- Evolent (Harrisburg, PA)
- …health) + Previous experience in a medical economics related position within Utilization Management /Clinical Vendor Management functions + Knowledge of ... healthcare underwriting methodologies + Familiarity with value-based care and utilization management + Understanding of data systems and the critical thinking… more
- CenterWell (Harrisburg, PA)
- …expansion, vendor allocation, outsourcing, and automation. Additionally, the Associate Director collaborates with Real-Time Management , Scheduling, and ... 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… more
- UPMC (New Castle, PA)
- …UPMC Jameson, located in New Castle, PA, is hiring a full-time Unit Director to support the Resource Pool. **Purpose:** The Unit Director maintains ... for staff, and overseeing clinical, and administrative/business functions. The Unit Director is responsible for collaborating with medical staff to monitor patient… more
- UPMC (Lititz, PA)
- …departments, and a commitment to providing high-quality patient care. The Unit Director maintains 24-hour accountability for leading and managing their assigned area ... for staff, and overseeing clinical and administrative/business functions. The Unit Director is responsible for collaborating with medical staff to monitor patient… more
- Highmark Health (Natrona Heights, PA)
- …OVERVIEW:** Provides operational and strategic leadership for Hospital/facility Care Management Department. Collaborates with nursing and clinical leaders to assure ... level of care determination practices. (20%) + Studies and implements the care management model and structure to achieve sustainable length of stay, resource … more
- Prime Therapeutics (Harrisburg, PA)
- …and works collaboratively with key internal stakeholders including Clinical, Clinical Program Management , and Utilization Management to deliver financial ... cliff opportunities + Serve as interdepartmental bridge between Trade, Clinical Program Management , Clinical, Utilization Management and other stakeholders… more
- BriteLife Recovery (Hanover, PA)
- CLINICAL DIRECTOR Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... a rewarding place to work. What you will be doing? The Clinical Director is responsible for overseeing the clinical operations of the substance abuse treatment… more
- CVS Health (Harrisburg, PA)
- …ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality ... ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy...of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum… more
- Evolent (Harrisburg, PA)
- …billing and various sites of care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical ... a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus**...role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced… more
- CVS Health (Harrisburg, PA)
- …Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical license without ... coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and clinical liaison to… more