- CVS Health (Pittsburgh, PA)
- …including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of ... care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization review/quality… more
- CVS Health (Blue Bell, PA)
- …and all applicable laws and regulations. This role requires advanced project management skills to effectively oversee audits, and high levels of collaborating and ... regulators, business partners, impacted stakeholders and various levels of management . **Required Qualifications** 5+ years of compliance and/or audit experience… more
- SHI (Bethlehem, PA)
- …be reporting to the SHI Bethlehem, PA location as determined by SHI management . **Role Description** + Proactively contact potential clients through phone calls and ... ensure alignment on lead generation strategies. + Maintain accurate records of interactions and lead data in CRM systems....techniques. + Manage the sales pipeline and utilize sales management platforms to achieve targets. + Understand and align… more
- Centene Corporation (Harrisburg, PA)
- …align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in ... claim issues and changes + Initiate data entry of provider-related demographic information changes + Educate providers regarding policies and procedures related to… more
- Travelers Insurance Company (Blue Bell, PA)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... and communication with insured based on application of policy information to facts or allegations of each case. +...injury or property damage by obtaining and reviewing appropriate records and damage documentation. + Maintains claim files and… more
- Cardinal Health (Philadelphia, PA)
- …+ Frequently interacts with subordinates, customers, and peer groups at various management levels + Interactions normally involve information exchange and basic ... that are most in need. This includes immunizations, patient consultation, medication therapy management , and management of high risk patients. **This position is… more
- CVS Health (Harrisburg, PA)
- …And we do it all with heart, each and every day. Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team ... Collaborate with internal departments-including claims, customer service, and client management -to ensure effective issue resolution and maintain strong working… more
- CVS Health (Harrisburg, PA)
- …Relations to manage event check requests + Obtain necessary compliance and management approvals and submit payment requests to Accounts Payable + Maintain and ... as needed. This may include special projects, content reviews, data management , or assistance with marketing collateral development and distribution. **Miscellaneous… more
- CVS Health (Blue Bell, PA)
- …is hiring an Account Manager who will report to the Sr Manager, Account Management . CVS Media Exchange [CMX] is dedicated to driving measurable outcomes for our ... requires excellent communication skills, numerical analysis, strong organization, project management and ability to multi-task. The candidate must be commutable… more
- Fortrex (Philadelphia, PA)
- …valued partner. If you are a self-motivated professional with strong relationship management and consultative selling skills, and you are passionate about exceeding ... through ongoing relationship building and value delivery. **Strategic Account Management :** **.** Own and manage relationships with high-value corporate clients,… more