, ... . + Yes 05 WORK BEHAVIOR 1 - MEDICAL CODING AND RECORDS REVIEW Code diseases, operations, special therapies, program services, and treatments with diagnostic-related… more