- Evolent (Harrisburg, PA)
- …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 , MSK Surgery you will be...Surgery you will be a key member of the utilization management team. We can offer you a meaningful… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- Summary The Assistant Chief of Medical Service (ACOS MS) provides administrative, clinical, and programmatic leadership for Medical Service to ensure clinical ... excellence. Responsible for providing direct oversight to acute care medical service/inpatient operations. Responsible for covering inpatient wards to assist… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician… 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 ... of favorable contracts that exceed the cost of care delivery. Additionally, the Director will work to maximize referral volume from each executed agreement and… more
- Trinity Health (Woodlyn, PA)
- …Sign on Bonus AND 1st Day Benefits **Position Purpose:** Under the supervision of the medical director , the Primary Care physician (PCP) provides primary ... Type:** Full time **Shift:** Day Shift **Description:** **Primary Care Physician ** Shift: Monday - Friday 8 am to 5:00...+ At the direction of the Medical Director reviews medical outcomes/statistical and utilization… more
- Travelers Insurance Company (Harrisburg, PA)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Trinity Health (Woodlyn, PA)
- …**:** 1st Day Health Insurance Coverage Position Purpose: Under the supervision of the medical director , the Primary Care physician (PCP) provides primary ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** PHYSICIAN ** **Location:** Kinder Park **Status** **:** Full time...+ At the direction of the Medical Director reviews medical outcomes/statistical and utilization… more
- YesCare Corp (Philadelphia, PA)
- …to validate need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is ordered. + Utilizes ... Below is a list of your responsibilities as a ** Physician ** with YesCare at Curran Fromhold Correctional Facility. We...assistants or nurse practitioners as required. + Notifies Site Medical Director and/or Site Health Services Administrator… more
- Penn Medicine (Philadelphia, PA)
- …optimization of provider experience and workflow. + Oversee initiatives pertaining to physician and clinic schedule utilization and management to enhance access ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Lancaster, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... with the LG Health Strategic Plan. Work collaboratively with health system and physician leadership to develop short and long-range strategic goals and tactics to… more