- CVS Health (Bensalem, PA)
- …benefit plan eligibility and facilitates integrative functions using clinical tools and information/ data . - Utilizes case management processes in compliance with ... care, cardiac) with Medicare members. - 2 years Case Management , discharge planning, and/or home health care coordination experience - Must be willing to travel… more
- WellSpan Health (Chambersburg, PA)
- …Full Time: Monday - Friday **General Summary** Functions as part of the management team, performing a variety of clinical and administrative duties related to ... clinical staff management and patient care. Duties may include quality monitoring,...all patients served. Functions as a member of the health care team at an intermediate nursing level to… more
- Highmark Health (Harrisburg, PA)
- …or Risk Committees and the Audit & Compliance Committee meetings of the Board. Gathers data and prepares reports for senior management and Board of Directors as ... the development, implementation and maintenance of an effective compliance and risk management program for the supported entities. This includes, but is not limited… more
- Highmark Health (Harrisburg, PA)
- …including process ownership and governance. Design activities include the documentation, management and oversight of end to end workflow process analysis assuring ... considerations. Provides consultative services and analytic support to business management leveraging LEAN practices, Six Sigma methodologies and tools, capacity… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …makes ConnectiveRx better than the sum of its parts. The Manager, Program Management is responsible for managing key aspects of the client relationship to ... on the analysis. + Contributes to the implementation of the account management strategy and makes recommendations for sales planning/revenue growth and process or… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . ... appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits...and Excel with the ability to type and enter data accurately + Ability to quickly learn new systems… more
- Cardinal Health (Harrisburg, PA)
- **Organization Summary:** Averon is a joint venture between CVS Health and Cardinal Health with a vision of transforming the landscape of biosimilars and ... revenue opportunities by analyzing market trends, customer needs, and internal data assets to inform product innovation and commercialization strategies. + Leverage… more
- WellSpan Health (York, PA)
- …Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate ... patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient… more
- TE Connectivity (PA)
- GLOBAL TRADE SERVICES Program Management Office Analyst I **At TE, you will unleash your potential working with people from diverse backgrounds and industries to ... and sensor solutions enable the distribution of power, signal and data to advance next-generation transportation, renewable energy, automated factories, data… more
- Highmark Health (Pittsburgh, PA)
- …This role serves as a central point of accountability for vendor performance management , responsible for collecting, analyzing, and synthesizing data from across ... The role will identify opportunities to standardize vendor reporting, ensuring data accuracy in the central vendor repository, and providing feedback on… more