• Director Payment Transformation

    Geisinger (Danville, PA)
    Job Summary The Director of Payment Transformation will lead a high-performing team to create new care delivery and payment model transformations across the ... Geisinger Enterprise. The Director of Payment Transformation will work on development and...work on development and implementation of innovative payment and care delivery models including work in the Keystone Accountable… more
    Geisinger (06/22/25)
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  • Residency Program Director & Hematology…

    Geisinger (Danville, PA)
    …Program Director and Hematology Oncology Pharmacist provides quality pharmaceutical care defined as being responsible for assuring the provision of safe, ... patients. The pharmacist will utilize integrated and routine communication with all health care professionals and patients concerning medical care and quality of… more
    Geisinger (06/07/25)
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  • R-381302 - Medical Director - Medicare…

    Humana (Harrisburg, PA)
    …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical … more
    Humana (08/15/25)
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  • Director of Nursing

    Wellpath (Chester, PA)
    …practices and meet regulatory requirements. They work closely with the Medical Director to promotehigh standardsof care and support the professional development ... the organization's Code of Conduct. + Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of… more
    Wellpath (07/23/25)
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  • Director Financial Investigations…

    Highmark Health (Pittsburgh, PA)
    …referred to law enforcement, if applicable. **ESSENTIAL RESPONSIBILITIES** + Performs management responsibilities to include, but are not limited to: involved in ... and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. + Plans, organizes, staffs, directs and… more
    Highmark Health (08/08/25)
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  • Director of Sales & Partnerships - enGen

    Highmark Health (Harrisburg, PA)
    …portfolio of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital ... **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant… more
    Highmark Health (07/19/25)
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  • Director , Lab Service Center Ops- Genetics…

    UPMC (Pittsburgh, PA)
    **Purpose:** The Director , Lab Operations will plan, organize, direct, and evaluate the departmental Laboratory Service Line activities for multiple locations to ... of pathology/laboratory services to ensure optimal efficiency and resource utilization within defined fiscal parameters relative to testing volume. Demonstrates… more
    UPMC (06/11/25)
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  • Sr. Director Actuarial Forecasting - REMOTE

    Prime Therapeutics (Harrisburg, PA)
    …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of ... complex actuarial modeling + Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related to all… more
    Prime Therapeutics (07/12/25)
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  • Director Nursing Emergency Services…

    Penn State Health (Lancaster, PA)
    …staffing with the expectation of long-term financial savings through enhanced utilization , scheduling, and deployment of staff. Provides coordination of staff ... improved responsiveness to patient needs. Provide overall strategic project management , facilitation, and on-going maintenance of a centralized staff… more
    Penn State Health (07/22/25)
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  • Director Nursing - Nursing Administration

    Penn State Health (Camp Hill, PA)
    …staffing with the expectation of long-term financial savings through enhanced utilization , scheduling, and deployment of staff. Provides coordination of staff ... improved responsiveness to patient needs. Provide overall strategic project management , facilitation, and on-going maintenance of a centralized staff… more
    Penn State Health (08/08/25)
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