- Geisinger (Danville, PA)
- …for operational changes desired or required to improve access to cost and utilization related data. + Participates in sessions to learn and incorporate computer ... Reporting team in advanced analytic modeling, best practice tool usage, and review business intelligence to support strategic initiatives. + Responsible for managing… more
- CVS Health (Harrisburg, PA)
- …to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes First Level Appeals / ... System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management) experience *Active and current state medical license without encumbrances… more
- WellSpan Health (York, PA)
- …and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health care… more
- UGI Corporation (Lancaster, PA)
- …Summary The Operations Representative I position provides office support through the utilization of computer systems and mapping records to support Field Operations ... Support Operations with various tasks including but not limited to maps and records review , scanning , importing , data entry, PA one call tickets, permit process,… more
- Ally (Harrisburg, PA)
- …the assigned territory, designed to grow the engaged dealer base and increase utilization . * Attend meetings and conventions, dealer and remarketing trade shows and ... work experience, education, certification(s), training, and additional qualifications. We review internal pay, the competitive market, and business environment prior… more
- Prime Therapeutics (Harrisburg, PA)
- …including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and pull through ... ranges from $164,000.00 - $279,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- Coventry (Fort Washington, PA)
- …and departments to achieve optimal results while minimizing risk. + Draft, review and negotiate a wide variety of commercial agreements including licensing ... corporate, privacy and contractual matters. + Effectively manage and oversee utilization of outside law firms to provide cost-effective legal services. Benefits… more
- Geisinger (Danville, PA)
- …teams assistance with nursing skill mix optimization. + Assist in review of ambulatory nursing position justifications to ensure appropriate scope assignment. ... staff and members of other departments, effective communications, appropriate resource utilization and sound planning skills. + Communicates pertinent information as… more
- Veterans Affairs, Veterans Health Administration (Aspinwall, PA)
- …identify the need for further in-depth specific assessment of function and utilization of unconventional methods and techniques. 2. Knowledge of current methods of ... unconventional assessment and interview approaches to effectively elicit information. They review pre-evaluation data in the medical record upon admission or through… more
- Nestle (Lower Gwynedd, PA)
- …+ Risk Assessment and Elimination - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure ... operator: ###. This position is not eligible for Visa Sponsorship. Review our applicant privacy notice before applying at https://www.nestlejobs.com/privacy. Job… more