• Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Harrisburg, PA)
    …of service. This is a leadership role that combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be ... grow. **Key Qualifications** **Required** + 8+ years of product management experience in healthcare, including ownership of clinical...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
    Datavant (08/08/25)
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  • Assistant Vice President

    Sedgwick (Harrisburg, PA)
    …equivalent combination of education and experience required to include five (5) years medical case management , two (2) years clinical experience, two (2) ... client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple… more
    Sedgwick (09/05/25)
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  • Behavioral Health Counselor - Beaver PFE Program

    UPMC (Pittsburgh, PA)
    …interpersonal conflicts/problems, in an appropriate meeting/setting. + To maintain basic case management functions such that all relevant materials, documents, ... This Behavioral Health Counselor is a full-time clinical position responsible for providing individual, family, and parent management treatment in an outpatient… more
    UPMC (08/28/25)
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  • Medical Director - Care Plus - Florida

    Humana (Harrisburg, PA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
    Humana (09/04/25)
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  • Trauma Performance Improvement Coordinator RN…

    Penn Medicine (Lancaster, PA)
    …, functional and psychosocial status. Trauma PI Coordinators will also assist with case management activities by assisting LG Health Care Management ... evaluates systems and processes to support managed care and case management that address the special needs...to collect and aggregate pertinent data. + Collaborates with clinical nurse managers and care management teams… more
    Penn Medicine (08/28/25)
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  • Patient Coordinator Care Management

    Penn Medicine (Limerick, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... **Hours: 8-430 Monday - Friday** **Summary:** The Patient Coordinator for Care Management functions to support patients engaged with Penn Partners in Care (PCSL… more
    Penn Medicine (08/29/25)
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  • Co-op-Project Management -New Kensington,…

    Philips (New Kensington, PA)
    …+ Support Project Managers (PMs) in the Sleep Therapy Platforms Project Management Office (PMO) in managing project teams, including tracking of project tasks ... in various technical and cross-functional disciplines, such as Quality, Regulatory, Clinical Affairs. + Deliver creative solutions to somewhat complex and subjective… more
    Philips (09/05/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Harrisburg, PA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health + The curiosity… more
    Humana (08/09/25)
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  • Digital Product Portfolio Head

    ThermoFisher Scientific (Allentown, PA)
    …as a deep understanding of clinical -trial operations (recruitment, start-up, clinical operations, data management , RBM, safety) and associated regulations. ... impactful software features that exceed customer expectations. + Deep understanding of clinical trial processes, clinical data management , and leveraging… more
    ThermoFisher Scientific (09/04/25)
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  • VP, Health Engagement - Medicaid

    Highmark Health (Pittsburgh, PA)
    …transforming all operational aspects of member facing health engagement team activities through case management , disease management , and programs targeted at ... collaborative environment, developing talent, and ensuring the team is equipped to manage case management , transitions of care, and disease management more
    Highmark Health (08/16/25)
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