- Colliers Engineering & Design (Philadelphia, PA)
- …and communicate effectively with all employees involved in the project to ensure high utilization rates (ie Project team meetings). + Review monthly man-hour and ... man power needed on projects. + Hold team meetings ensuring procedures governing review and approval of projects are followed prior to submission of completed work.… more
- Prime Therapeutics (Harrisburg, PA)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... goals through development of effective teams. + Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs. + Understanding of… more
- Sunrise Senior Living (Montgomery, PA)
- …key to achieving customer engagement. + Leads the development and regular review of the engagement improvement plan. + Effectively resolves customer concerns through ... pricing to benchmarks including service level and other program margins and utilization . + Effectively manages collections process. + Manages variable and other… more
- St. Luke's University Health Network (Allentown, PA)
- …Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists billing staff ... outpatient denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims. JOB… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... departments may be required. + Additional administrative duties such as: medical records/mail room, surgery/procedure scheduling, etc. **Travel:** + This position… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... Procedural & OR Executive Committees including but not limited to: OR utilization , patient access, revenue cycle, patient satisfaction and quality goals. + Ensure… more
- WellSpan Health (Lewisburg, PA)
- …and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care… more
- IQVIA (Wayne, PA)
- …clinical trials, real world evidence, and consulting in all areas of the medical product lifecycle. The Patient Centered Solutions (PCS) team leads the industry in ... projects as SME and/or study lead, per study requirements, at 40% utilization or greater Capability building + Support community building with activities including… more
- Prime Therapeutics (Harrisburg, PA)
- …well as the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership and direction ... + Lead the vision, strategy, and implementation of integrating medical and pharmacy solutions, fostering collaboration across departments and ensuring… more
- WellSpan Health (Lebanon, PA)
- …and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care… more