- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- CVS Health (Harrisburg, PA)
- …health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the Medical Management staff ... to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in… more
- Genesis Healthcare (Moon Township, PA)
- …expertise with our Clinicians in Action professional development program Responsibilities The Director of Rehab PT is responsible for the efficient management of ... in integration of rehabilitation services in all settings. The Director of Rehab PT ensures that the highest standard...year of management experience. 7. A thorough knowledge of Medicare and third party billing is also required. Posted… more
- Genesis Healthcare (Allentown, PA)
- …with our Clinicians in Action professional development program Responsibilities The Assistant Director of Rehab is responsible for assisting the Director of ... integration of rehabilitation services in all settings. The Assistant Director of Rehab supports the delivery of the highest...period of one year. 6. A thorough knowledge of Medicare and third party billing is also required. 7.… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Associate Director , HEDIS Operations of Non-Standard Supplemental for business operations supports all ... of configuration control, data management, and deficiency reporting. The Associate Director , Data Management requires a solid understanding of how organization… more
- Evolent (Harrisburg, PA)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Harrisburg, PA)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- Assistant Director of Patient Care Services Overview Date Posted: 11/5/2025 Location: LECOM Erie Dental Clinic Address: 2000 West Grandview Boulevard City: Erie ... of America Category: Education Employment Status: Full-time Description JOB SUMMARY: The Assistant Director of Patient Care Services works with the Director of… more
- Prime Therapeutics (Harrisburg, PA)
- …build the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible ... As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and… more
- Genesis Healthcare (Wyncote, PA)
- …with our Clinicians in Action professional development program. Responsibilities The Assistant Director of Rehab (or In-Training Director of Rehab) is ... day or more depending on location) 3. Assist the Director of Rehab with monitoring the standard of clinical...in a rehabilitation setting preferred * Thorough knowledge of Medicare and third party billing required * Must have… more