- Evolent (Harrisburg, PA)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...**What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that… more
- UPMC (Erie, PA)
- …Licensure, Education, Certifications, and Clearances PA: + A graduate of a physician assistant program accredited by the Accreditation Review Commission on ... BS or MS candidate is preferred + Experience as a physician assistant and/or experience in a clinical setting is preferred + Current state PA license certified… more
- J&J Family of Companies (Horsham, PA)
- …protocols, and/or scientific manuscripts preferred + Experience with data analysis and review , and/or clinical study execution as either an investigator or ... leading the development and execution of Medical Affairs sponsored and supported clinical programs for company products in the Gastroenterology Therapeutic Area and… more
- WellSpan Health (York, PA)
- …campus and students. **Essential Functions:** + Serve as the Director and primary physician oversight for the Core Clerkship clinical rotations at the Medical ... Our Visionary Team at WellSpan Health - Shape the Future of our Physician Community** At WellSpan Health, our 23,000 employees, including over 2,700 doctors and… more
- Evolent (Harrisburg, PA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- Evolent (Harrisburg, PA)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Highmark Health (Harrisburg, PA)
- …and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal ... multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …CPT-4 in medical/ physician specialties .. . Background in Anatomy, Physiology, Clinical Medicine and Medical Terminology. . A graduate of an accredited coding ... any issues or trends found within documentation of a physician and/or physician extender to that provider...extender to that provider directly or to supervisor. . Review to ensure that clinical documentation substantiates… more
- St. Luke's University Health Network (Bethlehem, PA)
- …appropriately 18. Participates and contributes to service line operations, clinical review /development, and performance improvement/quality committees and/or ... the operational performance of the service line(s), in reference to the physician assistants and nurse practitioners (APs), and/or AP provider group. Partners with… more
- Highmark Health (Harrisburg, PA)
- …position routinely utilizes data including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data, prescription ... in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the...+ Lead the evaluation and selection of new complex clinical and technical products and methodologies necessary to enhance… more