- Commonwealth of Pennsylvania (PA)
- … services program that insures the maintenance of high-quality service to patients/clients/inmates/family or staff and developing experimental designs or ... serving on agency-wide or inter-agency committees such as Research, Human Rights, Medical Records, Management Advisory, etc., to discuss and evaluate… more
- The Cigna Group (Philadelphia, PA)
- …+ Financial Planning & Analysis + Data & Analytics + Underwriting + Investment Management + Medical Management **We're** **looking for motivated and curious ... span key functions-including pricing, reserving, analytics, forecasting, and risk management -across diverse business areas such as employer healthcare, individual… more
- Prime Therapeutics (Harrisburg, PA)
- …for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and ... benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists. + Escalates requests to… more
- The Cigna Group (Philadelphia, PA)
- …+ Financial Planning & Analysis + Data & Analytics + Underwriting + Investment Management + Medical Management **Qualifications:** + At least 2 years ... span key functions-including pricing, reserving, analytics, forecasting, and risk management -across diverse business areas such as employer healthcare, individual… more
- Penn Medicine (Philadelphia, PA)
- …of patients each year. The PD&MDC provides comprehensive evaluation, diagnosis, and medical management for all types of movement disorders. PD&MDC's focus ... 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 (Philadelphia, PA)
- …Vascular Neurologists in Philadelphia's first comprehensive stroke center. In addition to medical management of general Neurology and Stroke patients, the ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Evolent (Harrisburg, PA)
- …and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and ... computer science, engineering, public health) + Previous experience in a medical economics related position within Utilization Management /Clinical Vendor … more
- Sedgwick (Harrisburg, PA)
- …plans. + Works closely with team members to ensure smooth transition from medical case management into job placement. + Prepares reports to document ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and… more
- WM (Mckeesport, PA)
- …Since our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and ... \#WMHSDriver **About Us:** Stericycle is a US based business-to-business services company and leading provider of compliance-based solutions that...record. * Ability to obtain and retain a valid Medical Examiner Card (MED) route management . *… more
- WellSpan Health (Lebanon, PA)
- … principles. **Duties and Responsibilities** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for ... a variety of duties and applies utilization and case management techniques to determine the most efficient use of...range of services , from wellness and employer services solutions to advanced care for complex medical… more