- Evolent (Harrisburg, PA)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD ... review process to reflect appropriate utilization and compliance with...manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation,… more
- ADP (Allentown, PA)
- …liquidation date. + Provide the client with a blackout notice and explain the legal responsibilities for providing the notice to their plan participants in a timely ... internal ADP departments. + Establish Payroll Input call to review with client how to enter payroll deductions and...deferral percents, etc. + Participate on team projects + Research issues and share findings with other team members… more
- Black & Veatch (Canonsburg, PA)
- …proposal process procedures such as: Opportunity Process Procedure, Cost Reviews, Proposal Review Boards, among others. * Participate in Bid/No Bid or Screenings ... implement the proposal win strategy on key opportunities. * Participate in cost review and influences team to provide responses with competitive cost and value. *… more
- Evolent (Harrisburg, PA)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD ... review process to reflect appropriate utilization and compliance with...manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation,… more
- Evolent (Harrisburg, PA)
- …available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance… more
- Naval Foundry and Propeller Center (Philadelphia, PA)
- …and recommend action to resolve problems. The incumbent must be able to review technical plans and proposals from research and development through manufacturing ... develop a customer focused asset strategy including, but not limited to, legal , engineering, architecture, finance, asset preservation, etc. . Ability to interpret… more
- Evolent (Harrisburg, PA)
- …available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance… more
- Highmark Health (Harrisburg, PA)
- …stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert guidance on cloud-based solutions and ... design of business processes and organizational structures leveraging cloud solutions. Research and promote enabling technologies based on client requirements. +… more
- IQVIA (Wayne, PA)
- …+ Counsel managers and employees consistent with company policies/practices, legal considerations, etc. and facilitate resolution of employee relations issues. ... + Lead employee relations investigations on employee issues. + Review and assists managers with the content of annual performance evaluations. + Monitor documents… more
- J&J Family of Companies (Horsham, PA)
- …processes related to business planning, marketing plans, Market Access Readiness Review , portfolio management and development, market research , new product ... Value Access and Pricing, Medical Affairs, Strategic Insights and Analytics, and Legal /Compliance partners. This individual will lead a team of 5 marketing… more