- Travelers Insurance Company (Harrisburg, PA)
- …which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical ... guidelines to establish medical review policies. Works in close collaboration with the Claim...Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …telepsychiatry services based on the needs of the organization; d. Participating in utilization review activities including but not limited to development of ... Manual of Mental Disorders, written treatment orders, admissions on-call review for all legal commitment status documents and ...review for all legal commitment status documents and review and completion of routine and emergency Certificate of… more
- Burns & McDonnell (Conshohocken, PA)
- …contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process. + Implement assigned sections of the Project Execution Plan, ... of multiple global practices/disciplines, and facilitate the efficient cost-effective utilization of staff while adhering to contractual and performance… more
- M&T Bank (Philadelphia, PA)
- …credit decisions and/or transaction structure. Recommends risk ratings based on the utilization of the Bank's Probability of Default and Loss Given Default ... with total exposure between $1.0 mm and $2.0 mm, routinely including the review of borrower's financial statements (which can include 10K and 10Q reports) and/or… more
- Datavant (Harrisburg, PA)
- …healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- Burns & McDonnell (Conshohocken, PA)
- …CM contracts, subcontracts, and change orders. + Participate in the risk review process. + Implement assigned sections of the Project Execution Plan, including ... of multiple global practices/disciplines, and facilitate the efficient cost-effective utilization of staff while adhering to contractual and performance… more
- Parexel (Harrisburg, PA)
- …solutions, and ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or anomalies to ensure ... Data Management Leadership:** + Manage and coordinate the integration and utilization of all ancillary systems. + Highlight issues/risks to delivery by… more
- Schnabel Engineering (Chadds Ford, PA)
- …CM Team meetings, or otherwise. Progress Meeting Agenda's and Meeting Minutes; review of the Contractor's Change Orders, Contract Extension Requests, and monthly ... progress, production, and schedule. + Tracks Contractor's manpower and equipment utilization . + Documents observations and quality assurance/control activities in a… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …and/or services based on the needs of the organization; + Participating in utilization review activities including but not limited to development of standards, ... history and physical examination, either written or dictated. This includes a review of the immunization status, allergies, past history, family history and… more
- Fujifilm (Harrisburg, PA)
- …with shareholders. Responsible in maintaining existing written documentation, periodic review , and publish **Company Overview** At FUJIFILM Healthcare Americas ... an expert level understanding of Information Technologies and its utilization in a clinical environment. Emphasis is on the...and related services including workflow. + Participates in peer review of test scripts. + Routinely takes part in… more