- Devereux Advanced Behavioral Health (Malvern, PA)
- …answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has its Advantages! You ... need. Devereux's Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work at their acute psychiatric inpatient… more
- Penn Medicine (Cherry Hill, NJ)
- …day. Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Financial Clearance **Location:** Penn Medicine Cherry Hill- 1865 ... Route 70 E **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses… more
- Datavant (Trenton, NJ)
- …tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and improve ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
- Cognizant (Malvern, PA)
- …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of… more
- Cognizant (Trenton, NJ)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, medical ... necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party… more
- South Jersey Industries (Folsom, NJ)
- …efforts: + Prepare presentations, transaction summaries, and supporting schedules + Review legal documents and ensure timely regulatory disclosures + Coordinate with ... and maintain dashboards for treasury KPIs Process Improvement and Technology Utilization + Identify and implement process improvement opportunities + Leverage TMS… more
- Evolent (Trenton, NJ)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- Aveanna Healthcare (Bala Cynwyd, PA)
- …through onboarding process to maintain relationship. - Assists the Onboarding Specialist , when necessary, with any onboarding requirements. - Coordinates the opening ... appropriately skilled clinician, and within insurance authorization. - Responsible to manage utilization of direct care team members based on patient needs as well… more
- EMCOR Group (Norristown, PA)
- …cost. Develop an auditing process and establish QBR schedule with account Procurement Specialist for our key vendors to hold them accountable to meeting our ... procedures. Own the centralized Fire Extinguisher/system software and insure proper utilization and training across all sites. Investigate, develop and implement… more
- Ryder System (Trenton, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... (Tier 1 Call Center Representatives and Tier 2 Functional Specialist ). Ensure contact center staff have the training and...to get things done regardless of obstacles + Optimized utilization of resources to provide a delightful and consistent… more
- ChenMed (Philadelphia, PA)
- …and explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... as part of the clinical operations team and is responsible for providing specialist patient care in nursing homes, skilled nursing facilities (SNF) and home… more
- Lincoln Financial (Radnor, PA)
- …+ AWS and Azure AD networking services + Proxy services and PAC utilization + Provides advance level support for customer network related issues. (Enterprise ... and Switching or Data Center + Symantec (Bluecoat) Certified Specialist (SCS) + Palo Alto Certified Network Security Engineer...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- ASM Research, An Accenture Federal Services Company (Trenton, NJ)
- …on the project in a senior administrator capacity. Considered a technical specialist in a variety of IT administrator disciplines. + Configure, monitor, and ... as needed (aside from on-call rotation). + Optimize system operations and resource utilization as well as perform system capacity analysis and planning. + Utilize… more