- Humana (Harrisburg, PA)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health ... providers, clinical group practice management . + Utilization management experience in a medical management.... + Utilization management experience in a medical management review organization, such as Medicare… more
- CVS Health (Harrisburg, PA)
- …Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective ... care management solutions that promote high-quality healthcare for members. We...Use established guidelines to authorize services or escalate to Medical Directors as needed. + Navigate multiple computer systems… more
- WellSpan Health (York, PA)
- …to lab. + Ensures all patient care areas are adequately stocked with unexpired medical supplies and has equipment that is in good working condition with up to ... of systems and history of present illness and/or past medical and social history. Obtains an accurate medication review...care team, including but not limited to in basket management . + Under the direction of your supervisor, takes… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Medical Assistant's primary responsibility is to assist in the delivery of healthcare support ... for the practice. The Medical Assistant is a professional member of the interdisciplinary team and consistently demonstrates and promotes the values of the… more
- Travelers Insurance Company (Harrisburg, PA)
- … capabilities to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Philips (New Kensington, PA)
- As the **Director of Program Management ** , you will lead a team of project managers in driving the successful execution of complex, cross-functional programs within ... a regulated medical device environment. This role is responsible for developing...project managers; build operational discipline in portfolio and resource management + Oversee execution of cross-functional programs from concept… more
- Humana (Harrisburg, PA)
- …managed care industry including Medicare Advantage, Managed Medicaid, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health ... insurance, other healthcare providers. + Utilization management experience in a medical management review organization, such as Medicare Advantage and… more
- Highmark Health (Harrisburg, PA)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- CVS Health (Pittsburgh, PA)
- …Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the ... continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization… more
- Highmark Health (Wexford, PA)
- …manner. + Prepares exam room for patient visit. Ensures adequate inventory of medical supplies. Ensures all patient treatment areas are at all times stocked with ... Minimum + High School / GED + Completion of a Medical Assistant Program **OR** 1 year of Medical Assistant **OR** 1 year in a direct patient care role,… more