- Datavant (Harrisburg, PA)
- …both ACA and MA. + Expert knowledge of Risk Adjustment . + Research and problem resolution skills. + Exceptional interpersonal relationship skills. + Must possess ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- Broadcom (Pittsburgh, PA)
- …are identified with Broadcom Software - When appropriate, request documentation for review and analysis to determine the problem and provide applicable maintenance ... to resolve the problem(s) if available - Efficiently utilize available resources to review and analyze the documentation when it is sent by the customer - Upload the… more
- Datavant (Harrisburg, PA)
- …**Qualifications:** + 10+ years of experience in healthcare data, clinical research , or medical record retrieval, with expertise in real-world evidence, clinical ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… 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
- Fox Rothschild LLP (Philadelphia, PA)
- …professional development initiatives for partner and counsel-level attorneys. + Maintain review process calendars. Ensure that each process runs on time, smoothly, ... of Professional Development, and Senior Attorney Development Managers in handling legal personnel and employee relations issues. + Provide support for departure… 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
- Datavant (Harrisburg, PA)
- …point of contact for the customer + Develop account plans and account research + Have regular cadence of conversation at the corporate and local level, ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… 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
- 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