- AmeriHealth Caritas (Philadelphia, PA)
- ; **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership in the operational areas of care management, utilization ... policy and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the Vice President, Medical Affairs. ;The… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Sunrise Senior Living (Malvern, PA)
- …to be a part of.** **Job ID** 2025-232514 **JOB OVERVIEW** The Executive Director is responsible for overall leadership, management, and success of the community. ... strive to provide care and services to seniors better than anyone. The Executive Director creates, in alignment with our mission and values, a positive atmosphere in… more
- Geisinger (Danville, PA)
- …Center (GMC) is seeking a BE/BC pediatric nephrologist to serve as the Director of Pediatric Nephrology. Also able to consider candidates requiring the American ... Board of Pediatrics Alternative Pathway for Academic Faculty. The Director will provide oversight, direct patient care, teaching, and consultative services. We will… more
- UPMC (Pittsburgh, PA)
- …Emergency Medicine Physician with a Pennsylvania Medical License for a Medical Director , Grievances role with UPMC Community Health Choices. This role is ... **Purpose:** The UPMC Health Plan is seeking a board-certified Family Practice,...weekly availability within the aforementioned time frame. The Medical Director , Grievances is responsible for assuring physician commitment and… more
- Evolent (Harrisburg, PA)
- …inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director … more
- Highmark Health (Harrisburg, PA)
- …years Health Insurance experience in applicable market segment + State-specific Producer License Life, Accident & Health are required or must be obtained ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...to ensure sales staff meet goals and standards. HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for… more
- Sunrise Senior Living (Montgomery, PA)
- …a big breath of fresh air."_** **_- Sunrise Leader_** The Executive Director is responsible for overall leadership, management, and success of their community. ... strive to provide care & services to seniors better than anyone. The Executive Director is expected to create, in alignment with our mission and values, a positive… more
- UPMC (Erie, PA)
- …the largest Emergency Department in the Erie region, is seeking a dedicated Director of Emergency Services to lead our exceptional team. Our Emergency Department is ... in a fast-paced, trauma-focused environment, we want to hear from you! Position: Director , Emergency Services Reporting to the Chief Nursing Officer, the Director… more
- UPMC (Altoona, PA)
- …Registered Nurse with leadership experience for an exciting opportunity as a Unit Director for our T11 Trauma unit!** In this challenging and rewarding position, the ... Unit Director maintains 24-hour accountability for leading and managing the...Promotes interdisciplinary partnership and consultation of hospital staff and health care team through participation in committees and related… more