- Concentrix (Harrisburg, PA)
- …(https://jobs.concentrix.com/) "Job Details **Director, Account Management ** Account Management (https://jobs.concentrix.com/job-search/?category=Account ... Location United States Of America Language English Apply Now (https://cnx.wd1.myworkdayjobs.com/external\_global/job/USA-Work-at-Home/Director--Account- Management \_R1676422-1/apply?1=1) **Summary** Director, Account Management , Mobility Sector… more
- Bentley Systems (Exton, PA)
- …Accountability for key metrics such as service level, user experience, and team utilization + Experience in escalation and stakeholder management + Knowledge of ... reports. Additional tasks include, but are not limited to, compensation review , budget preparation, performance and skills assessment, and resource verification.… more
- PCI Pharma Services (Philadelphia, PA)
- …and facilitation of teams, tracking and analysis metrics, strong understanding and utilization of good engineering practices, project management , and the use ... to determine equipment, tooling, or delivery systems needed. + Performs Engineering review of all components for new jobs (size, capability of equipment, bar… more
- Highmark Health (Jefferson Hills, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... effective resource utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization , and patient/family… more
- UPMC (Pittsburgh, PA)
- …prescribing and utilization to identify potential clinical care issues; prepayment review of claims, and prepayment review of unlisted codes. Claims analysis ... to clinical guidelines, coding requirements, regulatory requirements, and resource utilization . This role also acts as a SME for...experience. Three years of fraud & abuse, auditing, case management , quality review or chart auditing experience… more
- Highmark Health (Harrisburg, PA)
- …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... executing all facets of the Informatics project management process, leading multiple project managers, and potentially guiding,...in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the… more
- CenterWell (Lancaster, PA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...care analysis to determine efficiency, the efficacy of case management system as well as any other systems and… more
- Penn Medicine (West Chester, PA)
- …& EMPLOYEE/ORGANIZATIONAL: + Meets regularly with hospital leadership and management to review product/equipment/supply issues and provide updates ... to systemwide Value Analysis Councils. Acting as a liaison among Materials Management , Physicians, Clinical Groups, Supply Chain, and System Leadership, the position… more
- YesCare Corp (Philadelphia, PA)
- …Engage in all quality improvement initiatives, including sentinel event reviews. + ** Utilization Review :** Participate actively in utilization review ... Care:** Deliver evidence-based clinical services, including sick calls, chronic care management , history and physicals, and emergency care. + Visit the infirmary… more
- Oracle (Harrisburg, PA)
- …opportunities and contract renewals and reports results to key leaders. Technical Delivery Management : + Leading the review of and advises customers on optimal ... from requirement intake, design, build, testing and deployment. + Works closely with management - Portfolio Manager and the roles within the pods (eg, Business… more
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