- CVS Health (Harrisburg, PA)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in… 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. ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Harrisburg, PA)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… 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 ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Centene Corporation (Harrisburg, PA)
- …competitive benefits including a fresh perspective on workplace flexibility. We are hiring a Medical Director for our New Jersey market. The ideal candidate will ... knowledge of quality accreditation standards highly preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical … more
- Evolent (Harrisburg, PA)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Gentiva (Pittsburgh, PA)
- **Overview** The ** Medical Director ** will report directly to the National Medical Director and supervise, evaluate, and be responsible for the standards ... Experience demonstrated by Hospice & Palliative Medicine board certification, Hospice Medical Director Certification Board certification, or substantial practice… more
- Evolent (Harrisburg, PA)
- …we're redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal ... a focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates… more
- Genesis Healthcare (Moon Township, PA)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and ... expertise with our Clinicians in Action professional development program Responsibilities The Director of Rehab PT is responsible for the efficient management of… more
- Genesis Healthcare (Allentown, PA)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and ... Clinicians in Action professional development program Responsibilities The Assistant Director of Rehab is responsible for assisting the ...period of one year. 6. A thorough knowledge of Medicare and third party billing is also required. 7.… more