• PCO Medical Director- UM - Full Time

    CenterWell (Harrisburg, PA)
    …experience in a medical management review organization, such as Medicare Advantage ,managedMedicaid, or Commercial health insurance. + Experience with national ... part of our caring community and help us put health first** The Medical Director, Primary Care relies on...of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this… more
    CenterWell (11/06/25)
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  • Lead Director; Actuarial - Medicare…

    CVS Health (Blue Bell, PA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual Eligible,… more
    CVS Health (10/22/25)
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  • Clinical Educator - Heart & Vascular - Full-Time

    WellSpan Health (York, PA)
    …in preparing for and handling state and federal surveys would be an advantage . **Benefits Offered:** + Comprehensive health benefits + Flexible spending and ... and support, including DailyPay + Wellness and Wellbeing programs WellSpan Health 's vision is to reimagine healthcare through the delivery of comprehensive,… more
    WellSpan Health (12/10/25)
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  • Hybrid Field Sales Representative

    CVS Health (Pittsburgh, PA)
    …or 1 to 2 years' experience of selling multiple Medicare products (ie, Medicare Advantage , Medicare Supplement)_ + _Life & Health insurance license is not ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
    CVS Health (12/02/25)
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  • Medical Director, Nat'l OP Medicare

    Humana (Harrisburg, PA)
    …management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience ... part of our caring community and help us put health first** The Medical Director relies on medical background...of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this… more
    Humana (12/13/25)
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  • Medical Director - IP Claims Management

    Humana (Harrisburg, PA)
    …management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience ... part of our caring community and help us put health first** The Medical Director actively uses their medical...other reference sources. Medical Directors will learn Medicare, Medicare Advantage , and Medicaid requirements and will understand how to… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Harrisburg, PA)
    …management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Harrisburg, PA)
    …management experience in a medical management review organization, such as Medicare Advantage , Managed Medicaid, or Commercial health insurance. + Experience ... part of our caring community and help us put health first** Become a part of our caring community...reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this… more
    Humana (11/15/25)
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  • Medical Director - Medicaid N. Central

    Humana (Harrisburg, PA)
    …management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience ... part of our caring community and help us put health first** The Medical Director relies on medical background...+ Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other Medical… more
    Humana (10/25/25)
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  • Nocturnist

    UPMC (Pittsburgh, PA)
    …and APPs. Typically, 7 on/7 off schedule, 12-hour shifts. With UPMC, you can take advantage of: + Competitive salary + Health , life and disability insurance + ... CME allowance + Paid holiday With UPMC, you can take advantage of: + Competitive salary + Health , life and disability insurance + Medical malpractice insurance +… more
    UPMC (10/31/25)
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