- CVS Health (Harrisburg, PA)
- …for drafting, reviewing, and amending or restating medical, dental, and vision plan documents, including Summaries of Benefits and Coverage (SBCs). You will be ... onboarding new groups, assists clients in finalizing benefit designs, and drafts initial plan documents and SBCs. Team assignment will be determined based on your… more
- Utilities Service, LLC (Willow Grove, PA)
- …of continuous improvement to ensure established processes support effective and efficient management + Financial Planning: Develop the long-range plan (LRP), ... **Description** **Job Title:** Operations Controller - Vegetation Management **Location:** Willow Grove, PA **Department:** Finance **Reports To:** Director, Field… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** We are looking for an experienced Director, Program Management (PM) to join our versatile team and center of excellence for ... portfolio and program management . This successful candidate will have advanced project ...+ Lead the establishment of an integrated and operational plan designed to meet the strategy and objectives. +… more
- CVS Health (Pittsburgh, PA)
- …Market Checks** + Ensure template formularies design and application of utilization management (UM) criteria align with MHPAEA and other federal/state regulations. + ... Compliance teams to produce and validate data for exam requests. **Formulary Management ** + Develop and maintain CVS Caremark's template formularies including drug… more
- CVS Health (Harrisburg, PA)
- …APAC and Africa in support of an international network, medical cost management and overall claim/customer service strategies. This role will provide concierge level ... members via timely provision of required network access and proactive management of network relationships to ensure seamless direct settlement access. *Preference… more
- J&J Family of Companies (Spring House, PA)
- …health for humanity. Learn more at https://www.jnj.com **Job Function:** Project/Program Management Group **Job Sub** **Function:** R&D Project Management **Job ... the best talent for our Analyst, Precision Medicine Project Management , located in Spring House, PA or Titusville, NJ....bonus in accordance with the terms of the applicable plan . The annual performance bonus is a cash bonus… more
- Genesis Healthcare (York, PA)
- … goals. 9. Works collaboratively with the Director or Sr. Director of Case Management to update strategic business plan and ensure deadlines and goals are ... impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical, administrative, and financial oversight of… more
- Sharecare (Harrisburg, PA)
- …everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of ... the Disease Management program by providing high quality telephonic and omni...By providing health education and resources, reviewing the provider's plan of care with the member to ensure understanding… more
- Geisinger (Harrisburg, PA)
- …ensuring they are equipped to successfully promote and sell Geisinger Health Plan products. This role focuses on broker engagement, training, sales support, and ... with brokers and agencies, ensuring alignment with Geisinger Health Plan 's goals. + Act as a liaison between brokers...and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration,… more
- Highmark Health (Harrisburg, PA)
- …Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities ... and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan , organize, staff, direct and… more