- Penn Medicine (Philadelphia, PA)
- …referral and copays, as appropriate. + Maintains an excellent understanding of managed care plans and protocols for referrals, co-payments, and ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...flow with managers and providers as necessary. + Keeps manager aware of potential issues or problems as they… more
- PNC (Pittsburgh, PA)
- …opportunity to contribute to the company's success. As a Software Engineering Group Manager within PNC's Lending Technology organization. You will be based either in ... a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. PNC will not provide sponsorship for employment visas or participate… more
- UPMC (New Castle, PA)
- …health professionals often in collaboration with Health Maintenance Organizations and other managed care programs or contracts. + Ability to handle interactions ... New Castle, PA. has an exciting opportunity for a Manager , in the Medical Staff Services department. This full-time...did affect or potentially could have affected the clinical care of any patient + Manages the maintenance of… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... Management provides organizational leadership in the operational areas of care management, utilization review, appeals, quality improvement and related policy… more
- Penn Medicine (Philadelphia, PA)
- …referral and copays, as appropriate. + Maintains an excellent understanding of managed care plans and protocols for referrals, co-payments, and ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...effecting flow with managers and providers as necessary. Keeps manager aware of potential issues or problems as they… more
- UPMC (Williamsburg, PA)
- …ICD 9/CP/HCPCS coding, CMS 1500, UB92s, Medicare Medicaid, Blue Shield products, and managed care programs on inpatient and outpatient bases and electronic ... for patient appointments, telephone communications, typing, and filing about patient care . Assists Faculty in teaching interns and residents how to conform… more
- Penn Medicine (Philadelphia, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...patients regarding patient flow and wait times - keeps manager aware of potential issues as they arise. +… more
- Penn Medicine (Philadelphia, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...patients regarding patient flow and wait times - keeps manager aware of potential issues as they arise. Issues… more
- Prime Therapeutics (Harrisburg, PA)
- …Registered Nurse (RN). + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. + ... facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial… more
- OSL Retail Services (Philadelphia, PA)
- …and supports the development of our sales teams. Reporting to the Manager , Sales Enablement, the incumbent will be driving results through expert delivery, ... and maintain training material and curriculum resources with upward feedback to Manager of Sales Enablement. + Distribute training aids, such as instructional… more