Expired Utilization Management Supervisor jobs in Pittsburgh, PA
Pittsburgh, PA
$35,921-$138,922/year (est.)
Company : Gateway Health Plan Job Description : JOB SUMMARY This job manages a team of clinicians charged with promoting quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures adherence to medical policy and member benefits in providing service that...
Pittsburgh, PA
$35,921-$138,922/year (est.)
Description Position Scope: Manages clinical and/or non-clinical staff. Acts as a liaison and collaborates with all matrix partners. Adapts to dynamic business environment and product enhancements while remaining current with industry trends. Works closely with Quality department to meet guidelines...
Pittsburgh, PA
$35,921-$138,922/year (est.)
Supervisor Utilization Management Review Location: Pittsburgh, PA Primary Job Function: Medical Management ID**: 23913 Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build...
Pittsburgh, PA
$35,921-$138,922/year (est.)
POSITION SUMMARY Supervisor responsible for the management of a Medicare Grievance Team of approximately 15 analysts. Supports the administration and resolution of grievances ensuring that the team is taking appropriate action to research, investigate, and resolve member issues timely. Identifies...
Pittsburgh, PA
$35,921-$138,922/year (est.)
POSITION SUMMARY The Supervisor Prior Authorization is responsible for managing the day-to-day operations of a team of prior authorization associates in a call center. Plans and directs work flow and project assignments. Oversees prior authorization call volume and workload to ensure service...
Pittsburgh, PA
$35,921-$138,922/year (est.)
Description GENERAL OVERVIEW: Responsible for managing a team of clinicians charged with promoting quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures adherence to medical policy and member benefits in providing service that is medically...