- CVS Health (Harrisburg, PA)
- …staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical ... Internal Medicine / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation. You will… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice ... appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director … more
- Penn Medicine (Philadelphia, PA)
- …to the Pennsylvania Hospital (PAH) Chief Medical Officer (CMO), The PAH Director of Quality and Patient Safetyprovides leadership and oversight of the Department ... Patient Safety. This position works collaborativelywith the Patient Safety Officer, the Director of Regulatory Affairs and Accreditation, the Director of… more
- Humana (Harrisburg, PA)
- …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 ... Corporate Medical Director works on problems of diverse scope and complexity...services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at… more
- Wabtec Corporation (Erie, PA)
- …architecture across global Wabtec IT. How will you make a difference? The Director of IT Strategy and Performance is a key individual contributor role reporting ... IT initiatives, creating a unified strategic approach that maximizes resource utilization and eliminates operational silos + Orchestrate the Wabtec IT's strategic… more
- Evolent (Harrisburg, PA)
- …to adeptly negotiate internally and externally around interpretation and application of utilization review law, accreditation standards and policy. + Ensures ... the mission. Stay for the culture. **What You'll Be Doing:** **Associate Director , Correspondence Project and Program Management** This position serves a key role… more
- UPMC (Pittsburgh, PA)
- …personnel functions including interviewing, selection of new personnel, performance review , competency validation, promotion, disciplinary actions as well as staff ... and maintain effective communication and cooperation with the Medical Director and Medical Staff as well as Nursing and...acuity. + Maintain high quality of patient care through utilization of quality assurance monitors, state of the art… more
- CBRE (Harrisburg, PA)
- Global Finance Director - Remote USA Job ID 233748 Posted 13-Aug-2025 Service line GWS Segment Role type Full-time Areas of Interest Accounting/Finance, ... US - United States of America **Remote within USA** **Global Finance Director ** **JOB SUMMARY** Responsible for developing and managing the following finance… more
- Wellpath (Collegeville, PA)
- …staff and ensure adherence to clinical protocols + Oversee chronic care clinics, utilization review , and quality improvement initiatives + Collaborate with the ... point of care support. **How you make a difference** The Site Medical Director provides clinical leadership at the assigned facility and ensures compliance with… more
- Encore (Farmington, PA)
- Position Overview The Director , Event Technology II (DET II) is responsible for leading a successful sales and operations team to achieve the revenue and ... $8M in revenue and will report to a Regional Director , Venues or an RVP, Venues. Key Job Responsibilities...on sales strategies * Creates and participate in business review presentations. Financial Management & Reporting * Drive Results… more