- Evolent (Harrisburg, PA)
- …license required per business needs . Active Board Certification in Adult Medical Oncology . Strong clinical, management , communication, and organizational ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...you will be a key member of the utilization management team. We can offer you a meaningful way… more
- UPMC (Erie, PA)
- **UPMC's Great Lakes Pain Management is seeking compassionate and detail-oriented candidates to apply for our Medical Assistant position. This role offers ... guidelines. + Relay instructions to patients/families. + Send/receive patient medical records in accordance with Health Insurance. Portability and Accountability… more
- Highmark Health (Jefferson Hills, PA)
- …to support physician(s) as required. QUALIFICATIONS: Minimum + Accepted Medical Assistant Certification (National Healthcare Association-NHA, American Association of ... Medical Assistants- AAMA, American Medical Technologists- AMT, National Center for Competency Testing- NCCT, American Medical Certification Association-… more
- Evolent (Harrisburg, PA)
- …any license required per business needs + Active Board Certification in Medical Oncology + Strong clinical, management , communication, and organizational skills ... Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical … more
- Highmark Health (Harrisburg, PA)
- …**PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities + Responsible for communicating review ... The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal… more
- UPMC (Pittsburgh, PA)
- …standards of care. You will collaborate and facilitate care with other medical management staff, other departments, providers, community resources, and ... your nursing background in outpatient, home health, or case management ? Do you have an interest in health insurance,...in health insurance, but thrive on working in a medical office setting with face-to-face interaction with the members… more
- ICW Group (Philadelphia, PA)
- …dedicated in-house counsel for litigation strategy and nurse case managers for medical management . **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Strategic Claims ... risk stakeholders. + Builds strong partnerships with panel defense counsel, and medical management vendors to drive optimal outcomes. + Acts as a critical… more
- Globus Medical, Inc. (Audubon, PA)
- …or 3 years with a PhD; or equivalent experience + Experience in medical device product marketing/ management , preferably in orthopedics or spine + Willingness ... At Globus Medical , we move with a sense of urgency...quickly as possible. **Excited to grow your career?** Globus Medical Inc. believes in the potential, skills, and dedication… more
- UPMC (Pittsburgh, PA)
- …toward greater self-care. The role also involves close coordination with medical management staff, internal departments, community resources, and caregivers ... The Care Manager collaborates with members, caregivers, and providers to assess medical , behavioral, and social needs, identify barriers to care, and develop… more
- Penn State Health (Hershey, PA)
- …for additional information. **SUMMARY OF POSITION:** Responsible for direct patient medical management in the HVICCU and compliance with guidelines ... physical assessment required. + Ability to diagnose and formulate a medical management plan required. + Ability to communicate with interdisciplinary team,… more