Current Job Openings

Oversight Coordinator

We currently have an opportunity for an Oversight Coordinator in our conveniently located Center City Philadelphia location. The Coordinator will provide compliance oversight for utilization and case management activities for Care Management and Coordination.

• Utilizes clinical expertise to audit files and assess procedures and processes to assure compliance with applicable state, federal, and accreditation requirements, as well as internal policies.
• Recommends revised processes as needed.
• Represents the Compliance and Delegation oversight Department at committee meetings; presents audits and reports.
• Provides oversight for quality, complaint, disease, utilization and case management activities for Care Management and Coordination’s delegated vendors.

RN licensed to practice in Pennsylvania, with at least three years managed care experience. Minimum of two years utilization management and case management experience is required. Excellent verbal and written communication skills, organization skills and ability to work collaboratively as a team member are required. Working knowledge of Microsoft Excel, Word, Outlook, Access, MaxMC, and MHS is required. Some travel may be involved.

Apply

Mail: Independence Blue Cross Human Resources - 27395 1901 Market Street, 25th Fl Philadelphia, PA 19103

Back to Current Job Openings

After receiving an applicant's information, Independence Blue Cross will hold the responses strictly confidential. EOE, M/F/D/V. No agency calls please.

Independence Blue Cross is an Equal Opportunity Employer.