• Medical Education Program Dept Manager…

    UPMC (Harrisburg, PA)
    …defined program objectives. Partners with other program support areas and the Program Director to ensure that the training program is in full compliance with UPMC, ... UPMC Medical Education (ME), and Accrediting Body (ACMGE, AHSP, CODA,...in the position specific responsibilities. **Responsibilities:** + Utilize Residency Management system (Med Hub) to complete various tasks. Tasks… more
    UPMC (08/21/25)
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  • Medical Education Program Dept Manager (Non…

    UPMC (Pittsburgh, PA)
    …defined program objectives. Partners with other program support areas and the Program Director to ensure that the training program is in full compliance with UPMC, ... UPMC Medical Education (ME), and Accrediting Body (ACMGE, AHSP, CODA,...in the position specific responsibilities. **Responsibilities:** + Utilize Residency Management system (Med Hub) to complete various tasks. Tasks… more
    UPMC (08/14/25)
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  • Senior Pharmacist

    Highmark Health (Pittsburgh, PA)
    …Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior ... account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and disease management initiatives.… more
    Highmark Health (06/26/25)
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  • Pharmacist Clinical Specialist-Oncology

    St. Luke's University Health Network (Bethlehem, PA)
    …recommendations and actions. SUPERVISION (RECEIVED BY AND/OR GIVEN TO): Received: Pharmacy Management - Clinical coordinator, site director of pharmacy, network ... the hematology/oncology providers, and infusion centers to monitor chemotherapeutic utilization , supportive drug therapy utilization , adverse drug reactions,… more
    St. Luke's University Health Network (07/12/25)
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  • Physician - PACE Kinder Park

    Trinity Health (Woodlyn, PA)
    …for 24-hour care delivery. + At the direction of the Medical Director reviews medical outcomes/statistical and utilization data, including reviewing of ... Day Benefits **Position Purpose:** Under the supervision of the medical director , the Primary Care physician (PCP)...of a disaster will know your disaster recovery, crisis management and business continuity plans and act within your… more
    Trinity Health (08/03/25)
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  • Appeals and Grievances Clinical Specialist - RN,…

    Healthfirst (PA)
    …productivity and quality for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case ... Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management /case management .… more
    Healthfirst (08/27/25)
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  • Inpatient Registered Nurse (RN) or Social Worker…

    St. Luke's University Health Network (Stroudsburg, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . . Facilitates communication ... discharge interventions accordingly. . Actively addresses and monitors resource utilization and documents delays as appropriate. . Identifies patients with… more
    St. Luke's University Health Network (08/24/25)
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  • Inpatient Registered Nurse or Social Worker (MSW)…

    St. Luke's University Health Network (Quakertown, PA)
    …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication ... discharge interventions accordingly. + Actively addresses and monitors resource utilization and documents delays as appropriate. + Identifies patients with… more
    St. Luke's University Health Network (07/23/25)
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  • Mktg Spc Events/Data Analytics

    Fujifilm (Harrisburg, PA)
    …courses, and grant requests received by Fujifilm from industry societies, Academic Medical Centers, and other health-related organizations in the West and South ... improve how we report on various activities. The role reports to the Director , Marketing & Communication in the Endoscopy division. **Company Overview** At FUJIFILM… more
    Fujifilm (08/11/25)
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  • Compliance Audit Manager

    Cardinal Health (Harrisburg, PA)
    …risk assessments to define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS ... and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine… more
    Cardinal Health (08/27/25)
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