- Geisinger (Danville, PA)
- …all Revenue Management teams and departments including Practice Consultants, Utilization Management and Care Management, Providers, Geisinger departments, clinical ... collections, payment plans, or other arrangements. + Performs accounts receivable review for special pricing packages and ensures appropriate allocation of funds.… more
- The Cigna Group (Philadelphia, PA)
- …+ Meet directly with large and most complex custom clients to review modeling and cultivate relationships with Formulary Decision Makers (ie Pharmacy Directors, ... In collaboration with Clinical Account Executives discuss with clients any potential utilization management programs under evaluation to ensure that all modeling and… more
- Cardinal Health (Harrisburg, PA)
- …adequately staffed and supported. + Track and report on project progress, resource utilization , and other key metrics to ensure the research team is operating ... maturity. + Proven leadership, communication, and organizational skills. + Some travel expected. + BS/MS degree in human factors, design, psychology, sociology,… more
- Battelle Memorial Institute (Pittsburgh, PA)
- …modeling for groundwater, surface water, and contaminated soils/sediments. + Prepare and review work plans, QAPPs, and technology assessment reports for sampling and ... verbal and written communication and interpersonal skills. + Required travel is expected to be up to 25% annually...keep motivated. + **Prioritize wellness** : Stay healthy with medical , dental, and vision coverage with wellness incentives and… more
- CSL Behring (King Of Prussia, PA)
- …South Central, Houston East The Area Manager is responsible for promotion and utilization of CSL Behring products and for managing all aspects of territory business ... + Stay abreast of current clinical technical literature from medical journals and other information sources. + Implement CSL...exposure of CSL Behring products and services. + Regular travel required which may include weekends for select customer… more
- Deloitte (Pittsburgh, PA)
- …including plan offerings and design. + Manage RFP processes for medical , dental, pharmacy, life, and disability programs, including development, administration, ... evaluation, vendor selection, negotiation, and implementation. + Assist in the review and negotiation of premium rate/administrative fee renewals. + Advise clients… more
- Kemper (Harrisburg, PA)
- …complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test ... software systems. + Consults with internal and external customers on the utilization of applications computing technologies, within areas of expertise, to ensure… more
- AECOM (Philadelphia, PA)
- …**Preferred Qualifications** + 12 years of diverse experience in the rail industry Review Utilization . **Additional Information** + We are interested in every ... of our employees. Depending on your employment status, AECOM benefits may include medical , dental, vision, life, AD&D, disability benefits, paid time off, leaves of… more
- CSL Behring (King Of Prussia, PA)
- …Ohio Manager of Coagulation Products (MCP) is responsible for promotion and utilization of CSL Behring's hemophilia product portfolio and for managing all aspects ... + Stay abreast of current clinical technical literature from medical journals and other information sources. + Implement CSL...exposure of CSL Behring products and services. + *Regular travel required which may include weekends for select customer… more
- UPMC (Pittsburgh, PA)
- …Plan is hiring a full-time Pediatric Health Care Manager to support the Medical Management Medicaid team. This position will predominantly work from home and ... Pittsburgh, but team members may reside anywhere in Pennsylvania. Occasional local travel may be required in the future. The Health Manager ensures continuity… more