• Clinical Coordinator Pharmacy

    Penn Medicine (Philadelphia, PA)
    …leadership responsibilities. + Strong knowledge of formulary management, drug utilization review , and cost-containment strategies. + Excellent communication, ... to improve patient outcomes and operational efficiency. + Monitor drug utilization and implement cost-saving initiatives without compromising quality of care.… more
    Penn Medicine (12/23/25)
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  • Crisis Intervention Specialist

    St. Luke's University Health Network (Quakertown, PA)
    …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... may require treatment with seclusion/restraints. + Supports the function of utilization management regarding pre-certification process for all intakes and consults.… more
    St. Luke's University Health Network (12/19/25)
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  • RN Case Manager Emergency (Nights), Allegheny…

    Highmark Health (Pittsburgh, PA)
    …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more
    Highmark Health (11/22/25)
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  • Fulfillment Analyst

    Globus Medical, Inc. (Audubon, PA)
    …inventory is required to support surgical cases, ensuring coverage and efficient asset utilization . + Review and process Loaner Extension Requests. + Coordinate ... support proper allocation to meet case demands. + Maximize consignment inventory utilization in line with Scorecard goals. + Support management of company inventory… more
    Globus Medical, Inc. (10/18/25)
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  • Psychiatrist

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …telepsychiatry services based on the needs of the organization; d. Participating in utilization review activities including but not limited to development of ... Manual of Mental Disorders, written treatment orders, admissions on-call review for all legal commitment status documents and ...review for all legal commitment status documents and review and completion of routine and emergency Certificate of… more
    KidsPeace Childrens Hospital (10/07/25)
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  • Pediatrician / Family Practice

    KidsPeace Childrens Hospital (Schnecksville, PA)
    …and/or services based on the needs of the organization; + Participating in utilization review activities including but not limited to development of standards, ... history and physical examination, either written or dictated. This includes a review of the immunization status, allergies, past history, family history and… more
    KidsPeace Childrens Hospital (10/07/25)
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  • Site Medical Director II

    YesCare Corp (Philadelphia, PA)
    …including sentinel event reviews and chart audits. + Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. **Key ... + Provide and ensure on-call services to support patient care needs. + Review and approve clinical protocols, policies, procedures, and the medical disaster plan… more
    YesCare Corp (01/01/26)
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  • Compliance Analyst (Regulatory Change Management)…

    Prime Therapeutics (Harrisburg, PA)
    …licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations etc.); compile ... administering the annual conflict of interest process, or completing regular review of standard operating procedures and policies; may develop annual revision… more
    Prime Therapeutics (12/18/25)
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  • Senior Compliance Analyst (Regulatory Change…

    Prime Therapeutics (Harrisburg, PA)
    …licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile ... of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies + Research and… more
    Prime Therapeutics (12/18/25)
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  • Medical Director - Days - $24K Bonus

    Wellpath (Fayette County, PA)
    …staff and ensure adherence to clinical protocols + Oversee chronic care clinics, utilization review , and quality improvement initiatives + Collaborate with the ... key role in chronic care clinic oversight, pharmacy monitoring, and medical program review . **What you bring to the table** EDUCATION + Medical school graduate… more
    Wellpath (12/30/25)
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