• Corporate Medical Director - Medicare Grievances…

    Humana (Harrisburg, PA)
    …standards. CMD represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding ... Excellent written and communication skills + 5 years of established, post-residency clinical experience + Knowledge of the managed care industry including Medicare,… more
    Humana (09/05/25)
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  • Immunology Sales Specialist

    Mallinckrodt Pharmaceuticals (Pittsburgh, PA)
    …Possesses strong clinical and disease state knowledge that enables impactful clinical selling and strong decision making, while showing a deep understanding ... able to show documented success as a top producer using superior clinical selling skills, while effectively managing their territory operating within all compliance… more
    Mallinckrodt Pharmaceuticals (06/26/25)
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  • Director Strategic Decision Support…

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... you living your life's work? Entity: Corporate Services Department: PennDNA Strategic Decision Support Location: 3535 Market Street, Philadelphia, PA Summary: + The… more
    Penn Medicine (08/27/25)
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  • Principal Consultant Strategic Decision

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... living your life's work? Entity: Corporate Services Department: PennDNA Strategic Decision Support: Operations Location: 3600 Civic Center Blvd, Philadelphia, PA… more
    Penn Medicine (08/07/25)
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  • Senior Consultant Strategic Decision

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... your life's work? **Entity** : Corporate Services **Department** : Penn DnA Strategic Decision Support **Location** : 3600 Civic Center Blvd **Summary** : + The… more
    Penn Medicine (08/07/25)
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  • FT Rotating Clinical Nurse 2- Intensive…

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... meet with their baby's care team. Summary: + The Clinical Nurse 2 Colleague is an RN that practices...thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex… more
    Penn Medicine (09/05/25)
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  • Senior Decision Support Analyst

    Highmark Health (Harrisburg, PA)
    …and reporting associated with the organization's financial, operational, and/or clinical performance. This job partners with stakeholders within the hospital ... improvement. (10%) + Supplements financial analysis with operational and/or clinical data and insights in order to provide relevant...in lieu of Bachelor's degree + 3 years in Decision Support and Data Analysis + 3 years in… more
    Highmark Health (07/04/25)
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  • Lead Decision Scientist, Analytics

    CVS Health (Blue Bell, PA)
    …provides analytical and advisory services that meet the market and clinical challenges faced by pharmaceutical, biotech, and device companies. Our services ... research into real-world outcomes and the realities of therapeutic use in genuine clinical settings. You have the flexibility to work both remotely and office within… more
    CVS Health (08/27/25)
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  • Clinical Care Reviewer (County Care…

    Commonwealth of Pennsylvania (PA)
    Clinical Care Reviewer (County Care Management Manager) (Local Government) - Fayette County MH/ID Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5058227) Apply  Clinical Care Reviewer (County Care Management Manager) (Local Government) - Fayette… more
    Commonwealth of Pennsylvania (09/03/25)
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  • Lead Product Manager, Next Best Action…

    Humana (Harrisburg, PA)
    …organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the team working anywhere in the US. Humana is on a ... Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech Capabilities team, you will...scale across lines of business + Collaborate with marketing, clinical , and service design teams to define personalization rules,… more
    Humana (09/03/25)
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