- Evolent (Harrisburg, PA)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Select Medical (Harrisburg, PA)
- …Calendar + Receiving and reviewing quarterly quality improvement reports. + Assisting the Medical Director and Quality Program Director with development and ... **Overview** **Critical Illness Recovery Hospital** ** Director of Quality Management ** At Select...** At Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically… more
- Humana (Harrisburg, PA)
- … care , quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures, processes, ... put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...Director will attend and participate in meetings involving care management , provider relations, quality of … more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …journey. We invite you to apply today. SUMMARY OF JOB The Hospitalist Site Medical Director (HMD) is responsible for the success of the Hospitalist Medicine ... between the hospitalists, emergency medicine physicians, specialists, physician advisor, nursing, care management , IT and all other departments. The HMD… more
- Sumitomo Pharma (Harrisburg, PA)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... support for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product… more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Director of Managed Care Contracting is responsible for leading the strategic planning, financial analysis, negotiation, and execution of new ... development of favorable contracts that exceed the cost of care delivery. Additionally, the Director will work...+ Serve as Hospital, payor relations, admissions, and case management support. + Promote use of Contract Information System… more
- UPMC (Media, PA)
- …assuring the adequacy of the provider network for the clinical needs of Community Care members. The Medical Director also participates in regional leadership ... providers in the provision of quality medical care . The Regional Medical Director ... management experience preferred. + Experience in managed care setting preferred. + Ability to implement medical… more
- Select Medical (Mechanicsburg, PA)
- …The Senior Director is responsible for leading the Managed Care Contracting team and planning, analyzing, negotiating, and implementing new and renegotiated ... care , preferably working in the payer/provider contracting, network management or provider relations arenas. + Extensive knowledge, experience, and expertise… more
- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to ... for assuring physician commitment and delivery of comprehensive high quality health care to UPMC Health Plan members. Oversees adherence to quality and utilization… more
- Water Street Mission (Lancaster, PA)
- …team to achieve the primary goal of the administration and oversight of recuperative care . Provide direct nurse care management services for recuperative ... + Other duties as assigned. + . Supervision and management of recuperative care staff. + Be...To: Senior Vice President, Health Services Key Internal Relationships: Director of Medical Services, Director … more