Geisinger

Recruitment

• Provides high-level coordination and operational support for executive recruitment
• Manages and coordinates complex executive search logistics across multiple concurrent searches
• Demonstrates a strong sense of urgency and accountability in managing executive recruitment activities
• Proactively tracks interview progress, scheduling milestones, and candidate movement
• Maintains highly organized search documentation and recruitment materials
• Ensures a high-touch, professional, and welcoming candidate experience
• Develops comprehensive candidate itineraries for virtual and onsite interviews
• Coordinates onsite executive candidate visits, including travel arrangements and meeting logistics
• Provides timely, professional, and proactive communication regarding interview schedules

Senior Executive Recruitment Coordinator

Medical Director

• Lead clinical strategy, medical management, and regulatory performance for Medicaid line of business across Pennsylvania
• Partner with Quality, Utilization Management, Case/Disease Management, Pharmacy, Behavioral Health, Provider Network, and Compliance to deliver high‑quality, cost‑effective care
• Serve as primary physician liaison with state Medicaid agency and key provider partners
• Provide clinical direction for Medicaid product, including medical policy, clinical guidelines, and care model design across UM/CM/DM
• Ensure determinations are clinically sound and timely
• Oversee grievance and appeals clinical reviews and author evidence‑based rationales
• Drive quality improvement, close gaps in care, and monitor outcomes and utilization trends
• Serve as clinical liaison to hospitals, systems, and practices; educate on medical policies/criteria
• Collaborate with Provider Network on value‑based models, performance feedback, appeals resolution themes, and market growth priorities
• Act as the plan’s clinical spokesperson with state Medicaid agency and advisory bodies

Medical Director – Medicaid

Analyst

• Reviews, analysis’s and the administration of retirement and health and welfare employee benefit programs.
• Assures compliance with all applicable state and federal regulation.
• Monitors plan limits, eligibility and other restrictions on plan participation.
• Provides benefit plan interpretation, guidance and counsel to employees.
• Designs communication of benefit materials in collaboration with internal and external partners.
• Develops, conducts and participates in a variety of presentations to inform and educate management and employees about changes to benefit plans.

Senior Benefits Analyst

Pharmacist

• Provide patient/provider/customer care
• Use the pharmacy computer system to facilitate patient care
• Participate in patient/provider/customer care activities that do not require the expertise of a pharmacist
• Prepare and label medications appropriately for distribution
• Retrieve, review, and perform inventory management for medications and supplies in the pharmacy
• Maintain pharmacy records
• Perform housekeeping duties in the pharmacy in compliance with hospital and accreditation policies
• Participate in the onboarding and training of new pharmacy personnel
• Oversee and assist with operational activities within the pharmacy such as, technician trainee education, technician scheduling and evaluation, oversight of inventory management, performance improvement or staff development plans
• Oversee and assist with quality improvement and other projects as directed by the pharmacy administrative team

Pharmacy Technician Team Lead

Call Center Representative

• Gather pertinent information from incoming calls concerning medications
• Address medication related questions, issues, prior authorizations, as well as refill approvals
• Perform a medication review and complete clinical review during calls
• Review patient medication profiles to guard against sensitivities and interactions
• Authorize prescription refills on pre-specified maintenance medications
• Conduct thorough reviews of each patient’s electronic medical record
• Document encounters within electronic medical record

Staff Pharmacist – Refill Call Center

Manager

• Development, negotiation and maintenance of contracts and related documents
• Identifies opportunities, issues and risks in document development and negotiates with external parties
• Maintains contract management process and participates in operational improvement efforts
• Coaches, develops and assesses team members to improve performance
• Manages contract professionals and acts as a resource in review and preparation of contract documents
• Communicates and partners with business units, stakeholders and contracts leaders

Senior Contract Manager

Financial Planning and Analysis

• Provides one-stop service for Geisinger patients by providing in-depth knowledge
• Performs all accounts receivable functions including collection of cash, resolution of accounts, application of discounts
• Works in conjunction with other areas within Revenue Management and Geisinger to ensure coordinated activities with respect to all revenue management needs and patient satisfaction
• Educates patients on billing, insurance and regulatory issues of all complexity levels
• Completes necessary assigned reports or projects and is held accountable for the tasks

Customer Financial Specialist, Associate

Human Resources

• Responsible for completing administrative and operational duties that align with department and organizational strategic goals.
• Completes job duties in a consistent, accurate and timely manner, leading to consistent organization-wide human resources (HR) processes and policies.
• Effectively utilizes human capital management system and all relevant technology solutions to perform functions effectively.
• Serves as a subject matter expert for assigned operational responsibilities.
• Maintains knowledge of policies, procedures and applicable regulations, including relevant knowledge of all HR Operations functions.
• Provides backup coverage to human resources peers as required.
• Shares knowledge among team members; develops communications, summaries, email templates and presentations to educate various audiences.
• Ensures accuracy of data in human capital management system and all relevant technology solutions.
• Reviews and reacts to operational audit reports, as applicable.
• Responds to inquiries and requests when transferred from the Employee Contact Center, providing timely and excellent customer service.
• Develops and regularly maintains process documentation detailing workflows.
• Maintains understanding of business processes applicable to job responsibilities.
• Problem solves and troubleshoots to provide creative solutions.
• Proactively seeks out solutions and process improvements to gain efficiencies and enhance the employee, contingent worker, candidate and manager experiences.
• Collaborates with all areas of HR, as well as appropriate teams outside of HR, to ensure positive experiences.

Human Resources Operations Coordinator

• Work is typically performed in a clinical environment.
• The pharmacy technician works as an entry-level position focused on medication delivery and inventory management.
• Provide patient/provider/customer care.
• Use the pharmacy computer system to facilitate patient care.
• Participate in patient/provider/customer care activities that do not require the expertise of a pharmacist.
• Prepare and label medications appropriately for distribution.
• Retrieve, review, and perform inventory management for medications and supplies in the pharmacy.
• Maintain pharmacy records.
• Perform housekeeping duties in the pharmacy in compliance with hospital and accreditation policies.
• Participate in the onboarding and training of new pharmacy personnel.

Pharmacy Technician – Call Center

• Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status.
• Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.
• Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the identified population.
• Develops systems of care that monitor progress and promote early intervention in acute care situations.
• Assists with the design, implementation, and evaluation of the advanced patient centered care model.
• Assesses the healthcare, educational and psychosocial needs of patients or members.
• Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services.
• Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
• Works to appropriately apply benefits and utilization management serving as a resource to the patient or member and healthcare team.
• Maintains required documentation for all case management activities.
• Collects required data and utilizes this data to adjust the treatment plan when indicated.
• Work is typically performed in a clinical environment.

Pediatric Registered Nurse Case Manager

• Responsible for tasks related to EHR system implementation, adoption, enhancement, and support
• Develop strong understanding of assigned applications and workflows
• Produces documentation, performs testing, and communicates effectively with stakeholders
• Participates in training and support for end-users
• Supports system upgrades and management compliance

Electronic Health Record Analyst I

• perform a variety of duties including extensive literature review for development of pharmacy benefit criteria
• administer pharmacy benefit with Health Plan Pharmacy Customer Service team
• deliver high quality member care while maximizing satisfaction
• act as liaison between Health Plan and customers regarding pharmaceutical benefits
• support operations by providing information on pharmacy and medical drug benefits
• perform medical necessity reviews for formulary exceptions and prior authorizations

Pharmacist, Health Plan

• Serves as the Employee Relations Center of Excellence subject matter expert across the enterprise.
• Responsible for driving HR excellence across respective service lines in all areas related to employee relations.
• Partners with the Strategic HR Partner and other HR Centers of Excellence to promote and drive HR initiatives.
• Manage day-to-day HR functions by supporting changes and applying policies and procedures across the service line.
• Provide HR policy guidance and coaching for managers to ensure consistent execution of procedures and policies.
• Identify needs and provide recommended solutions to support performance management goals.
• Serve as a proactive HR partner while understanding respective areas’ business goals and objectives.
• Recognize potential employee experience & relations issues in a proactive manner and resolve or escalate concerns appropriately.
• Support HR investigations and interventions in collaboration with respective departments.
• Coach front-line employees on organizational and interpersonal communications, including active listening and effective feedback.
• Participate in collective bargaining negotiations and ensure compliance with collective bargaining agreements.
• Promote positive employee relations.
• Complete thorough investigations into employee issues, including documentation, interviews, and fact finding.
• Provides guidance and recommendations for problem resolution to departmental officials and individuals.
• Leads and facilitates the employee relations program and related functions.
• Counsel, review, and approve disciplinary actions and make recommendations for effective action planning.
• Develops and pursues new goals and objectives for improvement in areas of employee relations.
• Communicates with employees regarding employee relations concerns; provides guidance and recommendations for resolution of issues.
• Counsels employees on concerns related to applicable Equal Employment Opportunity laws including Title VII, the Americans with Disabilities Act, the Age Discrimination in Employment Act, and other similar federal and state laws.
• Assists managers and supervisors in understanding and implementing company policies related to performance, discipline, and related topics.
• Manage HR portion of drug diversion and reasonable suspicion drug programs.
• Assist Diversity and Inclusion team with implementation of diversity and culture programs at the department level.

Employee Relations Specialist

• Collaborates with member, family, healthcare providers and other members of the healthcare team to coordinate services and develop a plan of care.
• Assesses, plans, implements, monitors and evaluates options and services for members admitted to acute and subacute facilities, receiving home health services or those independent at home.
• Performs onsite assessment and telephonic review of admitted Members to determine appropriate management through facts documented in the medical record or recognized from contact with the Member or facility staff.
• Actively involve with facility staff to insure adequate, appropriate and timely discharge planning.
• Works with designated transplant vendor to actively manage Members who are identified as requiring transplant.
• Coordinates approval for services within the transplant vendors and the Health Plan network of facilities and completes documentation in the Medical Management computer systems to assure appropriate application of benefits.
• Performs prior authorization for items on the prior authorization list; performs precertification through on-site, electronic or telephonic concurrent assessment or retrospective review of Members admitted to acute and sub-acute inpatient facilities, as well as members in an at home setting to assure appropriate utilization through facts documented in the medical record or recognized from contact with the Member, Member's family, or facility staff.
• Actively engages with facility staff to assure adequate, appropriate and timely discharge planning.
• Interacts with Members, Members' families and Authorized Representatives as needed to explain benefits, assist with discharge planning, notify of denial of coverage with explanation of Peer to Peer and Appeal Rights.
• Complies with all regulatory guidelines related to utilization management processes and assures that all regulatory time frames for decision-making are met.
• Provides benefit focused case management, coordinating care in accordance with the member's benefit document to members authorized for services outside the health plan network.
• Provides assistance to eligible members seeking continuity and coordination of care when all conditions of policy are met for Provider or Practitioner terminations for reasons other than cause and for new members currently undergoing treatment by a Practitioner or Provider who is not participating with the Health Plan.
• Provides On-Call coverage, on a rotating basis as assigned, for services during non-business hours. Work is typically performed in a clinical environment.

LPN, Case Manager

Customer Support

• Accountable for the development and implementation of quality strategies, plans, and processes to support organizational goals.
• Accountable for development of and ongoing compliance with NAIC (National Association of Insurance Commissioners) Model Audit Rule (MAR) requirements as they relate to all Customer Service Operational functions.
• Assesses quality needs as well as design, develop, deliver and maintain quality programs for onsite and remote employees.
• Provides direct supervision, oversight and development of staff.