Current jobs related to Director of Utilization and Denials Management - York, Pennsylvania - WellSpan Health
-
Director of Utilization Management and Denials
3 weeks ago
York, Pennsylvania, United States WellSpan Health Full timeJob SummaryWellSpan Health is seeking a highly skilled Director of Utilization Management and Denials to oversee the operations of the utilization management department. The ideal candidate will have a strong background in leadership and experience in utilization management.Key ResponsibilitiesSupervise and oversee the utilization management process for...
-
Supervisor - Case Management Lead
4 weeks ago
York, Pennsylvania, United States WellSpan Health Full timeJob SummaryWe are seeking a highly skilled and experienced Supervisor - Case Management to join our team at WellSpan Health. As a key member of our Case Management department, you will be responsible for overseeing the operations of our Case Management team and ensuring the delivery of high-quality, cost-effective healthcare services.Key...
-
Senior Project Manager
3 weeks ago
York, Pennsylvania, United States IB Abel Inc Full timeJob OverviewIB Abel Inc is seeking an experienced Senior Project Manager to lead utility construction projects in our transmission group. The ideal candidate will have a strong background in project management, excellent communication skills, and the ability to mentor up-and-coming Associate Project Managers.Key Responsibilities:Conduct weekly crew...
-
Managing Director of Distribution
4 weeks ago
York, Pennsylvania, United States Glatfelter Insurance Group Full timeAbout the PositionGlatfelter Insurance Group is seeking a seasoned professional to lead our distribution efforts. As Managing Director of Distribution, you will be responsible for overseeing the management and leadership of our Public Entities, Ministry Care, and Healthcare Programs.Key ResponsibilitiesDevelop and implement strategic plans to achieve...
-
Managing Director of Distribution
4 weeks ago
York, Pennsylvania, United States Glatfelter Insurance Group Full timeAbout the RoleGlatfelter Insurance Group is seeking a seasoned professional to assume leadership responsibilities for our Public Entities, Ministry Care, and Healthcare Programs. As Managing Director of Distribution, you will oversee the strategic direction and growth of these programs, driving innovation and excellence in insurance solutions.Key...
-
Tax Manager
4 weeks ago
York, Pennsylvania, United States Jobot Full timeAdvance Your Career as a Tax ManagerAt Jobot, we're committed to excellence in tax management and offer a unique opportunity for you to advance in your career. As a Tax Manager, you'll be responsible for managing tax compliance for federal, state, and local taxation across various entities.Key Responsibilities:Prepare and compile tax information for internal...
-
Program Director
3 weeks ago
York, Pennsylvania, United States Children's Aid Society Full timeJob OverviewChildren's Aid Society is seeking a Program Director to support the implementation of the Youth Court Alliance (YCA) program.The successful candidate will work under the direct supervision of the Director of Clinical Services to manage, coordinate, and oversee the YCA program. Additionally, the Program Director will assist with community...
-
Tax Manager
4 weeks ago
York, Pennsylvania, United States Jobot Full timeAdvance Your Career as a Tax ManagerAt Jobot, we offer a unique opportunity for tax professionals to advance their careers and take on leadership roles. As a Tax Manager, you will be responsible for managing tax compliance for federal, state, and local taxation across various entities. You will also prepare and compile tax information for internal use and...
-
Tax Manager
4 weeks ago
York, Pennsylvania, United States Jobot Full timeAdvance Your Career as a Tax ManagerTake the next step in your professional journey as a Tax Manager with Jobot, a dynamic management and investment firm in York, PA. Our collaborative environment and commitment to excellence provide a unique opportunity for growth and development.Why Choose Us?Comprehensive Benefits Package: Enjoy a 401(k) matching program,...
-
Director of Operations
4 weeks ago
York, Pennsylvania, United States IB Abel Inc Full timeJob DescriptionThis role will oversee all aspects of operations for a leading electrical contractor as Director of Distribution Operations. The position includes supervising and managing operational resources, including personnel and equipment, to ensure the success and profitability of the Line of Business (LOB).Key Responsibilities:Provide leadership and...
-
Program Director
4 weeks ago
York, Pennsylvania, United States Children's Aid Society Full timeProgram Lead Job DescriptionChildren's Aid Society is seeking a highly skilled and dedicated Program Lead to join our team. As a key member of our organization, you will play a vital role in supporting the implementation of our Youth Court Alliance program.Key Responsibilities:Program Management: Collaborate with the Director of Clinical Services to oversee...
-
Electric Utility Project Coordinator
3 weeks ago
York, Pennsylvania, United States Welty Building Company Full timeWelty Energy, an affiliate of Welty, is a professional services company specializing in program and project management, transmission line engineering, and substation engineering. Our team provides construction oversight on transmission, substation, and distribution projects ranging in voltages from 4kV to 765kV. Headquartered in Akron, OH, and working...
-
Program Director
4 weeks ago
York, Pennsylvania, United States Children's Aid Society Full timeProgram Lead Opportunity at Children\u0027s Aid SocietyWe are seeking a highly motivated and experienced Program Lead to join our team at Children\u0027s Aid Society. The successful candidate will be responsible for supporting the Director of Clinical Services with the implementation of the Youth Court Alliance program.Key Responsibilities:Support the...
-
Director of Quality Assurance
4 weeks ago
York, Pennsylvania, United States JFC Staffing Full timeDirector of Quality Opportunity JFC Staffing is seeking a seasoned Director of Quality to join our team. As a key member of the executive leadership team, you will be responsible for driving quality initiatives and ensuring compliance with industry standards. Key Responsibilities: Develop and implement quality strategies to improve processes and reduce...
-
Construction Worker
4 weeks ago
York, Pennsylvania, United States Stewart and Tate Full timeJob SummaryThe Construction Laborer performs a variety of tasks involving physical labor at highway and heavy construction projects. This role may involve operating hand and power tools, cleaning and preparing sites, digging trenches, setting braces to support excavations, erecting scaffolding, cleaning up rubble and debris, and removing waste materials. The...
-
Nursing Unit Director
2 months ago
York, Pennsylvania, United States Inners Creek Nursing & Rehab - Dallastown, PA Full timeUnit Manager/Director - RN Job DescriptionAt Inners Creek Nursing & Rehab - Dallastown, PA, we are seeking a highly skilled and dedicated Unit Manager/Director - RN to join our team. As a key member of our leadership team, you will be responsible for delivering high-quality patient care while achieving positive clinical outcomes and patient/resident, family,...
-
Nursing Unit Director
2 months ago
York, Pennsylvania, United States Inners Creek Nursing & Rehab - Dallastown, PA Full timeUnit Manager/Director - RN Job DescriptionAt Inners Creek Nursing & Rehab - Dallastown, PA, we are seeking a highly skilled and dedicated Unit Manager/Director - RN to join our team. As a key member of our leadership team, you will be responsible for delivering high-quality patient care while achieving positive clinical outcomes and patient/resident, family,...
-
Nursing Unit Director
2 months ago
York, Pennsylvania, United States Inners Creek Nursing & Rehab - Dallastown, PA Full timeUnit Manager/Director - RN Job DescriptionAt Inners Creek Nursing & Rehab - Dallastown, PA, we are seeking a highly skilled and motivated Unit Manager/Director - RN to join our team. As a key member of our leadership team, you will be responsible for delivering high-quality patient care while achieving positive clinical outcomes and patient/resident, family,...
-
Nursing Unit Director
2 months ago
York, Pennsylvania, United States Inners Creek Nursing & Rehab - Dallastown, PA Full timeUnit Manager/Director - RN Job DescriptionAt Inners Creek Nursing & Rehab - Dallastown, PA, we are seeking a highly skilled and dedicated Unit Manager/Director - RN to join our team. As a key member of our leadership team, you will be responsible for delivering high-quality patient care while achieving positive clinical outcomes and patient/resident, family,...
-
Construction Worker
1 month ago
York, Pennsylvania, United States Stewart and Tate Full timeJob SummaryThe Construction Laborer performs a variety of tasks involving physical labor at highway and heavy construction projects. This role may operate a range of hand and power tools and may clean and prepare sites, dig trenches, set braces to support the sides of excavations, erect scaffolding, clean up rubble and debris, and remove waste materials. The...
Director of Utilization and Denials Management
2 months ago
WellSpan Health is seeking a highly skilled and experienced Director-Utilization and Denials Management to lead our utilization management department. As a key member of our leadership team, you will be responsible for overseeing the operations of the department, working closely with hospital, regional, medical group, Population Health, post-acute services, revenue services, and system leadership to achieve strategic goals.
Key Responsibilities:- Supervise and oversee the utilization management process for preauthorization, concurrent review, denials, and appeals for System acute care facilities.
- Direct, coordinate, and evaluate the efficiency and productivity of utilization management functions.
- Lead strategic goals and priorities across utilization management that support WellSpan's strategic priorities and objectives.
- Develop, review, implement, and oversee effective administration of Utilization Management workflow and processes in accordance with contract compliance and regulatory requirements.
- Oversee and evaluate the activities and effectiveness of Utilization Management activities.
- Build a high-functioning team that meets all operating goals, including quality, efficacy, administrative expense, customer service, performance improvement, regulatory requirement satisfaction, and staff engagement.
- Masters Degree Required
- 5 years In leadership experience. Required
- 3 years Utilization Management Experience. Preferred
- Licensed Registered Nurse Preferred
WellSpan Health is an Equal Opportunity Employer. We are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at careers@wellspan.org. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.
