- 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 ... Medical Director work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … 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 ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… 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)
- …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
- Evolent (Pittsburgh, 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)
- …impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. ... **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members....Full-Time team members. We offer Dental and Vision to Part -Time team members. + **Paid Time Off** : We… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Associate Director , Finance Data Management supports all aspects of configuration ... control, data management, and deficiency reporting. The Associate Director , Finance Data Management requires a solid understanding of how Finance organization data… more
- Genesis Healthcare (Wyncote, PA)
- …**Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part -Time team members. + **Support for New Grads & Clinical Fellows:** Our Powerback ... impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.… more