- Guthrie (Sayre, PA)
- …adherence to payer-specific appeal timelines and protocols + Collaborate with clinical, utilization management , billing, HIM, and coding teams to resolve medical ... Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the… more
- UPMC (Bethel Park, PA)
- UPMC is hiring a full-time Practice Manager to lead their University OB/GYN Community Practices! This position will support the teams at all community sites in ... will be required to travel regularly to all of these locations. The Practice Manager plays a direct role in optimizing financial performance through: * Oversight of… more
- Amergis (Pittsburgh, PA)
- The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service ... and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making for… more
- KeyBank (Conshohocken, PA)
- …partner to the people and businesses in our Key Bank communities. The Branch Manager builds, coaches, develops, leads, and motivates a team that is capable of ... confidence in their financial wellness and achieve their goals. The Branch Manager is accountable for branch operations and compliance by providing direction and… more
- Bentley Systems (Exton, PA)
- …Accountability for key metrics such as service level, user experience, and team utilization + Experience in escalation and stakeholder management + Knowledge of ... **Support Manager ** **Location:** Hybrid or Home-based, US (ET or...and Windows Active Directory + Experience with ITIL service management concepts (certification is a plus) + Understanding of… more
- Highmark Health (Harrisburg, PA)
- …of various projects and data analysis related to Medical Policy and Utilization Management . **ESSENTIAL RESPONSIBILITIES** + Perform management ... experience in a supervisory capacity or role **Preferred** + Experience in Utilization Management and/or Medical PolicyExperience working with claims data… more
- Highmark Health (Pittsburgh, PA)
- …responsible for recommending and implementing strategic and comprehensive project management services in support of the corporation's business activities. ... large scale interiors projects (>$5mm), construction and site project management personnel, implementation of corporation's standards, development of a standardized… more
- Prime Therapeutics (Harrisburg, PA)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? Job Title: Practice Manager Department: Dickens Center MAPS Location: Hospital of the University of Pennsylvania- ... department needs Summary: + In collaboration with leadership, the Practice Manager provides strategic operational leadership, supervision and direction in regard to… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Job Title: Senior Practice Manager Department: Ortho Musculoskeletal 7 FL Location: Penn Medicine University City- 3737 ... Full Time Summary: + In collaboration with leadership, the Senior Practice Manager provides strategic operational leadership and direction in regards to all… more