utilization management bayless jobs in Philadelphia

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.LVHN has been ranked among the "Best Hospitals" by U.S. News & World...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something...

Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating with our Medical Director to perform benefit and medical necessity reviews and appeals within an NCQA-compliant UM program. Salary:...

Job Description Dewberry's growing Commercial Utilities - Energy/Renewables Group is seeking a Senior Engineering Project Manager to lead the delivery of site/civil infrastructure projects for utility, energy, and renewable clients across the region. In this highly visible role, you'll be responsible for guiding projects from pursuit through construction,...

We Are:Accenture’s Cybersecurity practice, a global leader in delivering end-to-end cybersecurity services across strategy, risk management, digital identity, cyber defense, and managed security. With security professionals in 70 countries and specialized facilities like Cyber Fusion Centers and Cyber Labs, we focus on embedding security into digital...

We Are: Accenture is a leading solutions and services company that helps the world’s leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem...

Overview We invite you to bring your experience and passion for the infrastructure industry coupled with an understanding of applying geospatial technology to become an integral part of Esri’s Infrastructure account team. We’re looking for an individual who is customer oriented and a collaborative team player who enjoys identifying and implementing...

We Are:Accenture helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed for organizations across industries. Our strategy is to be the reinvention partner of choice for our clients and lead in the safe, widespread adoption of AI, and to be the most client-focused, AI-enabled,...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something...

We Are: Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with...

Technology Strategy Manager / Senior Manager - Resources Industry (Utilities or Energy) We Are: We are Technology Strategy and Transformation, and we design and execute industry-relevant reinventions that allow organizations to realize exceptional business value from technology. Our vision is to become the world’s leading advisors in harnessing...

Senior Project Manager The Senior Project Manager (SPM) is responsible for the overall leadership, strategy, and successful execution of Solar, Battery Energy Storage Systems (BESS), and Microgrid construction projects. The SPM ensures safety, quality, profitability, and client satisfaction through the integrated performance of the project team. This...

We Are: Accenture's Utility Industry, Power Generation Practice is providing power for a safe, connected, and sustainable planet. Every day, we work with the largest electric utilities to deliver innovative solutions and help them become more efficient, reliable, and environmentally friendly power. We co-create the future with our clients at Accenture...

Industry/Sector Not Applicable Specialism Functional & Industry Technologies Management Level Manager Job Description & Summary The Opportunity As a Utilities EAM Maximo Consultant, Manager, you will specialize in Maximo applications, assisting clients in optimizing operational efficiency through analysis, implementation, training, and support tailored...

We Are: Accenture Song’s Utilities team, a group of management consultants helping leading organizations reinvent service as a driver of customer trust, operational efficiency, and satisfaction. We help clients move beyond traditional cost-focused service models by defining future-ready customer service strategies, operating models, transformation...

We Are: Talent Reinventors, and we help clients co-create the workforce of the future. How? We make decisions based on insights. We give people the tools and roadmaps to do their best work. We create digital experiences employees love. And we teach companies how to grow great, forward-thinking leaders. Our approach and our people put us at the front of the...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something...

Accenture is a leading solutions and services company that helps the world’s leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships. Our...

We Are: Accenture Song’s Utilities team, a group of management consultants helping leading organizations reinvent service as a driver of customer trust, operational efficiency, and satisfaction. We help clients move beyond traditional cost-focused service models by defining future-ready customer service strategies, operating models, transformation...

We Are: Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth, and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with...