- ASM Global (West Conshohocken, PA)
- …hiring initiatives, seasonal surges, and ongoing staffing needs at pace. As a critical member of the HR leadership team , the Vice President will drive the ... an inclusive, innovative environment where differences drive solutions that benefit our team members, guests, and partners. Guided by our values of respect,… more
- CVS Health (Harrisburg, PA)
- …times complex nature. -Engages, consults and educates members based upon the member 's unique needs, preferences and understanding of Aetna plans, tools and resources ... members, providers and plan sponsors. The CSR guides the member through their members plan of benefits, Aetna policy...or exceeds expectations level + Working together as a team and applying the Aetna Core Values in day-to-day… more
- UPMC (Pittsburgh, PA)
- …interaction with the members you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician ... close gaps in preventive care, addresses barriers to care, and supports the member 's self-management of chronic illness based on clinical standards of care. You will… more
- Highmark Health (Pittsburgh, PA)
- …and accurate member profile documentation. + Production Coding: Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical ... monitor accuracy of coding. + Quality Assurance on RPM Programs coding results: Lead team of coder/ clinicians to review member medical records to validate 100%… more
- AmeriHealth Caritas (Philadelphia, PA)
- …programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team . Together we can build healthier communities. If you want to make ... is responsible for the administrative tasks for coordination of member and/or provider appeals, the analysis of claims and...to ensure proper handling of the appeal eg UM team , medical directors, claims, contact center, vendors as needed… more
- UPMC (Pittsburgh, PA)
- …members. + Participates in professional development activities. + Works as part of a team providing clinical expertise and knowledge to member services and other ... UPMC Community Care Behavioral Health is hiring a Licensed Professional Care Manager for the...Licensed Professional Care Manager for the Acute Care Management Team in Allegheny County. This role will work in… more
- Walmart (West Mifflin, PA)
- …If none are listed, there are no preferred qualifications._ Leading a team , Supervising experience to include hiring , evaluating, mentoring, developing, and ... **Position Summary ** **What you'll do ** Provides member service by acknowledging the member ...supporting the Open Door Policy: and participating in recruiting hiring scheduling promoting coaching and evaluating associatesReceives and stocks… more
- GovCIO (Harrisburg, PA)
- …with software and responds to suggestions for improvements and enhancements. + Acts as team member on projects. **Qualifications** Bachelor's with 5 - 8 years ... providing background investigation processing. The position serves as a member of the development team working both...+ Virtual video interview conducted via video with the hiring manager and/or team + Camera must… more
- Sunrise Senior Living (Haverford, PA)
- …efforts to ensure proper placement of guests/residents by level of care. + Ensure team member documentation of service provided via medical record system and ... internal cost associated with all Sunrise resident care programs. **Training, Leadership and Team Member Development** + Manage the department, including but not… more
- Sunrise Senior Living (Haverford, PA)
- …working toward team goals. + Demonstrates in daily interactions with others, our Team Member Credo. + Committed to serving our residents and guests through ... in the overall engagement programs and processes (customer and team member engagement) including participating in the...long term care, hospital or home health environment including hiring team members, coaching and discipline, performance… more