- Evolent (Harrisburg, PA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...cases. you will be a key member of the utilization management team. We can offer you… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …- or - a combination education and related experience 10 years of health care management experience Knowledge and experience with EMRs (preferably Athena Health) ... facilitating patient access, patient flow, performance improvement projects, risk management , quality of care , customer satisfaction and cost-effectiveness.… more
- Evolent (Harrisburg, PA)
- …on initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/ care management (CM) correspondence development, ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Stay for the culture. **What You'll Be Doing:** **Associate Director , Correspondence Project and Program Management ** This… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Management Director - Remote **Job Description** **Are you looking for a ... specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products… more
- UPMC (Pittsburgh, PA)
- …as needed + Provide leadership and direction in meeting Quality Improvement and Care Management goals directed at improvements in member health status outcomes ... the Health Plan. + Actively participates in the daily utilization management and quality improvement review processes,...support implementation of the Health Plan's Quality Improvement and Care Management Programs. + Represent the Health… more
- United Therapeutics (Harrisburg, PA)
- …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
- Evolent (Harrisburg, PA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Surgery you will be a key member of the utilization management team. We can offer you… more
- Evolent (Harrisburg, PA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Oncology, you will be a key member of the utilization management team. We can offer you… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …their families. Management of the fiscal budget to include bed utilization , FTE planning/ utilization and monitors other operational expenses and sources of ... Are you skilled in managing behavioral health funding, reimbursements and bed utilization ? Do you excel at fostering a work environment that promotes accountability,… more
- Evolent (Harrisburg, PA)
- … functions + Knowledge of healthcare underwriting methodologies + Familiarity with value-based care and utilization management + Understanding of data ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more