- Highmark Health (Harrisburg, PA)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Grifols Shared Services North America, Inc (Wilkes Barre, PA)
- …Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, and activities within Medical Affairs, as ... requests and solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director, and North America Medical … more
- Olympus Corporation of the Americas (Center Valley, PA)
- … Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill ... more about Life at Olympus (https://www.olympusamerica.com/careers) . **Job Description** As a Medical Safety Specialist II (MSSII) you will have an integral role in… more
- CSL Behring (King Of Prussia, PA)
- …brand performance, ensuring cost-effective delivery of all programs + Manage the internal legal , regulatory and medical review and approval of new messages and ... and education activities + Leading cross-functional support team members including medical affairs, insights & analytics, corporate accounts and the field sales… more
- Geisinger (Danville, PA)
- …Full benefits (health, dental and vision) starting on day one + Three medical plan choices, including an expanded network for out-of-area employees and dependents + ... Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more… more
- Geisinger (Scranton, PA)
- …Full benefits (health, dental and vision) starting on day one + Three medical plan choices, including an expanded network for out-of-area employees and dependents + ... Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more… more
- Geisinger (Scranton, PA)
- …Click here to learn moreabout the units below + Advanced Acute Care ( Medical & Oncology, Surgical Trauma, Cardiac/Telemetry, Orthopedics) + Cardiac Special Care Unit ... Full benefits (health, dental and vision) starting on day one + Three medical plan choices, including an expanded network for out-of-area employees and dependents +… more
- Highmark Health (Wexford, PA)
- …:** **GENERAL OVERVIEW:** Assists physicians and extenders in providing proper medical and clerical support for the various orthopedic practice locations. ... Reviews and updates the allergy and medication list, social, medical and surgical history and pain screening. With appropriate...Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in… more
- Evolent (Harrisburg, PA)
- …or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board **To comply with HIPAA security standards ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when… more
- Evolent (Harrisburg, PA)
- …or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board **To comply with HIPAA security standards ... non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology… more