- Evolent (Harrisburg, PA)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- WTW (Philadelphia, PA)
- …You will have the opportunity to position yourself to grow into a senior relationship management and/or leadership role by serving as the pivotal point of ... vendor procurement, negotiation, implementation, and optimization activities + Facilitating specialist resources and subject matter experts in health management,… more
- Geisinger (Lewistown, PA)
- Job Summary Certified by the American Board of Preventive Medicine. This specialist works with large population groups as well as with individual patients to promote ... in scholarly activities. + Oversee didactic education and ensure compliance with institutional requirements. + Participate in research, scholarly activities,… more
- Geisinger (Kingston, PA)
- …clinical guidelines in conjunction with the primary care provider or specialist . + Contacts patients through written correspondence and telephone calls, and ... against standards of practice and relevant regulations and acts to improve compliance . + Maintains required documentation for all case management activities. +… more
- Geisinger (Danville, PA)
- …Maintains a working knowledge of applicable regulatory standards and ensures that compliance of standards is maintained. + May participate in operational and ... is a plus. This role will split time between faculty and analytical specialist /bench responsibilities as assigned. This role will have a weekend and holiday… more