- Datavant (Harrisburg, PA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex to complex...participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- ThermoFisher Scientific (Pittsburgh, PA)
- …future. **Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director/Clinical Trial Physician(FSP) based in the United States and ... encouraged to challenge yourself and contribute to breakthrough solutions , the Medical Director/Clinical Trial Physician could be a great fit. **Discover Impactful… more
- Sumitomo Pharma (Harrisburg, PA)
- …FDA and/or EU ICH safety requirements** + Expertise in medical review of medical review of Individual case safety reports and aggregate safety reports + ... dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will provide hands-on… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D ... & B). The Medical director work assignments involve moderately complex to complex...where the analysis of situations or data requires a case -by- case consideration of the Medicare rules, Humana… more
- Sedgwick (Philadelphia, PA)
- …& Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing Preferred - Hybrid - Sedgwick Offices **ARE YOU AN IDEAL CANDIDATE?** We are ... promotional growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **PRIMARY PURPOSE** **:** To… more
- CVS Health (Harrisburg, PA)
- …Lead team meetings and serve as the first point of contact for complex case issues or challenges. + Support hiring, onboarding, and ongoing talent development of ... + Build and maintain relationships with stop loss carriers to support case resolution and negotiation efforts. + Clearly articulate Meritain's services, underwriting… more
- Geisinger (Scranton, PA)
- …Qualifications: + Terminal Degree (eg, Ph.D., MD, DO). While experience in medical school curriculum is preferred , qualified candidates without this experience ... Job Summary The Department of Medical Education is seeking applications for a full-time faculty position (1.0 FTE) in Pathology/Pathophysiology at any rank… more
- St. Luke's University Health Network (Bethlehem, PA)
- …pediatric (Birth - 12 years), adolescent (13-17 years), adult (18-65 years) medical conditions. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates knowledge of Speech ... identified impairments, resultant functional limitations, and disabilities. + Attends case management/interdisciplinary rounds, where appropriate, and provides timely communication… more