- UPMC (Pittsburgh, PA)
- …Operations-Risk Adjustment management and work collaboratively and cooperatively with Network Management , Reimbursement and other Health Plan department as ... of the annual Risk Adjustment prospective campaigns. + Collaborates with Network Management , Reimbursement, Claims, and other Health Plan departments… more
- Merck (West Point, PA)
- …This role serves as an essential part of the External Manufacturing & Network Equipment team, in providing technical leadership and support to our company's internal ... & external packaging network , focusing on developing and executing packaging and device...Operations organization aims to be an industry leader in problem -solving, delivering robust and pragmatic technical solutions to accelerate… more
- Merck (West Point, PA)
- …Technical Operations organization aims to be an industry leader in problem -solving, delivering robust and pragmatic technical solutions to accelerate the ... will possess deep technical expertise, a strong track record in problem -solving, strategic acumen, and execution, along with exceptional leadership skills to… more
- The Hershey Company (Hershey, PA)
- …scalable, and aligned with Hershey's long-term digital strategy. 6.Data Governance & Quality : Develop and enforce data management frameworks to ensure high- ... development cycles, prioritizing features that deliver measurable improvements in throughput, quality , and cost. 8.Change Enablement: Lead change management … more
- Fresenius Medical Center (Dallas, PA)
- …following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance ... range within the department. + Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of… more
- UPMC (Pittsburgh, PA)
- …of care and maximal use of community supports and resources. + Works with Member Services, Network Management and Quality Management staff to assure that ... Health Care Manager to join the Commercial Clinical Care Management team. This role will work remotely and may...materials for staff, other UPMC Health Plan departments, and network providers. + Independent problem solving based… more
- TE Connectivity (Harrisburg, PA)
- … role working in a regional/global capacity. + Technical Skills: Proficiency in quality management systems, statistical process control, Gage R&R and reliability ... performance evaluations and provide feedback for improvement. o Leads cross-functional problem -solving teams to investigate quality issues and minimize customer… more
- Huntington National Bank (Pittsburgh, PA)
- …knowledge of Microsoft Excel, PowerPoint and Word + Demonstrated experience with data management concepts including data governance, data quality , master data ... Strong knowledge of Microsoft Excel, PowerPoint and Word + Understanding of data management concepts including Data Governance, Data Quality , Master Data … more
- The Cigna Group (Philadelphia, PA)
- …initiatives designed to address medical expense and product pricing trends. Partners with network management and pricing units to deliver medical expense results ... markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of… more
- Red River (Harrisburg, PA)
- …SC-400 + Technical proficiency including systems experience, strong troubleshooting and problem -solving skills, and issue management in a multi-platform cloud ... ability to design innovative solutions + Goal oriented with high standards for quality and performance + Strong problem solving and troubleshooting skills with… more
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