utilization specialist jobs in Philadelphia

Summary This position is located at the VA Medical Center in Philadelphia, PA. As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisition and support services required by project managers, program managers, upper...

DescriptionGeneral overview of key roles and responsibilitiesThe Utilization Reviewer Specialist plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. This position is part-time, 20-25 hours per week and blends strong relationship-building skills with...

Overview Leverage your Electric/Gas Energy Utility industry experience to inform, educate, and inspire Esri users and prospects in the Energy Utility Industry. Identify, craft, and execute marketing campaigns that support targeted goals and objectives. As an industry specialist, you will research and report on financial, technological, and other factors that...

DescriptionMalvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory responsibilities over a growing Utilization Review department and works closely with the Clinical team at Malvern. The Utilization Review Manager is a full time,...

*This is a 100% remote role for a candidate located within the Eastern Time Zone in the US.* Zeitview is the leading intelligent aerial imaging company for high-value infrastructure, providing businesses with actionable, real-time insights to recover revenue, reduce risk and improve build quality. We serve customers in the solar, wind, insurance,...

About European Wax Center European Wax Center®, a leading beauty lifestyle brand franchise founded in 2004 by the Coba brothers, offers guests a full suite of waxing services, as well as a proprietary line of beauty products in the skincare, body, and brow categories. EWC provides guests with a modern environment for a comfortable and luxurious...

About UsAction Wellness started as ActionAIDS in 1986 when a group of dedicated volunteers came together to support their community at the beginning of the HIV epidemic. Today, staff provide a range of trauma-informed services to help persons with HIV and individuals with substance use disorders at risk of acquiring HIV achieve physical, emotional and...

POSITION SUMMARY America’s Home Health Services is seeking a highly organized, detail-oriented, and proactive Compliance Specialist to oversee and maintain the agency’s day-to-day regulatory compliance and audit-readiness program. The Compliance Specialist is responsible for ensuring that America’s Home Health Services is audit-ready 100% of the...

Position Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not limited to identifying incidents of theft and fraud,...

As a member of the Finance Department, the Billing Specialist provides accurate and timely completion of billing as assigned, ensuring that all tasks are completed in accordance with Firm or client billing guidelines or policies. ESSENTIAL FUNCTIONS: Assist in responding timely to general billing inquiries directed by all levels of management, staff,...

About the Role:The ICST Behavior Specialist plays a critical role in supporting individuals with behavioral challenges by implementing evidence-based interventions and strategies tailored to their unique needs. This position focuses on assessing behavior patterns, developing individualized behavior support plans, and collaborating with multidisciplinary...

Help People HealRecovery SpecialistPhiladelphia, PAFull-Time$40,000 AnnuallyDailyPay AvailableLooking for More Than Just a Job?At Resources for Human Development (RHD), we believe every person deserves the opportunity to live a meaningful, fulfilling, and independent life.We're seeking compassionate, dedicated professionals who are looking for more than a...

CORA Services is a dynamic and growing not for profit organization in Philadelphia. For more than 50 years, CORA has served children and families experiencing emotional, academic and social challenges that impact their development and productivity. Our mission is to empower children, young people and families to thrive through quality and compassionate...

DescriptionSUMMARY: Certified Peer Support Services: intended to serve adults who are 18 years of age or older with serious emotional disturbance or serious emotional illness and individuals who are members of the adult priority group as defined by Bulletin OMH-94-04, Serious Mental Illness: Adult Priority Group.  NET will deliver PSS services to any...

At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and to keep those employees happy and engaged. We provide the tools and the support our employees need to grow both professionally and personally. We encourage...

The Certified Recovery Specialist will provide direct care to patients who are managing addictive disease disorders, chemical dependency problems, psychiatric disorders and other illnesses. The Certified Recovery Specialist, working under the direction of the clinical team, will perform the following duties: Assist in the scheduling appointments and...

REGIONAL SAFETY SPECIALIST Regional Assignment | Full Time | Health & Safety   Bring Safety Leadership to Where It Matters Most - the Field Safety in line construction is more than policies and procedures. It requires experienced professionals who understand the work, recognize the hazards, and can build credibility with the crews performing it every...

Financial Aid Specialist Under the guidance of the Manager, Financial Aid Operations, the Financial Aid Specialist is a Financial Aid team member. Functioning as a generalist, the Specialist reviews, verifies, and awards financial aid; performs Direct Student Loan certifications; communicates information to students and parents about the various financial...

COME BUILD HOPE WITH US!MHP hiring a full time Recovery Learning Specialist who will facilitate recovery groups for participants in efforts to teach and support the acquisition and utilization of skills needed to enable the individual's recovery i.e., WRAP trainings, mental health advanced directives, health screens, budget management, substance use...

We offer the following excellent benefits including: Loan forgiveness, Free parking, Medical, Vision, Prescription, Paid Time Off, Paid Parental Leave, Retirement Plan, Tuition Reimbursement, Dental, Life and Disability, Flexible Spending Accounts, Referral program, Employee Assistance Program and more!Position Summary:CTT is mandated to provide service to...