- Pactiv Evergreen (Downingtown, PA)
- …at or above standard levels of operation considering waste, efficiency and utilization . Trouble shoot, identify and correct machine related problems through proper ... machines at or above standard levels considering waste, efficiency and utilization . + Troubleshoot causes of machine malfunctions. Make appropriate adjustments or… more
- Intermountain Health (Harrisburg, PA)
- …team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare, ... team to provide care coordination for preventative care and utilization mitigation. + Identifies appropriate resources, including transportation, housing,… more
- Highmark Health (Harrisburg, PA)
- …**JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most ... URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team… more
- The Hertz Corporation (Harrisburg, PA)
- …improve metrics adherent to traditional HLE success such as EDi conversion, Utilization , RPD, RPT, etcetera. + Ability to conduct high level business conversations ... pipeline of new business leads though sales activity, email, and networking. + Utilization of Salesforce to maintain accurate records and documents all sales and… more
- Highmark Health (Pittsburgh, PA)
- …of items such as, but not limited to: documentation, block utilization , obtaining authorizations, medical clearances, required testing, and any special or ... + Coordinates with all departments to ensure documentation, block release/ utilization , authorization, clearances, or any unusual circumstances (denials, authorizations,… more
- WellSpan Health (Lebanon, PA)
- …fiscal responsibility through improvement and innovation. + Prepares and presents utilization data analysis as required. + Develops and initiates educational ... programs regarding utilization management principles. + Attends meetings as required, and participates on committees as requested. **Qualifications** **Minimum… more
- Humana (Harrisburg, PA)
- …Trend focuses on developing, monitoring, and communicating cost trend drivers, utilization patterns, and economic insights to support each Humana Medicaid market. ... a critical role in identifying, quantifying, and explaining healthcare cost and utilization trends. The Associate Actuary works together with a team of actuaries… more
- Prime Healthcare (Bristol, PA)
- …communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use ... institution in a Health and Human Services field is highly preferred. 2. Utilization Review/Case Management experience is highly preferred. 3. 1+ year of clinical… more
- ChenMed (Philadelphia, PA)
- …and record patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with inpatient staff for possible reduction ... work experience required + A minimum of one (1) year of utilization review and/or case management, home health, hospital discharge planning experience required… more
- The Hertz Corporation (Harrisburg, PA)
- …(eg, body shops, insurance partners) to optimize the customer journey and vehicle utilization + Tracking and reporting on financial performance - both cost and ... value + The ability to balance efficiency metrics (SLA, cost, utilization ) with outcome metrics (NPS, retention, revenue impact) + Cross-functional instincts,… more