- Merck (Harrisburg, PA)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support, and… more
- Merck (Harrisburg, PA)
- …We are seeking a Growth and Improvement minded Regional Medical Scientific Director (Medical Science Liaison / MSL) | in Inflammatory Bowel Disease Immunology ... Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director (Medical Science Liaison) is a credentialed (ie, PhD, PharmD, DNP,… more
- Evolent (Harrisburg, PA)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The Associate ... Director , Compliance requires a solid understanding of how organization capabilities...space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote… more
- Highmark Health (Harrisburg, PA)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- Humana (Harrisburg, PA)
- …+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position \#LI- Remote Travel: While ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- NASCO (Harrisburg, PA)
- …strategy, platforms and patterns, AI/ML governance, and US healthcare payer regulatory compliance (eg, HIPAA , HITRUST, CMS). This person leads Data Architects, ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...including ethics, model management and explainability, bias mitigation, and compliance with evolving regulations + Reviews and gains approval… more
- Humana (Harrisburg, PA)
- …this role. + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- remote Travel: While this is a remote position, ... of our caring community and help us put health first** The Associate Director , Technology Solutions devises an effective strategy for executing and delivering on IT… more
- Humana (Harrisburg, PA)
- …+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position Travel: While this is a ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- CenterWell (Harrisburg, PA)
- …part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing the long-range ... and can influence executive decision-making through data-driven insights. The Associate Director of WFM Capacity Planning is responsible for leading the end-to-end… more