- AmeriHealth Caritas (Newtown Square, PA)
- …programs + Responsible for collaborating with business development, product leadership, medical management , pricing and actuary, provider performance programs, ... Arrangement** + Remote + Must be able to travel **Responsibilities** + TheCorporate Director , Network Strategy is responsible for developing and managing an… more
- Health Advocates Network (Clarks Summit, PA)
- Medical Records Director - Expert **Pay Rate:** $42 / hour *W2 Minimum Qualifications Registration as a Medical Records Administrator (RHIT, Registered Health ... as a Medical Records Technician with the American Health Information Management Association; or four (4) years of experience in the preparation, classification… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The Director , Retail Pharmacy Network is responsible, as part of a team effort, in the planning, organizing, and directing the legal, professional, ... administrative, and financial functions of the UPMC Retail Pharmacy Network . This network includes the UPMC hospital-based pharmacies and the UPMC central fill… more
- CVS Health (Blue Bell, PA)
- …each and every day. **Position Summary** Aetna is recruiting for a Lead Director , Actuarial - Medicare who will be responsible for understanding and driving action ... on Medicare Network Insights and curating support for this important line...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- St. Luke's University Health Network (Allentown, PA)
- …in research finance, grants management , or compliance in an academic medical center, hospital network , or research institution required; will accept a ... serve, regardless of a patient's ability to pay for health care. The Director , Research Finance and Compliance provides strategic and operational leadership for the… more
- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... developments in the areas of quality improvement and utilization management . + Communicate and educate network providers...of Osteopathy from an accredited school, and a Pennsylvania medical license. The ideal candidate will have 5-10 years… more
- Carnegie Mellon University (Pittsburgh, PA)
- …stakeholders within the Student Financial Aid Office and the broader Enrollment Management team. The Associate Director establishes procedures and guidelines to ... management team for the Student Financial Aid Office, the Associate Director collaborates with colleagues in the Enrollment Management division and across… more
- Teleflex (Wayne, PA)
- Medical Director , Interventional Urology and Urology Care (REMOTE) **Date:** Aug 5, 2025 **Location:** Wayne, PA, US **Company:** Teleflex **Expected Travel** : ... and other pelvic malignancies (the BarrigelTM rectal spacer). The Medical Director , Interventional Urology and Urology Care,...Care, is an experienced Urologist with advanced expertise in management of prostate cancer. As a senior member of… more
- Centene Corporation (Harrisburg, PA)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- CVS Health (Harrisburg, PA)
- …NJ License without encumbrances or the ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy ... clinical / medical programs and expand Aetna's medical management programs to address member needs...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more