- Geisinger (Danville, PA)
- …in preparing various management reports to analyze the financial risk for the health plan . Utilizes a high level of experience in Excel and reporting programs for ... special analysis Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be… more
- Geisinger (Danville, PA)
- …Serves as a supportive consultant and educator to staff and administration for related reimbursement, strategic savings initiatives and coding compliance issues. ... Assists in assessing existing and prospective reimbursement practices. Provides recommendations as to appropriate reimbursement based on current contracts, policies, and accepted industry practices while ensuring compliance with contractual, state and federal… more
- Geisinger (Danville, PA)
- …We are seeking a strategic and experienced leader to oversee our Reimbursement Services team. This role is responsible for guiding the planning, analysis, and ... implementation of reimbursement methodologies for healthcare providers. The ideal candidate will manage both short- and long-term reimbursement initiatives, collaborate with senior leadership to align financial strategies, and lead forecasting efforts to… more
- Highmark Health (Pittsburgh, PA)
- …:** **SUMMARY OF JOB RESPONSIBILITIES** This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related ... business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expose the various career opportunities in the business line and related areas,… more
- AON (Pittsburgh, PA)
- …on opportunities. + Establish and oversee Pittsburgh's strategic business development plan . + Collaborate with sales, marketing, and product teams to ensure ... to the terms and conditions of the applicable incentive plan . How we support our colleagues Aon offers a...colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase … more
- AristaCare (Plymouth Meeting, PA)
- …or Director of Nursing Services. + Periodically review the resident's written discharge plan . Participate in the updating of the resident's written discharge plan ... planning the nursing services portion of the resident's discharge plan as necessary. + Meet with the nursing staff,...+ Participate in developing the agenda for the Care Plan Committee meetings as necessary. + Participate in regularly… more
- Bank of America (Conshohocken, PA)
- …clients to review financial and investment goals, building a financial plan , and recommending brokerage products. Job expectations include applying and expanding ... action up to and including termination. Responsibilities: * Works with clients to plan their short and long-term financial goals by building a financial plan… more
- UPMC (Pittsburgh, PA)
- …QI activity and supports various functions within the scope of the Health Plan Quality Improvement Program, working both independently and as a team member. The ... improvement process as a means to achieve the Health Plan 's goals of excellence. Health plan and...the Health Plan 's goals of excellence. Health plan and HEDIS measure experience is highly preferred. Responsibilities:… more
- Geisinger (Danville, PA)
- …with HRIS representatives to provide benefits operational support. Provides benefit plan interpretation, guidance and counsel to employees, HRIS representatives, HR ... and other project based work as needed. + Monitors plan limits, eligibility and other restrictions on plan participation to ensure compliance with both plan … more
- UPMC (Murrysville, PA)
- …with face-to-face interaction with the members you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with ... for care coordination and health education with identified Health Plan members through face to face collaboration with members...needs and barriers to care. Develops a comprehensive care plan that assists members to close gaps in preventive… more