- Centene Corporation (Harrisburg, PA)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as appropriate. + ... quality accreditation standards highly preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management , quality… more
- AmeriHealth Caritas (Newtown Square, PA)
- …claims auditing process + Act as a liaison between payment integrity operations and provider network management to address escalations and improve end-user ... regulatory changes + Collaborate with legal, compliance, analytics, clinical policy, provider network , PI vendors, and other internal/external key stakeholders… more
- Oracle (Harrisburg, PA)
- …our growing customer base. **Responsibilities** Key Responsibilities: 1. Strategy and Team Management : 2. Lead a global team of network managers, architects, ... cloud and on-premises and other clouds. Oracle Cloud applications provide business leaders with modern applications that help them...leadership experience at the Senior Director or Director level in a network engineering organization.… more
- STG International (Pottsville, PA)
- STGi is currently seeking a Medical Director to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The general duty of the Medical ... Director is to provide oversight for the...patient safety. *Design and participate in quality improvement, care management , risk management , peer review, utilization review,… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... and wellness programs and resources, and much more. Posted Job Title Executive Director of Development, Penn Libraries Job Profile Title Senior Director ,… more
- University of Pennsylvania (Philadelphia, PA)
- …safeguard accuracy and efficiency. A major focus of the position is data management and reporting. The Associate Director will oversee admissions databases (eg, ... and resources, and much more. Posted Job Title Associate Director of Admissions, Wharton MBA Program for Executives Job...support at welcome events, and working closely with program management to provide enrollment reports and ensure… more
- UPMC (Pittsburgh, PA)
- …Health Plan is seeking a licensed MD or DO for a fully remote Medical Director , Utilization Management role. The Medical Director , Utilization Management ... happen. _This is a full-time and full remote role._ Responsibilities: + Provide leadership direction for provider credentialing processes. + Physicians must… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... wellness programs and resources, and much more. Posted Job Title Associate Director , Regulatory Job Profile Title Associate Director , Clinical Research… more
- Carnegie Mellon University (Pittsburgh, PA)
- …support and resources while being equity-minded, asset-oriented and data-informed. The Assistant Director , Tartan Scholars Program will report to the Director of ... support and resources proven to amplify Scholars' success skills. The Assistant Director , will demonstrate a commitment to inclusion ensuring all students have what… more
- CSL Behring (King Of Prussia, PA)
- …to include formal training opportunities and stretch assignments. **Cloud, Hosting and Network Management ** + Oversee the deployment, management , and ... and related systems. to improve efficiency, reduce costs, and enhance agility. **Service Provider Management ** + Oversight of Managed Service Providers to ensure… more