- Humana (Harrisburg, PA)
- …Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices **Work Schedule Monday - Friday w/standard weekends ... Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management review organization, such… more
- Corcentric (Philadelphia, PA)
- …transitions. + Being accountable for practice area project margin, quality, team utilization and a high level of customer satisfaction. + Managing the staffing ... projects and collaborating with other practice area leads to ensure overall utilization . + Supporting the delivery teams to prevent and manage project escalations… more
- Kiewit (Homer City, PA)
- …will be responsible for the planning, scheduling and budgeting for the maximized utilization equipment fleet. In this role, you will deal with both day-to-day and ... ensure the profitability of Kiewit projects through the improved equipment utilization and mechanical reliability by delivering world-class equipment and service.… more
- Highmark Health (Harrisburg, PA)
- …internal clinical and value-based evaluation committees that drive formulary and utilization management functions. + Participate in product specific Pharmacy and ... Therapeutics Committees and Drug Utilization Review (DUR) Committees as necessary or contractually required. + Participate in product specific government meetings as… more
- Milton Hershey School (Hershey, PA)
- …as a Certified Administrative Professional (CAP) is desirable. + Skilled in utilization of Microsoft Suite - particularly advanced utilization of creating ... and managing Excel reports and PowerPoint presentations; MOS Certification a plus. + Proficient in troubleshooting computer systems. + Exceptional interpersonal skills, including verbal and written capabilities. + Skilled in providing high quality customer… more
- Highmark Health (Harrisburg, PA)
- …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
- Highmark Health (Harrisburg, PA)
- …itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education ... education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and… more
- Kiewit (Homer City, PA)
- …operations. This position is responsible for the planning, scheduling, budgeting, utilization and reliability of a construction and mining equipment fleet. The ... ensure the profitability of Kiewit projects through the improved equipment utilization and mechanical reliability by delivering world-class equipment and service.… more
- Verint Systems, Inc. (Harrisburg, PA)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... across plans to address issues, discuss trends & best practice, utilization and opportunities for improvement. + Responsible for ensuring internal compliance… more
- Teledyne (Collegeville, PA)
- …at the operation site. + Execute the daily production schedule through the utilization of people, materials, and processes to meet the customer needs, schedules, ... out to be tested. + Process service entry sheets. + Manage employee utilization sheets. + Conduct quarterly and annual reviews with employees regarding set goals… more