- Zurich NA (Harrisburg, PA)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Sedgwick (Harrisburg, PA)
- …Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to ... Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours...provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through… more
- Commonwealth of Pennsylvania (PA)
- Assistant Director of Laboratories, DOH Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5032912) Apply Assistant Director of Laboratories, ... Department of Health (DOH) is seeking a driven Assistant Director of Laboratories to join our dedicated team. T...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Humana (Harrisburg, PA)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Harrisburg, PA)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the ... on the large global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical development activities for the… more
- CVS Health (Pittsburgh, PA)
- …the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director ... clinical teams. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple… more
- United States Steel (Pittsburgh, PA)
- …and innovation in our industry. We are seeking a highly skilled and experienced Director of Insurance / Risk Management to lead our global subsidiary portfolio of ... worldwide. This posting is driven by the upcoming retirement of our current Director of Insurance / Risk Management. Key Responsibilities: + Lead and manage the… more
- NASCO (Harrisburg, PA)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- UPMC (Pittsburgh, PA)
- …a place for you. UPMC Health Plan's growing Actuary department is seeking a Director , Actuary to ensure that the UPMC Health Plan Actuarial Department provides the ... Works with the financial reporting department to develop reserve amounts for IBNR claims , active claims and premium deficiency reserves on a regular or… more