- 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...policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included… more
- Evolent (Harrisburg, PA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We ... match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... Are you living your life's work? **Job Title:** Coordinator of Medical Student Education **Department:** Pathology Administration **Location:** Hospital of the… more
- Evolent (Harrisburg, PA)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology ... endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter… more
- WellSpan Health (York, PA)
- …formulas. + Trains other employees in day-to-day procedures. + May consult with medical staff and other health care providers on matters relating to laboratory ... staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors, reporting… more
- WellSpan Health (Waynesboro, PA)
- …plan of care. Appropriately utilizes flow sheets, progress notes, and/or electronic medical record for documentation. Validates compliance with system and ... staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting… more
- Evolent (Harrisburg, PA)
- …Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Humana (Harrisburg, PA)
- …part of 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...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Community Health Systems (Scranton, PA)
- ** Medical Technologist** **Part-time, Days, RSWH (Rotating Shifts Weekends Holidays)** **This position is** **not eligible** **for immigration sponsorship now or in ... must be authorized to work in the US for any employer.** As a Medical Laboratory Technologist at **Regional Hospital of Scranton** , you'll join a team and… more
- Evolent (Harrisburg, PA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. ... in Advanced Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more