HarrisburgRecruiter Since 2001
the smart solution for Harrisburg jobs

Supervisor, Utilization Management

Company: Centene Coproration
Location: Harrisburg
Posted on: December 4, 2019

Job Description:

Description: Position Purpose: Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process Ensure compliance within applicable state program guidelines Evaluate compliance policies and procedures and analyze/recommend enhancements Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements Identify opportunities for process improvements necessary to facilitate department functions Educate staff as necessary to ensure consistent performance and adhere to standards Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary For MCOs, supervise the Transition of Care staff and provide face to face contact with inpatient members at assigned hospitals

Keywords: Centene Coproration, Harrisburg , Supervisor, Utilization Management, Executive , Harrisburg, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Director Mkting & Capture Mgmt
Description: Job Level: Management Level 7 Job Function: This position reports directly to the Vice President of Strategic Planning and Business Development and is a member of the Senior Leadership Team SLT . The (more...)
Company: Quantech Services
Location: Chantilly
Posted on: 12/14/2019

Project Manager
Description: Job Title Project Manager Date Posted 10/30/2019 Location Harrisburg, PA Position Id EB- Job Description Strategic Resources, Inc. SRI is an international, ISO 9001:2015 Certified, CMMI Level (more...)
Company: Strategic Resources Inc (SRI)
Location: Harrisburg
Posted on: 12/14/2019

Emergency Management Coordinator
Description: Salary/Rate N/A Permanent Location Chantilly, VA, United States Posted By Wood. Date Posted 3 weeks ago Expires 15 Dec 2019 Qualifications None Emergency Management Coordinator in Chantilly, VA, United (more...)
Company: Wood
Location: Chantilly
Posted on: 12/14/2019


Cyber Security Project Manager
Description: br br RESPONSIBILITIES br br Noblis is seeking an experienced cybersecurity project manager to assist with enterprise cyber strategy. The Project Manager will lead a diverse team of technology (more...)
Company: Noblis
Location: Reston
Posted on: 12/14/2019

Inventory Control Clerk
Description: Adecco is assisting a local client recruiting for a current Inventory Control Clerk job in Chantilly, Va. This is a temp-permanent opportunity. As a Custodian you will maintain and dispense paper inventory (more...)
Company:
Location: Chantilly
Posted on: 12/14/2019

Custodian
Description: Adecco is assisting a local client recruiting for a current Custodial job in Chantilly, Va. This is a temp-permanent opportunity. As a Custodian you will clean and maintain working areas. If you meet (more...)
Company:
Location: Chantilly
Posted on: 12/14/2019

Cloud Project Manager with Security Clearance
Description: We at Bestica are looking for Cloud Project Manager to oversee application architecture and deployment in cloud platform environments -- including public cloud, private cloud and hybrid cloud. This can (more...)
Company: Bestica
Location: Chantilly
Posted on: 12/14/2019

Project/Data Management Specialist with Secret Clearance with Security Clearance
Description: The PM will be responsible for the oversight, management, modernization, development, and implementation of the data center enterprise Data Center Infrastructure Management DCIM solutions. The work (more...)
Company: NTT DATA Federal Services, Inc
Location: Sterling
Posted on: 12/14/2019

Senior Project Manager
Description: OVERVIEW br br As a Program Manager, you independently lead a portfolio of projects and agile teams to deliver on customer and organizational goals. With the focuse on the customer s mission and program (more...)
Company: REI Systems
Location: Sterling
Posted on: 12/14/2019

Financial Reporting Manager
Description: Eurofins NSC US, a national service center serving the US entities of Eurofins Scientific, is searching for a Financial Reporting Manager in Lancaster, PA. br br Financial Reporting Manager responsibilities (more...)
Company: Eurofins
Location: Lancaster
Posted on: 12/14/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Harrisburg RSS job feeds