- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Evolent (Harrisburg, PA)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Deloitte (Philadelphia, PA)
- …to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other skills include the ... to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions and procedures to evaluate clinical documents + Monitor diagnoses,… more
- UPMC (Coudersport, PA)
- … disease process.b. Displays knowledge of chemotherapy agents and administration .c. Displays knowledge of assessing medi-port/port-a-cath for administration ... procedures, such as thoracentesis, lumbar tap, etc. + h.Participates in the economical utilization of supplies and ensures that equipment is maintained in a clean… more
- UPMC (Coudersport, PA)
- …of disease process. Displays knowledge of chemotherapy agents and administration . Displays knowledge of assessing medi-port/port-a-cath for administration of ... and procedures, such as thoracentesis, lumbar tap, etc. Participates in the economical utilization of supplies and ensures that equipment is maintained in a clean… more
- CVS Health (Harrisburg, PA)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- Penn Medicine (Philadelphia, PA)
- …medical staff, and all areas of clinical documentation improvement, CEQI, denials management , coding, utilization management to develop and implement ... you living your life's work? Entity: Corporate Services Department: Corporate HIM Administration Location: 150 Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days,… more
- Merck (North Wales, PA)
- …the EDSA review process. + Manages programs (patient support, educational or risk management ) to support appropriate and safe utilization of Our Company ... The GDMA may also be appointed as aV&I Lead for their disease /asset area, which includes additional organizationally aligned responsibilities. The GDMA works as… more
- IQVIA (Reading, PA)
- …a broad range of stakeholders including physicians, nurses, technicians, materials management , hospital administration , and infection control + Collaborate with ... Territory Managers, Sales Management , HEMA, and cross-functional teams to assess business conditions...to assess business conditions and sales trends + Drive utilization of targeted technologies across assigned accounts + Demonstrate… more