- Humana (Harrisburg, PA)
- …most vulnerable members. The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations ... a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review...rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations… more
- Evolent (Harrisburg, PA)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
- Evolent (Harrisburg, PA)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... cases. you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
- Humana (Harrisburg, PA)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...healthcare providers, clinical group practice management + Utilization management experience in a medical… more
- UPMC (Pittsburgh, PA)
- …Family Practice, Internal Medicine, or Emergency Medicine Physician with a Pennsylvania Medical License for a Medical Director , Grievances role ... to choose their weekly availability within the aforementioned time frame. The Medical Director , Grievances is responsible for assuring physician commitment and… more
- Evolent (Harrisburg, PA)
- …in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...Oncology, you will be a key member of the utilization management team. We can offer you… more
- Humana (Harrisburg, PA)
- …Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management ... caring community and help us put health first** The Medical Director relies on broad clinical expertise...with prior experience participating in teams focusing on quality management , utilization management , or similar… more
- Evolent (Harrisburg, PA)
- …in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you...Rehab you will be a key member of the utilization management team. We can offer you… more
- Evolent (Harrisburg, PA)
- …in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... Radiology you will be a key member of the utilization management team. We can offer you...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- CVS Health (Harrisburg, PA)
- … will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical … more
Recent Jobs
-
Critical Facilities Technician (DISA OKC)
- EMCOR Group (Oklahoma City, OK)
-
Behavioral Health Licensed Practical Nurse LPN
- YesCare Corp (Clio, AL)