- Humana (Harrisburg, PA)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with ... part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and… more
- Sedgwick (Harrisburg, PA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. ... and assure efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and...required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality… more
- CVS Health (Pittsburgh, PA)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides… more
- Humana (Harrisburg, PA)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with ... of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice… more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Director of Managed Care Contracting is responsible for leading the strategic planning, financial analysis, negotiation, and execution of new and ... that exceed the cost of care delivery. Additionally, the Director will work to maximize referral volume from each...+ Serve as Hospital, payor relations, admissions, and case management support. + Promote use of Contract Information System… more
- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community… more
- Jacobs (Philadelphia, PA)
- As a Market Growth Director , you will be responsible for developing and executing a comprehensive market strategy in close partnership with your Executive ... Director of Sales (EDS). This strategy will be shaped...strong strategy execution and client relationships * Successful budget management * Development and successful execution of strategy within… more
- UPMC (Pittsburgh, PA)
- …centralized cardiac monitoring unit and other aspects of virtual care programs. The Director is responsible for collaborating with medical staff to monitor ... transform patient care through innovation? UPMC Nursing is seeking a dynamic Director , Virtual Care Center to launch enterprise-wide virtual nursing initiatives. In… more
- Penn Medicine (Philadelphia, PA)
- …and workflow. + Oversee initiatives pertaining to physician and clinic schedule utilization and management to enhance access to all patients, providing ... team with interviewing, selection, employment, development, discipline, evaluation, and management of administrative managers working with Medical Directors… more
- UPMC (Pittsburgh, PA)
- …the Unit Director , you would be responsible for collaborating with medical staff to monitor patient outcomes and setting clinical quality priorities, supporting ... Magee-Womens Hospital is looking to hire a second Unit Director for the Neonatal ICU. The Neonatal ICU is...83-bed Level III critical care facility that provides acute medical , nursing, and respiratory care to critically ill infants;… more