- Trinity Health (Philadelphia, PA)
- …delivery; provides guidance and training to staff regarding medical and quality assurance issues . + Advise the Medical Director and Primary Care Provider in ... primary purpose of this position is to provide primary medical management in collaboration with the PACE Organization (PO) Physician(s). Performs assessments… more
- Select Medical (Camp Hill, PA)
- …This position will also be involved in special projects as assigned by the Director of CBO or VP Patient Accounting. **Responsibilities** + Trains new CBO team ... and all team members. + Any additional projects as assigned by the Director of CBO or VP Patient Accounting **Qualifications** **_Required_** + High School Diploma… more
- ISC2 (Harrisburg, PA)
- …as contributing to global policy discussions. You will work closely with the Senior Director , Advocacy and the Director , Advocacy, and will be the day-to-day ... presentations for events + Actively identify emerging and significant policy issues , including strategically evaluating the impact of policy developments with a… more
- Highmark Health (Pittsburgh, PA)
- …all activities related to testing under the general direction of the Laboratory Director and/or Laboratory Manager in conjunction with the Medical Director . ... Facilitates optimal laboratory operations by identifying, investigating and resolving issues and directing appropriate interventions while adhering to hospital… more
- Zurich NA (Harrisburg, PA)
- …and promoting the company. This is a great opportunity to utilize your management skills to help us profitably manage our Core Contract Surety book. This ... + Drive/manage how Business Unit will deal with emerging issues . + Resolve technical issues for company....property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- UPMC (Pittsburgh, PA)
- …established in service line/department. **Purpose:** Under the direction of the Director , Clinical and Operational Informatics (DCOI), the Informatics Nurse I has ... to engage appropriate health care personnel and eRecord team members as issues arise. Identifies and communicates learning needs to appropriate manager. Prior to… more
- UPMC (Pittsburgh, PA)
- …time associated with this position. **Purpose:** Under the direction of the Director , Clinical and Operational Informatics (DCOI), the Informatics Nurse I has the ... to engage appropriate health care personnel and eRecord team members as issues arise. Identifies and communicates learning needs to appropriate manager. Prior to… more
- Highmark Health (Pittsburgh, PA)
- …related to appropriateness of services billed by providers. Consult with Medical Director on questions/ issues related to medical necessity and appropriateness of ... the organization and outside entity. Responds to contractual and payment issues both internally and externally. Ensures compliance with contractual terms.… more
- AmeriHealth Caritas (Philadelphia, PA)
- …hearings, etc.) + Communicates updates and status of outstanding member and provider complaints/ issues to management + Monitors to ensure that all problems with ... department, as necessary, for clarification and supporting documentation by escalating issues to appeals and grievances management + Obtain authorization… more
- J&J Family of Companies (Horsham, PA)
- …Trade program. + **Communication:** Regularly communicate trade control updates and critical issues to Innovative Medicine R&D Global Trade Director and/or ... the areas of customs valuation, tariff classification, country of origin, data management and process definition. **You will be responsible for:** + **Oversight of… more