- Penn Medicine (Radnor, PA)
- …or Equivalent Experience: + Bachelor of Arts or Science (Required). Preferably in healthcare , business, or a related field. + 5+ years of professional or ... administrative experience in healthcare and prior experience working with healthcare ...feet" and possesses an entrepreneurial spirit + Demonstrated time management and priority setting skills + Ability to work… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …initiatives. The Sr. Transformation Consultant will support ideation, discovery, business case development, planning, execution, risk management & stakeholder ... Ready to help us transform healthcare ? Bring your true colors to blue. What...problems, identifying opportunities & recommending solutions. Value & Risk Management + Apply analytical rigor to assess focus area… more
- Centene Corporation (Burr Ridge, IL)
- …family space, (3) who have a combination of experience in service coordination, case management , community advocacy, behavioral health while using varius office ... This is a hybrid remote role with occasional local travel (up to 10%) for home visits and team...Line of Business: Illinois Health Plan * Department: MED-Medical Management ( Case Management ) * Caseload:… more
- Highmark Health (Buffalo, NY)
- …for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (eg, NCQA, CMS), the ... authorization. **ESSENTIAL RESPONSIBILITIES** + Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a… more
- CACI International (Washington, DC)
- …Civil Procedure and application of practical litigative experience. + Provide litigative case management and organizes cases by preparing and organizing ... to Start: DOJ MBI Employee Type: Regular Percentage of Travel Required: None Type of Travel : None...research the financial background of a debtor and the case . + Prepare a variety of discovery-related documents, eg… more
- University of Pennsylvania (Philadelphia, PA)
- …The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement ... throughout Philadelphia to recruit study participants which may involve travel throughout Philadelphia and surrounding areas to community-based venues. Research… more
- ZOLL Medical Corporation (Boston, MA)
- …for clinically appropriate cases. Determine independently and work collaboratively with office staff/ healthcare provider to bring patient's case to the staff's ... patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed… more
- Highmark Health (Pittsburgh, PA)
- …This job is responsible for leading large projects and initiatives related to the risk case management and intake activities of Highmark Health in support of a ... parties.Prepare and/or provide status reporting to Risk Partners, accountable management , and the Audit Committee of the Board of...preferably in an audit or compliance discipline in a healthcare or healthcare related industry **Preferred** +… more
- CVS Health (Charleston, WV)
- …will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, ... of business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of...for clinical and legal review + Documents all appropriate case activity in case tracking system +… more
- Teleflex (Seattle, WA)
- …and credentials + Provide written and verbal communication to sales/clinical rep, management , etc **Education / Experience Requirements** + Healthcare Provider ... 21, 2025 **Location:** Seattle, WA, US **Company:** Teleflex **Expected Travel ** : More than 50% **Requisition ID** :12639 **About...our vision to become the most trusted partner in healthcare , we offer a diverse portfolio with solutions in… more