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Healthcare Project Manager Salary in Harrisburg, PA

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Applications Manager

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Applications Project Manager

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Architect Project Manager

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Assistant Project Manager

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Associate Project Manager

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Business Project Manager

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Capital Project Manager

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Clinical Project Manager

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Customer Project Manager

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Design Project Manager

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Digital Project Manager

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Electrical Project Manager

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Facilities Project Manager

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Finance Project Manager

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General Project Manager

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Global Project Manager

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Implementation Project Manager

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Infrastructure Project Manager

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International Project Manager

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Marketing Project Manager

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Principal Project Manager

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Program Coordinator

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Project Assistant

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Project Control Manager

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Project Controls Manager

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Project Coordinator

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Project Integrator

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Project Management Consultant

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Project Manager

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Project Officer

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Project Specialist

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Security Project Manager

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Software Project Manager

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Support Project Manager

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Systems Project Manager

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Technical Project Manager

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Technology Project Manager

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Testing Project Manager

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Training Project Manager

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Utilities Project Manager

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Sr. Health Plan Auditor - REMOTE
Health Services Advisory Group, Inc., Harrisburg
Job DetailsAre you passionate about improving the quality of healthcare? Are you ready to leverage your talents to make healthcare better for everyone? Do you want the opportunity to give back to your community? Do you want to have fun at work? Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!SummaryHSAG is nationally recognized as an industry leader in the areas of audits, data analysis, measure development, and patient satisfaction surveys. We are in search of talented individuals who are interested in a career in healthcare performance measure auditing as an Auditor, Sr. in HSAG's Audits department within the Data Science & Advanced Analytics division. Together we can spread positive change to make healthcare better. The Auditor, Sr. position benefits from HSAG's desire to grow its staff into future leaders of healthcare quality improvement in the nation. HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques. HSAG offers:A comfortable work-life balance, and flexible work schedules.Three weeks of paid time off and 15 company-paid holidays where staff leave two hours early prior to each holiday to get a "jump start" on holiday festivities.HSAG offers a competitive benefit package which includes medical, dental, vision, tuition reimbursement and 401(k).The Auditor, Sr. is a primary contributor to the Audit department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, this position performs-under supervision-healthcare auditing, data validation, and performance measurement projects through various stages including implementation, day-to-day operations, audit support, evaluation, and reporting. Activities include independently developing work plans, report templates, and timelines; independently leading contracts and project tasks; guiding coordination and Auditor I, II, and III staff in oversight and maintenance of project files and other project tasks; leading client teleconferences and meetings; performing online research on healthcare topics; leading performance measure validation audits; and providing regular progress reports to Data Science & Advanced Analytics management staff.Details regarding potential project assignments will be discussed with potential candidates during the interview process.Essential Competencies, Duties and ResponsibilitiesServe as a primary contributing member of HSAG's Audits department within DSAA.Serve as a lead auditor for all performance measure validation audits.Lead and manage multiple client contracts as primary point-of-contact and subject matter expert.Mentor and train junior staff with limited supervision.Provide oversight of supplemental Healthcare Effectiveness Data and Information Set (HEDIS®)[1] audit operations.Independently act in a liaison capacity between appropriate management personnel and staff, transmitting decisions and information to organizational units as appropriate, as well as outside agencies and organizations.Lead project management tasks, including communication (written, phone, fax).Communicate directly and manage project partners, consultants, subcontractors, and other entities on audit and performance measure validation-related projects.Maintain, tag, and sort documents for assigned projects on appropriate SharePoint team sites and HSAG's corporate and federal networks following HSAG prescribed governance rules.Prepare project deliverables and lead documentation and submission of deliverable using the appropriate mechanism (i.e., electronic, hard copy, direct data entry etc.).Develop and adhere to project time and task schedules, identify opportunities to improve the project process, and develop quality improvement activities accordingly.Meet agreed-upon deadlines in a timely fashion and independently and accurately prepare and type deliverables, reports, various project documents, letters, and other material.Lead and complete the development of written and data-oriented reports in Microsoft Word and Excel.Conduct research via the Internet including literature searches of clinical topics as assigned.Participate in and lead pertinent healthcare educational and training presentations as required.Conduct Internal Quality Control (IQC) monitoring regarding efficiency/effectiveness of activities conducted. Present issues and recommended solutions and take corrective actions as indicated.Serve as a subject matter expert to HSAG staff and clients on HEDIS measures and non-HEDIS performance measures as applicable.Represent HSAG in a professional manner at all times.[1] HEDIS Certified Measures® is a registered trademark of the National Committee for Quality Assurance (NCQA).Compensation: 101,000 to 125,000/annually DOEJob Requirements:Education and/or ExperienceMaster's degree in business, science, or healthcare-related field.At least seven years of work experience in healthcare and a minimum of ten years of work experience are required.Certified HEDIS Compliance Auditor (CHCA) required.At least five years of auditing experience and four years of experience as a lead auditor; at least four years in HEDIS auditing and/or data validation, with at least one year as a lead are required.Advanced knowledge of performance measures is required.Experience writing client reports as a lead author and report designer is required.Prior experience leading multiple medium and large projects or contracts is required.Experience writing responses to requests for proposals is required.At least two years of supervisory experience, including experience mentoring junior staff.Other QualificationsProficient English/communication skills (i.e., public speaking, spelling, composition, grammar, proofreading and editing).Proficient interpersonal skills.Experience in Microsoft Word, PowerPoint, and Outlook.Experience in Microsoft Excel.Experience in conducting research via the Internet.Ability to handle several projects simultaneously and work with multiple teams.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.HSAG All User Information Security ResponsibilitiesAll workforce members, volunteers, contractors or third-party agents of HSAG, Inc. who are authorized to access information systems and/or associated company data on paper or in electronic format are responsible for the following:Adhering to policies, procedures and guidelines pertaining to the protection of HSAG Company Data.Reporting actual or suspected breaches or vulnerabilities in the confidentiality, integrity or availability of HSAG Data to your immediate supervisor/manager, Corporate Compliance or Information Technology/Security Personnel.Reporting actual or suspected breaches or vulnerabilities in confidentiality, integrity or availability of Corporate Data, may be reported anonymously, via the NAVEX Global Compliance hotline at 1-800-992-9892.HSAG publishes various policies, guidelines and procedures related to the protection of Corporate Data and Information Systems. They can be found on the corporate SharePoint website. Information on requirements that may be unique to your business unit or a system you have access to can be found by talking to your supervisor/manager or designated system administrator.DisclaimerThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs requiring non-regular work hours, or technological developments).HSAG is an EEO Employer of Veterans protected under Section 4212.If you have special needs and require assistance completing our employment application process, please feel free to contact us. EOE M/F/Vet/DisabilityGet job alerts by email.Sign up now!
Assistant General Manager - Colonial Commons
Old Navy, Harrisburg
About Old Navy Forget what you know about old-school industry rules. When you work at Old Navy, you’re choosing a different path. From day one, we’ve been on a mission to democratize fashion and make shopping fun again. Our teams make style accessible to everyone, creating high-quality, must-have fashion essentials for the whole family, with love, season after season. We opened our first store in 1994 in San Francisco and have been on a roll ever since. We cultivate a community of playful personalities that thrive in a fast-paced environment where our employees can be their most authentic selves. Here, we’re family.About the RoleIn this role, you will set the tone for the store team and help bring our brand to life for our customers and employees. Your leadership role is critical in supporting the execution of the store strategy to achieve performance goals and drive profitable sales growth through all aspects of the store, including; customer and product operations, merchandising, and talent development. Through collaboration with your leadership team, your goal is to teach others and coach behaviors to cultivate a high performing team that meets or exceeds goals.What You'll DoAll leaders are expected to become experts of the brand's selling behaviors, leading and leveraging these behaviors with every customer who walks through our doors and allowing us to provide a exceptional customer experience.Recruit, hire and develop people to drive a culture of high performance and engagementAccountable for team performance through teaching, coaching and providing meaningful feedback to build capabilitiesSupport strategies and processes using a customer centric mindset to deliver results, drive store sales, and maximize efficiencies and productivityPromote community involvementAdapt team priorities to respond to customer and business partner needsProvide front line supervision to an operational, service or administrative teamWho You AreProvides clear and direct communication of expectations and gives feedback while listening to learn in order to unlock personal and business resultsProven ability to organize and utilize time management and prioritization skills to effectively manage multiple tasks in an environment with competing demandsStrength in driving metrics to deliver results that will meet or exceed business goalsAble to travel as requiredProbe beyond the stated situation, uses reporting and company tools to find identify underlying issues and considers possible alternativesBenefits at Old Navy Merchandise discount for our brands: 50% off regular-priced merchandise at Old Navy, Gap, Banana Republic and Athleta, and 30% off at Outlet for all employees. One of the most competitive Paid Time Off plans in the industry.* Employees can take up to five “on the clock” hours each month to volunteer at a charity of their choice.* Extensive 401(k) plan with company matching for contributions up to four percent of an employee’s base pay.* Employee stock purchase plan.* Medical, dental, vision and life insurance.* See more of the benefits we offer. *For eligible employeesGap Inc. is an equal-opportunity employer and is committed to providing a workplace free from harassment and discrimination. We are committed to recruiting, hiring, training and promoting qualified people of all backgrounds, and make all employment decisions without regard to any protected status. We have received numerous awards for our long-held commitment to equality and will continue to foster a diverse and inclusive environment of belonging. In 2022, we were recognized by Forbes as one of the World's Best Employers and one of the Best Employers for Diversity.US CandidatesPlease note that effective, June 30, 2022, Gap Inc. will no longer require any of its employees to wear face masks or require proof of COVID vaccination, unless required by local or state/provincial mandates or as part of Gap Inc's quarantine guidelines after being exposed to or testing positive for COVID. Therefore, please disregard any language in any job posting that refers to Gap Inc.'s face mask and proof of vaccination policy as said policy is no longer effective.
Project Manager-Strategic Programs
Veolia North America, Harrisburg
Company DescriptionAbout Veolia North AmericaA subsidiary of Veolia Group, Veolia North America (VNA) offers a full spectrum of water, waste and energy management services, including water and wastewater treatment, commercial and hazardous waste collection and disposal, energy consulting and resource recovery. VNA helps commercial, industrial, healthcare, higher education and municipality customers throughout North America. Headquartered in Boston, Mass., Veolia North America has approximately 10,000 employees working at more than 350 locations across the continent. Please visit our website www.veolianorthamerica.com.Job DescriptionBENEFITSVeolia's comprehensive benefits package includes paid time off policies, as well as health, dental and vision insurance. In addition, employees are also entitled to participate in an employer sponsored 401(k) plan, to save for retirement. Pay and benefits for employees represented by a union are outlined in their collective bargaining agreement. Position Purpose: This position is responsible to develop, implement and manage capital improvement projects related to water facilities including water treatment upgrades, pump stations, storage tanks, pipelines, and other facilities, and wastewater upgrades related to wastewater plants, lift stations and the collection system. Leads as project engineer for water and wastewater system additions and modifications working closely with company personnel in accomplishing successful project delivery. Participates in and actively contributes to short and long-term system planning as assigned. Effectively manages consultants and contractors for project delivery.The candidate works closely with Engineering and Operations personnel, managing and coordinating program activities utilizing a cross-functional team approach.The candidate works to ensure Asset Owner satisfaction by delivering projects in accordance with the success criteria defined in the project plan (i.e. operational performance, budget, schedule, regulatory compliance, etc.).Primary Duties/Responsibilities:Responsible for $2-$5M in capital projects annually, including conceptual design/development, coordination of pilot testing, development of the project plans and internal funding approvals.Manage the project development, design (either internal or external) and construction of medium and small capital projects in accordance with engineering guidelines and procurement policies. Support the oversight of construction management personnel to ensure timely completion of assignments, budget compliance, asset management documentation and adherence to applicable standards.Ensure corporate Technical and Environmental Health and Safety/Security standards are incorporated into the design specifications.Manage and report on project expenditures to ensure they are aligned with budget and prioritize projects based on available funding and risk assessment.Drive efficiency into project delivery through the monitoring of delivery metrics and utilization of alternate procurement and delivery methods.Manage environmental and governmental permitting in coordination with local business unit staff.Support the oversight of construction management personnel to ensure timely completion of assignments, budget compliance and adherence to applicable standards.Drive efficiency into project delivery through the monitoring of delivery metrics and utilization of alternate procurement and delivery methods.Participate in master planning efforts of existing systems and new acquisitions (water and wastewater). Prepare short-term and long-term capital improvement plans for new acquisitions and prepare valuations of systems based on due diligence site visits and condition assessments to assist with the formulation of bids for acquisitions.Assist with developing analysis and reports to be provided to regulators, internal or external customers if needed. Provide support as needed for Rate Case Filings.Participate in the development of engineering design and delivery processes and standards.Provide technical expertise on engineering and operational issues and support facility condition assessments for our water/wastewater operations.Ability to work transversally with corporate and local business units.QualificationsEducation/Experience/Background:Bachelor's Degree in Engineer, Construction Management or related field, commensurate experience may be considered.Minimum 4 years of experience managing design or construction projects and 2 years experience managing water/wastewater projects including upgrade projects for treatment plants, pumping stations, wastewater collection systems and water transmission/distribution systems.Knowledge/Skills/Abilities:Strong project management skills (initiating, planning, executing, monitoring, controlling and closing).Thorough working knowledge of water and wastewater processes and treatment options.Superior personal effectiveness skills, visible "leadership by example" utilizing participative management involving employees and teamwork whenever possible.Strong communication, presentation and reporting skills.Experience utilizing alternate project delivery methods (design-build, integrated project delivery) and contracting methods (guaranteed maximum price, reimbursable).Computer skills (MS Project, Google Suite, Oracle PeopleSoft, Oracle Hyperion or other planning/performance/budgeting tools a plus).Financial analysis skills, including budget management, ongoing assessment of project risks/opportunities and basic accounting knowledge.Required Certification/Licenses/Training:Professional Engineer License (PE) preferred, but not required.PMP and/or Construction Management certifications a plus.Additional InformationWe are an Equal Opportunity Employer! All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, subject to applicable law.
Project Manager
BGIS, Harrisburg
BGIS is currently seeking aProject Manager to join the team in Remote, US. BGIS is a leading provider of integrated real estate management services, including facilities management, project management, energy & sustainability services, strategic workplace consulting, real estate services and capital planning. Its range of solutions, supported by efficient systems, processes and people, enables it to create and optimize places that work for its clients. The team is dedicated to inspiring better business performance and helping clients focus on their core businesses. RESPONSIBILITIES Identifies required resources to achieve project goals. Generates preliminary assessments, technical solutions, fee proposals, presentations, studies, and general support Primary contact for project engineering staff before and during construction. Transitions project management and engineer activities from design to construction phase and construction to completion phase. Communicates with the General Contractor, Engineer, Owner, and other stakeholders. Supports and provides input to development strategies, goals, and objectives specific to project execution at each project phase. Develops and manages project plans, schedules, and scopes of work. Defines project responsibilities to senior project management team, engineering, and field staff. Documents and resolves subcontractor and vendor billing issues Assess site safety and implements actions to prevent injury to property and personnel. Ensures safety compliance of subcontractors and all on-site personnel. Project Controls Assumes financial responsibility for project including accurate, timely and relevant reporting to stakeholders. Facilitates invoice payments from clients and to subcontractors. Reviews and approves subcontractor billing. Prepares client and subcontractor change orders. Monitors, controls, and reports on the financial performance of projects. Drafts subcontracts and purchase agreements. Monitors and proofs change issue log. Creates and maintains network and hardcopy files. Prepares or supervises the preparation of Submittals, Operation & Maintenance Manuals, Expediting Reports, Change Order Log, RFI log, Correspondence Log, etc. Assesses any potential job cost impacts, submits, negotiates, and tracks all change orders Requests Prepares or supervises the preparation of Job Start and Project Closeout materials. Reviews contracts, drawings, specifications, and other resources to answer questions in a timely manner. Ensures that all material and equipment is purchased in a timely and cost-effective manner. Evaluates bid estimates, develops cost codes, establishes definitive budgets, develops manpower plan with crew leads, and daily monitors field labor progress. Position Description Takes responsibility for the development and implementation of a comprehensive construction plan. Monitors progress towards goals to anticipate potential problems. Delivers accurate and timely data to support project forecasts. Team Management Develops project staffing plans to include labor, subcontractors, etc. Acts as steward of BGIS culture; communicate and influence policies and procedures. Establishes and leads associated meetings. Define individual project responsibilities and accountabilities. Other duties as assigned. REQUIRED EDUCATION, KNOWLEDGE and ABILITIES Must have demonstrated proficiency for all the responsibilities of a Project Manager. Bachelor's degree in construction management or engineering or equivalent work experience required. Five (5) years of experience in project management, engineering, electrical or construction is required. Proficient with scheduling software: Smartsheets and required. PE, CPM, LEED professional designations is preferred. Advanced knowledge of Microsoft Office Suite - Word, Excel, PowerPoint, and Outlook, and required. Basic estimating skills required. Proficient with construction financial programs and software preferred. Demonstrates an understanding of accounting and financial management preferred. Physical Demands and Work Environment Ability and willingness to travel regionally. Provide personal transportation for meetings and job visits away from the office; reimbursed. Visit us online at https://www.bgis.com/us/careers.htm for more information. Our company culture includes a robust mix of sound business practices and employee initiatives that promote personal and professional development, work/life balance, health and wellness and community involvement. The Company is an equal opportunity employer. We believe every employee has the right to work in surroundings that are free from all forms of unlawful discrimination. We are committed to providing equal employment opportunity to all employees and applicants without regard to race, color, religion, gender, national origin, age, disability, ancestry, creed, marital status, sexual orientation, or Veteran or military status, genetic information or any other basis prohibited by local, state or federal law in the relevant jurisdiction. This policy applies to all terms and conditions of employment including, but not limited to employment, advancement, assignment and training. BGIS is committed to strengthening our diversity through recruiting and retaining minority and women professionals from all backgrounds. Our commitment is consistent with our recognition that it is the outstanding people within BGIS who have always been the source of our strength. We recognize that promoting diversity is an integral component of our continuing quest for organizational excellence. This commitment to Equal Employment Opportunity is made equally as a social responsibility and as an economic and business necessity. Anyone with questions or concerns regarding Equal Employment Opportunity should contact their direct supervisor or the Human Resources Department without fear of retaliation of any kind. BGIS is committed to fair and equitable compensation practices. BGIS has different pay ranges for different work locations within the United States which allows us to pay team members competitively and consistently in different geographic markets. The applicable base pay range will depend on what ultimately is determined to be the candidate's primary work location. The salary range for this exempt position in the US is $105,000-115,000. A candidate's salary offer is determined by various factors including, but not limited to, relevant work experience, knowledge, skills, abilities, education, certifications, licenses, and location. BGIS offers a comprehensive benefits package including medical, dental, vision, prescription coverage, health savings account, flexible spending account (both healthcare and dependent), 401(k) with a Company match, Paid Time Off, paid company holidays, short term and long term disability, life insurance, employee assistance program, tuition reimbursement, paid parental leave, gym membership discount and team member referral bonus. Our dedication to the principle of pay equity is steadfast. We believe in equal pay for work of equal value. #LI-DW1
Refugee Resettlement Program Case Manager
Church World Service, Inc., Harrisburg
About CWSImagine waking up every morning with the chance to change someone's life. Imagine knowing your efforts will benefit both your career and our neighbors around the world. At CWS, our team knows they are making a difference every day. Whether you're in our U.S.-based offices supporting refugees, asylees or unaccompanied children ... implementing hygiene initiatives in Cambodia or rebuilding projects in Central America ... or even connecting remotely from your home on fundraising campaigns, grant reports, or critical communications - you have the opportunity to work towards a world where everyone has food, a voice and a safe place to call home.PurposeThe Case Manager will provide resettlement case management services for newly arriving refugees, and support other Office of Refugee Resettlement (ORR) eligible clients within CWS - New York. This position assists clients in accessing services and navigating local systems during the resettlement period. The position offers support and services to clients to help them reach self-sufficiency and successfully make a new home in the United States. ResponsibilitiesManages the resettlement of clients by ensuring timely delivery of services and fulfillment of requirements outlined in the Cooperative Agreement and Guidelines with Department of State (R&P) and the guidelines within the Office of Refugee Resettlement (ORR). With support from appropriate CWS staff and local partners, locate and inspect housing for newly arriving clients and arrange housing setup with furniture and household supplies.Picks up clients from airport upon arrival and accompanies them to their new home; provides initial housing orientation. Develops and implements Resettlement Service Plans in consultation with clients, based on individual challenges and needs.Performs periodic home visits and provides in-home orientation to clients.Connects clients to in-house support and makes referrals to external service providers as necessary to assist clients in achieving self-sufficiency. Schedules appointments, including medical and clothing bank, among others.Arranges interpretation and translation services to refugee clients, as well as transportation to appointments as necessary.Documents all contacts and services in client case files and maintains case note logs.Tracks client progress and provides follow-up assistance throughout the resettlement period.Prepares and documents monthly maintenance assistance requests and distributes disbursements.Ensures accuracy and compliance within case files of the Cooperative Agreements and Guidelines with the US Department of State and the US Department of Homeland Security and the guidelines within the Office of Refugee Resettlement.Assists the Casework Supervisor or Site Director in any duties he/she deems necessary.Common Duties:Advocate on behalf of refugees and immigrants and voluntary agencies serving those clients.Keep informed about refugee and immigrant issues, and available services to clients, using current information to better identify and serve refugee clients.Represent the program at community meetings and speaking engagements relevant to the responsibilities of the position.Undertake other duties as assigned.Work varied hours, including one or two evenings per week and some weekend hours.QualificationsEducation: Bachelor's degree or 2 years' experience in refugee resettlement.Experience: Work experience and interest in refugee resettlement or other direct social services. Ability to provide culturally sensitive counseling and case management is required.Other Skills: Fluency in a refugee language - Spanish, French, Swahili, Dari, Farsi, Arabic, Somali, etc is required along with superior English written and verbal communication skills. The successful candidate must be computer literate, with proficiency in MS Office (Excel, Word and Access) and internet applications. Strong organizational and time management skills are required. Special RequirementsThe successful candidate must have a car, a valid driver's license, and an insurable driving record.This is a hybrid position, involving in-person and remote work.Works varied hours, including possible night and weekend work.BenefitsCWS offers a competitive benefits package that includes:- 403 (b) Retirement Plan- Medical, Dental and Vision Insurance- Generous Paid Time Off (21 Paid Days Off; 27 Days after 2 Years)- 14 Official Holidays- Sick Time Off (12 Accrued monthly)- Life Insurance and AD&D- Long Term and Short-Term Disability- Employee Assistance Program (EAP)- Health Savings Account- Flexible Spending Accounts- Commuter Benefits
DME Specialist
Poz, Harrisburg, PA, US
Position Summary:Under the direction of the Supervisor, Patient Care Management functions in the intake area. Responsible for intake specialist duties, Durable Medical Equipment responsibilities, as well as assisting with the orientation and training of intake specialists.Principal Accountabilities:1. Under the direction of the supervisor, assists in training, educating and guiding the development of new and existing intake specialists and Durable medical equipment specialists.2. Adheres to AMHP's Standard Operating Procedures, Process Standards and Policies and Procedures.3. Utilizes and has knowledge of phone / service level requirements for compliance with governing bodies and KMHP & AMHP standards.4. Performs intake functions to meet real time, or as near to real time as possible, standards for departmental operations.5. Responsible for pre-certification and recertification process for Durable Medical Equipment and selected outpatient therapies.6. Interacts with internal and external customers in a real time manner to promote quality and excellent customer service.7. Authorizes services based on AmeriHealth Mercy Health Plan Guidelines. If unable to approve, submits the request to AmeriHealth Mercy Health Plan Medical Director for medical necessity determination.8. Receives information about care delivery service to AMHP'S members via facsimile, telephone, or letter. Create new member specific case in software program when indicated. Document information in AMHP's software program.9. Completes detail lines in MEDecision to reflect authorization or denial of services.10. Verifies and documents member eligibility.11. Routes case to appropriate AMHP's Clinical Coordinators, Case Managers, DME specialists for continuation of medical necessity review process.12. Communicates case specific information as indicated to AmeriHealth Mercy Health Plan providers. Information includes, but is not limited to member identification number, provider identification number, AmeriHealth Mercy Health Plan personnel/departmental telephone numbers, and case reference number.13. Maintains professional, customer service focused demeanor in telephonic interactions with providers.14. Meets individual required goals and contributes to the departmental service level standards for : Average speed of answer, Call abandon rate, Average "hold time15. Maintains a current knowledge base of computers and systems, and participates in learning and applying updates and changes.16. Documents compliance with prior authorization process, Policy and Procedures.17. Participates in Quality Reviews and Timeliness studies and achieves performance results at or above thresholds established by management.18. Delivers customer service in a professional manner in all contacts.19. Performs other related duties and projects as assigned.20. Adheres to AmeriHealth Mercy Health Plan's Policies and Procedures.21. Supports and carries out the Mercy Mission and Values.22. Complies with AmeriHealth Mercy Health Plan, DPW and HIPAA confidentiality requirements protecting member personal identifiable health information.Key Competencies/Success Factors:Understanding of healthcare delivery system.Demonstrated knowledge of medical terminology.Problem solving skills.Grammar/Proof reading skills.Customer service and interpersonal skills.Excellent telephone demeanor and skills.Excellent oral and written communication skills.Proficient PC skills in a Windows based environment.Adheres to scheduled work hours.Demonstrates knowledge of durable medical equipment.Position Qualifications/Requirements:1. Education and Training: High School Diploma and some college classes preferred.2. Experience: Minimum one-year general office or customer service experience required. Work experience in healthcare setting utilizing medical terminology highly recommended.3. Licenses, Registrations or Certifications: None Required.High School DiplomaRequiredSome college coursesHighly desiredGeneral office or customer service experience.Required1YearsWork experience in healthcare setting utilizing medical terminology.Highly desired
Assistant Regional Manager - Central PA
Quinn Consulting Service, Inc., Harrisburg
Quinn Consulting Service, Inc.Description:The primary focus of this position is to provide oversight and management of construction managers, inspectors, and construction support staff throughout the Central Pennsylvania Region, including business development, project management, QA/QC, staffing, and client relations, primarily for PennDOT and PA Turnpike construction and maintenance projects. Requirements:Detailed responsibilities include but are not limited to the performance of duties in the following areas:Assist with recruiting, retaining, training, and developing CM/CI staff. Perform QA/QC oversight and support of CM/CI staff.Visit jobsite and confirm that staff are meeting the client's expectations.Assist with coordination of staffing assignments on active and upcoming projects.Understand construction schedules and how they may affect staffing needs.Monitor project progress with regards to staffing levels and budgetary requirements.Assist in the preparation of Statement of Interests by utilizing technical writing skills.Develop relationships with other firms in the industry to facilitate teaming in pursuit of professional services contracts.Pursue activity in industry and construction related organizations (APC, ASHE, etc.)Meet with potential new clients and perform marketing development activities.Perform other related administrative and managerial duties as needed.Required Skills/Abilities: The successful Assistant Regional Manager candidate is expected to be proficient in construction management and inspection methodologies. Must possess strong communication, presentation, written, and verbal skills.10+ years of experience in Construction Project Management supporting transportation-related projects with experience managing construction inspectors.Project/Contract management experience with PennDOT & PA Turnpike is highly desired. Must have prior supervisory/management experience.Must maintain an active driver's license with a good driving record.Supervisory Responsibilities:Candidate will supervise indirect report CM/CI field staff.Education and Experience:High School Diploma or GEDWork EnvironmentThis job is performed in an office environment and or transportation construction job sites. This role routinely uses standard office equipment such as computers, tablets, phones, photocopiers, filing cabinets.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; drive; use hands; and reach with hands and arms.Position Type/Expected Hours of WorkThis is a full-time position. Days and hours of work are typically Monday through Friday. Weekends and flexible hours are possible. Flexibility to meet client or contractor schedule is important.TravelPosition will require extensive regional travel and may require occasional overnight stays.Benefits· Bonus eligibility per Company Employee Bonus Program for fiscal year.· Medical, dental, short-term disability, long term disability, life insurances, per the company plan eligible on date of hire.· Eligible for the company 401(k) plan following 12 months of active employment & 1,000 hours of work.· 401(k) immediate vesting of matching funds.· Two weeks paid vacation in accordance with the company policy.· Personal Time Off per the company policy.· Paid holidays are provided per the company policy.Work Authorization/Security Clearance (if applicable)Must be eligible to work in the U.S.AAP/EEO Statement QCS is committed to equal opportunity. We will not discriminate against employees or applicants for employment on any legally recognized basis including, but not limited to veteran status, age, physical or mental disability, genetic information, or any other protected class under federal, state or local law. QCS has been and will continue to be an equal opportunity employer as per AAP outlined in the employee handbook.Other DutiesPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PI240181642
Sr. Project Manager - REMOTE
Health Services Advisory Group, Inc., Harrisburg
Job DetailsAre you passionate about improving the quality of healthcare? Are you ready to leverage your talents to make healthcare better for everyone?Do you want the opportunity to give back to your community?Do you want to have fun at work?Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!SummaryWith minimal direction from the executive director or director, the Senior Project Manager oversees designated State & Corporate Services' projects through various stages, including: Work plan and timeline development; project monitoring; coordinating with internal teams on project timelines and deliverables; client relations, technical assistance, and guidance; behavioral health and physical health managed care health plan relations and quality improvement guidance; virtual meeting organization, participation, and logistics; report preparation and finalization; and budget monitoring in coordination with the executive director.Essential Competencies, Duties and ResponsibilitiesCreates work plans with tasks and timelines for behavioral health Medicaid managed care projects, monitors completion of tasks to ensure timelines are met, and submits of deliverables to the state client.Participates in external quality reviews of behavioral health and physical health Medicaid managed care entities based on federal and state contract requirements including, but not limited to, assessment of performance related to compliance reviews, performance measure reporting, and performance improvement projects using data included in tables, charts, and graphs.Writes reports and conducts quality checks on reports and spreadsheets.Coordinates with state, Medicaid managed care health plan, and internal staff members to schedule meetings and technical assistance calls.Takes notes during meetings and disseminates notes to all participants.Project deadlines may necessitate occasional extended work hours.Other duties as assigned.Compensation: Job Requirements:Education and/or ExperienceAt least ten years of experience as a healthcare professional with a master's degree in an appropriate field and/or a combination or comparable experience and education.Strong background in behavioral healthcare quality and/or behavioral health managed care preferred.Other QualificationsExcellent oral and written communication and interpersonal skills.Ability to rapidly adjust priorities, work to imminent deadlines, and apply multi-tasking skills to coordinate projects with overlapping and/or simultaneously occurring timelines.Experience in Microsoft Excel spreadsheet functionality.Experience and knowledge of quality improvement practices.Excellent English language skills.Effective and positive human relations skills, including the ability to maintain confidentiality, to appropriately interface with all levels of Health Services Advisory Group administration/staff and clients.Proficiency with Windows environments.Proficiency with hosting Webex and Teams meetings.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.DisclaimerThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).HSAG is an EEO Employer of Veterans protected under Section 4212.If you have special needs and require assistance completing our employment application process, please feel free to contact us. EOE M/F/Veteran/DisabilityGet job alerts by email.Sign up now!