- Parexel (Dover, DE)
- …**Skills and Education:** + Bachelor's/ Master's Degree or equivalent in relevant health care area. Further formal education in quality management or business ... quality activities within the assigned therapeutic area. This includes operational quality management and inspection management activities. The CQOM will oversee… more
- Highmark Health (Dover, DE)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care , based on the ... and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and … more
- Humana (Dover, DE)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Pfizer (Dover, DE)
- …here at Pfizer. **What You Will Achieve** The Pfizer US Specialty Care Gastroenterology Sales Team Organizational Coordinator will coordinate all administrative ... 3 Regional Business Directors, 24 Area Business managers, and approximately 205 Specialty Care field colleagues. The Regional Sales Coordinator will also manage… more
- Acelero Learning (Milton, DE)
- …community impact? Acelero, Inc. is seeking a detail-oriented and mission-driven Finance Coordinator to support the financial operations of our Delaware delegate. In ... Equality; Caring Teams & Communities. Your Role: As the Finance Coordinator , you'll ensure the smooth day-to-day processing of financial transactions, vendor… more
- CDM Smith (Dover, DE)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal ... to the Task Order PM, creates weekly reports for presentation to FEMA Management . * Consults with CCPRS subcontractors to resolve discrepancies in expense reporting… more
- System One (Dover, DE)
- Senior Marketing Production Coordinator **Employment Type:** Full Time **Date Posted:** 10/16/2025 **Location:** Remote (Based in the US) **Pay Range:** Negotiable ... **Job Number:** JO-2510-2746 **Primary Function** The Senior Marketing Production coordinator will join a team that provides market and strategic thought leadership… more
- CVS Health (Dover, DE)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The **Senior Coordinator , Proposals** contributes strategic and technical support for the sales process.… more
- Cardinal Health (Dover, DE)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... specific to open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors, Patient Navigators,… more
- Fresenius Medical Center (Dover, DE)
- …enrollment and Medicare reinstatement papers with the patients. + Tracking 30-month coordinator period each month for those patients on employer Group Health Plans ... and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable… more
- Fresenius Medical Center (Smyrna, DE)
- …following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, ... programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe… more
- Cardinal Health (Dover, DE)
- …accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. ... are consistently achieved. + Perform any other functions as required by management . **Qualifications** + Minimum 2 years of experience in Insurance follow-up… more
- Highmark Health (Dover, DE)
- …+ Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail ... pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Humana (Dover, DE)
- …Experience as an MDS Coordinator or discharge planner in an acute care setting + Previous experience in utilization management /utilization review for a ... of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation… more
- Intermountain Health (Dover, DE)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...severity of illness, risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups),… more
- CVS Health (Dover, DE)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ... experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience… more
- CVS Health (Dover, DE)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... At CVS Health, we are focused on transforming health care for our customers and making our company a...throughout the district, you are accountable for supporting the management , oversight, and operation of the pharmacy and pharmacy… more
- Public Consulting Group (Dover, DE)
- …(HFW) is a highly structured, team-based collaborative model with a single accountable care coordinator that adheres to the fidelity of the model, convenes ... Technology + Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies High Fidelity Wraparound Local Trainer and… more
- ITW (Dover, DE)
- …competitive salary, and a comprehensive benefits package designed to help employees care for themselves, their families, and their futures. **Job Description** The ... Implementation Project Manager is responsible for leading project management efforts for software conversions and implementations. They will ensure that complex,… more
- PathStone Corporation (Bridgeton, NJ)
- Family Services Community Partnership Coordinator Summary Purpose for the Position: Provide for planning, coordination and implementation of comprehensive social ... be able to interact with inter-agency and external personnel, center management staff, families and community service providers. Bilingual (English/language of… more
