utilization management support jobs in Philadelphia

PA RN License RequiredWe are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine the medical necessity of requested healthcare services, ensuring members receive appropriate, evidence-based care while maintaining compliance with regulatory...

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses and create career opportunities across a wide range of locations and disciplines. We are at the forefront of change and...

ROLE: Acquisition Management Support I REQUIRED: Interim TS clearance, OR active, final Secret with immediate eligibility for SSBI/T5 investigation Education: Bachelor's degree in business from an accredited college or university. Active IAT III certification Ability to work onsite at NSWC-PD (1) or more years professional experience in acquisition...

Utilization Management Coordinator - Philadelphia Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to our brand new location at 3905 W. Ford Road Philadelphia, PA 19131. Position Summary: To conduct continued stay...

OLH Technical Services, LLC, a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Program Manager - Aviation Supply Support. Position Responsibilities: * Communicates with customer to provide status and accept communication, guidance, or direction. Works with the customer on a daily basis as required, to...

Ghostrock, a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a DoD Project Manager - Engineering & Operations Support. We are hiring multiple Project Managers to support Department of Defense and U.S. Navy programs. Candidates should have strong project oversight capabilities and experience in engineering,...

Five Below Store Manager At Five Below our growth is a result of the people who embrace our purpose: Ensures all crew members are Wowing the Customer through personal contact with customers. Trains the crew on the B.T. customer service experience; Helps oversee the daily activities of all store associates, ensuring they are performing their duties...

Infrastructure Geospatial Technology Specialist 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

Job Title: Utility Accounting SMELocation : Philadelphia PA 19107Duration : 12 Months Note: Onsite interview is must. This is Hybrid Role. Position overview / Statement of WorkThe Lead Accounting Subject Matter Expert (SME) serves as the functional authority for accounting and financial business processes throughout the CIS implementation. This individual...

Department: Right of Way ProfessionalLocation: Remote - PACompensation: $64,374 - $101,702 / yearDescriptionLocation: Pennsylvania (candidate will have the flexibility to work out of their home office but must reside in Pennsylvania)Schedule: Full-time; ExemptTravel: Candidate can expect to travel locally and throughout Pennsylvania about 50% of the timeWhy...

Job Title SERVICE AREA: Housing & Justice Related Services (HJRS) PROGRAM: New Pathways Project (NPP) Recovery Support Services (RSS) JOB OVERVIEW: The Recovery Support Services (RSS) program is an enhancement service for the New Pathways Project (NPP) that supports individuals in recovery from substance use disorders. The RSS program provides non-clinical...

Job DescriptionJob DescriptionAbout Burns:Burns Engineering provides professional engineering design and project management services for transportation, facilities, and infrastructure projects. We help our clients attain their strategic goals and initiatives through successful large-scale infrastructure projects. Burns' full-service capabilities include...

Embrace the role of a Support Lead at Five Below! Oversee daily store operations, drive customer satisfaction, and support staff development in a fast-paced retail environment. If you have management experience and a passion for delivering exceptiona

Position Summary Our Deloitte Strategy & Transactions team helps guide clients through their most critical moments and transformational initiatives. From strategy to execution, this team delivers integrated, end-to-end support and advisory services covering valuation modeling, cost optimization, restructuring, business design and...

Description:Client is undertaking a multi-year Customer Information System (CIS) modernization initiative to replace the legacy Basis2 system with a modern, integrated platform that will support customer service, billing, payments, collections, financial management, and operational efficiencies for more than 600,000 water customers.The implementation will...

Embrace the role of a Support Lead at Five Below! Oversee daily store operations, drive customer satisfaction, and support staff development in a dynamic retail environment. If you have management experience and a passion for delivering exceptional s

Why Work for Saddle Creek? Saddle Creek Logistics Services succeeds by promoting a diverse, friendly, and respectful teamwork environment. As a vital service provider, we not only make a difference in our community but offer our associates opportunities to enhance their skills, build meaningful careers and end each day with a sense of accomplishment. If...

Legal Support Manager DLA Piper is, at its core, bold, exceptional, collaborative and supportive. Our people are the backbone, heart and soul of our firm. Wherever you are in your professional journey, DLA Piper is a place you can engage in meaningful work and grow your career. Let's see what we can achieve. Together. The Legal Support Manager, working in...