- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Harrisburg, PA)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Harrisburg, PA)
- …(UM) Nurse Consultant . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... clinical records. **Key Responsibilities of the UM Nurse Consultant ** (Includes but is not limited to) + Reviews...practice experience as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more
- Highmark Health (Camp Hill, PA)
- …as the clinical subject matter expert for clinical , quality, care, utilization , high cost claim and population health management as the part of the ... markets. The incumbent is primarily accountable for the delivery of clinical analysis and strategies for Highmark customers, including healthcare consultants and… more
- Penn Medicine (Philadelphia, PA)
- …Research with a focus on supply chain, patient throughput, resource allocation and utilization , queuing theory and capacity management to help optimize business ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- …+ Expertise in PBM operations, plan design, industry compliance, and clinical cost-containment strategies + Strong client relationship management and ... strategy, and deep industry knowledge. We're looking for a Pharmacy Benefits Consultant to join our growing Pharmacy Consulting Practice and help clients navigate… more
- IQVIA (Wayne, PA)
- …position, you must reside in the same country where the job is located._ ** Consultant - Commercial Solutions & Insights Hub (CSIH), Analytics Pillar** IQVIA CSIH is ... trends in complex data sets. + Provide Business Consulting and Project Management : The candidate will apply consulting methodologies to deliver engagements, create… more
- Cardinal Health (Harrisburg, PA)
- …a highly regulated industry + Previous sales experience selling to physicians, clinical end-users, materials management , and C-suite desired + Strong preference ... Job Description **Senior Consultant , Product Sales Specialist - NPHS** **The territory covers Pennsylvania (Philadelphia, Pittsburgh and Allentown), Maryland… more
- Highmark Health (Harrisburg, PA)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
- UPMC (Pittsburgh, PA)
- …product portfolio, drive cost reduction initiatives throughout UPMC and act as a consultant to and supporting resource for the clinical and non- clinical ... request system (MedApproved) across UPMC entities. + Manages communications and clinical literature research to support product utilization , product conversions… more
Recent Jobs
-
Airworthiness & Regulatory Engineer (Associate, Mid-Level, or Senior) (Regulatory Compliance)
- The Boeing Company (Everett, WA)