- Centene Corporation (Phoenix, AZ)
- …activities, over/under utilization, operations, costs, and forecasted data to identify areas for improvement within UM to align to goals and objectives + Manages and ... and HBR performance for BH utilization management team to achieve cost-effective healthcare results and to ensure appropriate care to members + Manages and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …by management. Level II (in addition to Level I Accountabilities) + Offers process improvement suggestions and participates in the solutions of more complex ... and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to ... to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to… more
- Rochester Regional Health (Rochester, NY)
- …Health Information Management Location: Alex Park SUMMARY: The Financial Case Manager is responsible for reviewing uninsured and under-insured patient accounts by ... following the insurance verification process . All communication must be conducted in a manner...rendered. The FCM may also help in internal continuous improvement initiatives around financial performance. This individual works collaboratively… more
- WellSpan Health (Lebanon, PA)
- …inappropriate utilization of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient, visitor, and ... to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. + Prepares and presents utilization data analysis as… more
- Abbott (Sylmar, CA)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...people in more than 160 countries. **Job Title** **Compliance Manager ** **Working at Abbott** At Abbott, you can do… more
- WellSpan Health (Ephrata, PA)
- …and organizes work. Actively takes part in the performance appraisal process . Holds staff accountable for performance standards. Mediates staff conflicts and ... provides feedback concerning performance, behavior, etc.. + Collaborates with the Nurse Manager and the Charge Nurse on areas of need on the unit (eg, problematic… more
- BlackRock (San Francisco, CA)
- **About this role** The Regional Security Manager (RSM) is responsible for leading and executing the corporate security strategy across a defined geographic region. ... force performance, ensuring compliance with service-level agreements and continuous improvement initiatives. + Partner with Human Resources, Legal, and Compliance… more
- Cleveland Clinic (Cleveland, OH)
- …support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As an RN Case Manager , you will ... of being the best place to receive care and the best place to work in healthcare . **A caregiver in this position works days from 8:00AM - 4:30PM.** A caregiver who… more
- WM (Dunkirk, NY)
- …leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size. Join us on our ... building and plant/transfer equipment based activities. Under minimum direction, the Manager Maintenance is responsible for all maintenance programs within less than… more