- World Insurance Associates, LLC. (Philadelphia, PA)
- …knowledge of plan design alternatives, underwriting and funding concepts. + Drive utilization and ensure accuracy of all agency management system information for ... reform, HIPAA). + Lead the delivery of enrollment, benchmarking, financial and utilization data based on financial review standards and make recommendations as… more
- Highmark Health (Pittsburgh, PA)
- …and control of operating and capital budgets, the monitoring of resource utilization and justification of variances. Assists with vascular lab budgeting at Physician ... department. (15%) + Promotes a professional work environment through the utilization of sound personnel management principles. Hires and supervises staff, evaluates… more
- Penn Medicine (Philadelphia, PA)
- …quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources, ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings Utilization Management:Adheres to guidelines to satisfy 3rd party payer… more
- CVS Health (Harrisburg, PA)
- …and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of ... **Preferred Qualifications** + Crisis intervention skills preferred + Managed care/ utilization review experience preferred + Case management and discharge planning… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review, translation of foreign claims, coordination of benefits (COB), ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more
- Cardinal Health (Harrisburg, PA)
- …to the same? If so, let's talk. Cardinal Health is looking for a versatile Manager of Research & Insights. As a key member of the Product Experience organization, ... available resources and timelines. + Partnering with the Design Program Manager , develop and maintain an accurate pipeline forecast, anticipating future research… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Care Manager Social Worker SCH is responsible for providing social work care management services ... care needs. The CM SW SCH also collaborates with the Outpatient Care Manager RN, Care Management Outreach Coordinator and multidisciplinary teams as needed to… more
- Philips (Pittsburgh, PA)
- **Inside Sales - Associate Territory Manager , Philips Sleep and Respiratory Care** Be an integral part of the dynamic Philips SRC team as an experienced Patient ... Interface, DME customer- focused Associate Territory Manager . Reporting to the Regional Sales Director, this position offers you the opportunity to play a vital role… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Outpatient Care Manager , Social Worker (OP CM SW) is responsible for providing Social Work and care ... OP CM SW also collaborates with the Outpatient Care Manager RN, Community Health Worker and extender staff as...needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations. +… more
- Deloitte (Philadelphia, PA)
- Deloitte Finance Transformation - Profitability, Costing & Allocations - Manager Our Finance Transformation team serves as trusted advisors to CFOs, COOs, CIOs, and ... value. Recruiting for this role ends on 12/31/25 Position Summary As a Manager at Deloitte, you will work with industry leaders to strengthen your analytical… more