- Norstella (Harrisburg, PA)
- …may require travel to our main office for meetings as designated by the manager of the Clinical CoE. **Major Responsibilities** + Serves as a trusted advisor ... pharmacy. + Comprehensive knowledge of both pharmacy and medical benefit utilization management policies + Proven ability to exceed expectations and achieve… more
- CenterWell (Harrisburg, PA)
- …provider network design and value-based payment arrangements. + Analyze utilization , quality, and financial data to identify performance improvement opportunities ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Ensono (Philadelphia, PA)
- …InfoPrint, JQP, XPTR, Connect : Direct, XCOM, Enterprise Extender, Session Manager and mainframe network related software. Diagnoses, resolves, and documents system ... reliability and consistency. + Increase efficiency through automation and/or template utilization as appropriate. + Review and seek out cost reductions, efficiency… more
- Geisinger (Danville, PA)
- …and handling of equipment. + Participates in unit-based decision-making regarding the utilization of evidence- based practice. + Actively participates as a team ... practice and day-to-day operations. Staff are supported by the Operations Manager , two Team Coordinators, and two Clinical Nurse Educators. Seeking candidates… more
- Highmark Health (Pittsburgh, PA)
- …of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, and clinical ... a plus. + Past experience as an architect or Product owner or Product Manager in Healthcare Technology + Develop virtual and in-person relationships with C-level and… more
- WESCO (Pittsburgh, PA)
- …onsite work for Wesco leaders and employees. + Drive adoption and optimal utilization of our enterprise sales methodology through CRM, CPQ and other commercial ... aids, quick reference guides, observation checklists, curriculums, instructor-led training, and manager -led workshops. This may include the need to facilitate and… more
- CenterWell (Harrisburg, PA)
- …such as average handle time (AHT), volume, shrinkage, occupancy, and utilization . This individual provides executive-level reporting and scenario modeling to support ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Wolters Kluwer (Harrisburg, PA)
- …+ Conducting regular account review meetings and reviewing account utilization management reporting to provide recommendations + Overseeing contract renewals ... planning and marketing campaigns + Other duties as assigned by Manager **Job Qualifications** **Education** : + Bachelor's degree or equivalent relevant… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - ... experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At minimum must have current… more
- WellSpan Health (Lebanon, PA)
- …of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care ... to treatment. + For HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment and adjust treatment as… more