- Highmark Health (Harrisburg, PA)
- …The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal ... insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes… more
- Highmark Health (Harrisburg, PA)
- …as members of a multi-stakeholder care team responsible for ensuring appropriate drug utilization across the pharmacy and medical benefit with the goal of ... and other pharmacy strategy teams to execute on the formulary/ utilization (UM) and other strategic pharmacy products. This job... across both the pharmacy as well as the medical benefits. This job will have a strong compliance… more
- Globus Medical, Inc. (Audubon, PA)
- …and documentation of project team activities including: kick-off meetings, design review meetings, verification/validation and cadaver lab utilization + ... At Globus Medical , we move with a sense of urgency...Proficiency in using Microsoft Office products + Ability to travel up to 20% of the time **Desired skills… more
- Globus Medical, Inc. (Audubon, PA)
- …and documentation of project team activities including: kick-off meetings, design review meetings, verification/validation and cadaver lab utilization + Develops ... At Globus Medical , we move with a sense of urgency...Proficiency in using Microsoft Office products + Ability to travel up to 20% of the time **Physical Demands**… more
- Fujifilm (Harrisburg, PA)
- …courses, and grant requests received by Fujifilm from industry societies, Academic Medical Centers, and other health-related organizations in the West and South ... received by the Fujifilm Endoscopy Division from industry societies, Academic Medical Centers, and other health-related organizations in the West and South-Central… more
- Genesis Healthcare (Mechanicsburg, PA)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and ... support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the US with...Director in the timely completion of the annual merit review for therapy staff. 7. Assists Clinical Operations Area… more
- ChenMed (Philadelphia, PA)
- …assess and record patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with inpatient staff for possible ... reduction of medical cost on long length of stay patients +...required + A minimum of one (1) year of utilization review and/or case management, home health,… more
- Aveanna Healthcare (PA)
- …appropriately skilled clinician, and within insurance authorization. - Responsible to manage utilization of direct care team members based on patient needs as well ... and distributes the patient/direct care team member schedule. Performs initial review of schedules for productivity/geographic issues. - Completes daily and weekly… more
- Datavant (Harrisburg, PA)
- …benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. + ... Understanding and utilization of P&Ls to assist in reducing cost while...clinics, retail healthcare, health plans preferred. + Ability to travel at least 50%-75% of the time \#LI-BC1 We… more
- Ryder System (Chambersburg, PA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** This ... and experience in core engineering and data analysis functions (slotting, utilization , labor planning, layouts, metrics, etc.) advanced required + Warehouse design… more