- 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 State Health (Hershey, PA)
- …prohibit or outlaw discrimination._ **Union:** SEIU Healthcare Pennsylvania **Position** Specialist (Part-time) - Utilization Management **Location** US:PA: ... at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Responsible for the review of clinical documentation in the Electronic Medical Record… more
- Penn Medicine (Lancaster, PA)
- …day. Are you living your life's work? Job Title: Medication History Specialist Medication Administration Location: 555 N Duke Street Department: Medication History ... entering patient medication histories into the hospital's information system for utilization by health care professional during the hospital encounter. JOB… more
- Datavant (Harrisburg, PA)
- …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
- Cushman & Wakefield (Harrisburg, PA)
- **Job Title** Procurement Specialist **Job Description Summary** Under the direction of the Procurement Leadership, this role will assist in all aspects of ... overall vendor management on the assigned client accounts. The Procurement Specialist is expected to have Procurement, Strategic Sourcing, Contracting and Analytical… more
- UPMC (Harrisburg, PA)
- …and rewarding areas of pediatric medicine. Purpose: The Programmatic Nurse Specialist , a professional registered nurse, has the authority, responsibility and ... process. In collaboration with the health care team, the Programmatic Nurse Specialist applies expert clinical knowledge and skills to achieve quality patient… more
- Sedgwick (Harrisburg, PA)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... Support Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and Commissions (IAIABC)… more
- Prime Therapeutics (Harrisburg, PA)
- …and drives every decision we make. **Job Posting Title** Customer Care Specialist **Job Description** This position is a front-line service position providing ... into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. + Demonstrates flexibility in areas such as job duties… more
- WellSpan Health (York, PA)
- …requests for service and/or assistance. + Provides a monthly operational review that includes monitoring product financial performance, operational challenges, and ... opportunities. + Evaluates the results, utilization , and value of established products and services to...employer database. + Provides reporting to employers on product utilization and outcomes. + Compiles data and prepares regularly… more
- UPMC (Harrisburg, PA)
- …+ Facilitates pharmaceutical care services, direct patient care programs, medication utilization systems within assigned services and care areas to assure drug ... utilization activities are aligned with patient care needs, evidence-based...the management of medical emergencies + Provides discharge medication review , reconciliation, and counseling as appropriate + Provides pharmaceutical… more
- Merck (West Point, PA)
- …supply chain deliverables and prepares, analyses, and/or develops mitigation strategies for review with clinical partners and senior leaders. + Works directly in the ... (IVR) System development and User Acceptance Testing (UAT) for assigned studies. + Utilization of key technological tools and systems for GCS planning such as SWMS,… more
- Evolent (Harrisburg, PA)
- … 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
- Penn Medicine (Lancaster, PA)
- …utilizing drug therapy safely and effectively through medication prescription review and fulfillment, patient monitoring and patient education. Supervises pharmacy ... + Advises the provider and patient regarding the contents, therapeutic action, utilization and possible adverse reactions or interactions of medication. + Performs… more
- ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
- …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