- 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 ... must be able to start with 30-60 days of hire. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether… more
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Guthrie (Sayre, PA)
- …General Surgery, Internal Medicine , Emergency Medicine , Family Medicine , Anesthesiology and Orthopedic Surgery Residency , as well as Cardiovascular, ... of a physician-administrator leadership model. The dyad pairs the Executive Director of Research (physician leader-HPA) with a senior administrative executive to… more
- WellSpan Health (York, PA)
- … Director role. The successful candidate will work collaboratively with the Clinic Director , Director of Addiction Medicine and experienced staff. + ... **Psychiatrist - Addiction - Site Director ** **Specialized Treatment & Recovery** WellSpan Health is a top-rated, integrated health system with a focus on… more
- WellSpan Health (Lewisburg, PA)
- …or Board eligible. Upon Hire Required and + Completion of a Family Medicine residency . Upon Hire Required **Knowledge, Skills, and Abilities:** + Administrative ... care services to the Bucknell University community. The Medical Director role is an opportunity to provide leadership and...About Us \#PC **Qualifications** **Minimum Education:** + Doctor of Medicine (MD) Required or + Doctor of Osteopathic … more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... this knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- 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 provides medical interpretation and decisions about the appropriateness of services… more
- Guthrie (Sayre, PA)
- …General Surgery, Internal Medicine , Emergency Medicine , Family Medicine , Anesthesiology and Orthopedic Surgery Residency , as well as Cardiovascular, ... Position Summary: The Hospital Director of Pharmacy is responsible for leading and...and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...Certified in an approved ABMS Medical Specialty + **Internal Medicine , Family Practice, Geriatrics, Hospitalist, Emergency Medicine ,… more
- UPMC (Pittsburgh, PA)
- UPMC University of Pittsburgh Physicians is seeking a Senior Director of Ambulatory Clinical Operations to lead strategic initiatives within our Physician Services ... a key member of the Access team, the Senior Director will drive enterprise-wide efforts to enhance the patient...the ambulatory nursing council. + Partners with school of medicine physician leaders and affiliated medical group practice leaders… more