• Medical Director Utilization…

    AmeriHealth Caritas (Philadelphia, PA)
    ; **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership in the operational areas of care management , ... and related policy and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the Vice President, Medical… more
    AmeriHealth Caritas (08/12/25)
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  • Director Utilization Mgmt (Do…

    Wellpath (Lemoyne, PA)
    …for training, education, and point of care support. **About this role** The Medical Director of Utilization Management leads and oversees utilization ... quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with… more
    Wellpath (08/08/25)
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  • Medical Director - Southeast Region

    Humana (Harrisburg, PA)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (09/10/25)
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  • Medical Director - Northeast Region

    Humana (Harrisburg, PA)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (07/25/25)
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  • Sales Managing Director

    Pegasystems (Pittsburgh, PA)
    Sales Managing Director Job Category: Sales Location: US - Pennsylvania - Remote **Meet Our Team:** Join our disruptive evolution of the software industry as a ... Managing Director of Sales - Telecom.As a...and evaluate business opportunities to build market share and utilization of services + Meet or exceed pipeline and… more
    Pegasystems (08/29/25)
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  • Field Medical Director , Pain…

    Evolent (Harrisburg, PA)
    …Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical… more
    Evolent (08/20/25)
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  • Field Medical Director , Interventional…

    Evolent (Harrisburg, PA)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (07/30/25)
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  • Field Medical Director - Vascular Surgery

    Evolent (Harrisburg, PA)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD… more
    Evolent (08/28/25)
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  • Field Medical Director , Cardiology

    Evolent (Harrisburg, PA)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD… more
    Evolent (08/15/25)
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  • Account Executive, K-12 Sales - PA/ MD…

    Solution Tree, Inc. (Philadelphia, PA)
    …Position Summary: The Account Executive K-12 Sales role (internally known as the Director of Educational Partnerships or DEP) is an outside sales position covering ... of quarterly and annual contracted revenue sales goals. + Expense management that complies with company guidelines and demonstrates fiscal responsibility and… more
    Solution Tree, Inc. (08/23/25)
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