- Humana (Harrisburg, PA)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... in accordance with Medicare and Humana policy. **Please note that this Medical Director position is non-benefitted, and compensated hourly * **Use your… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Penn Medicine (Philadelphia, PA)
- …information technology for pharmacotherapy management. + Implement and maintain clinical pharmacy programs that support meeting Medicare Core Measures. ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Merck (Harrisburg, PA)
- …with HSO MADs + Serves as a resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of US Medical Affairs on other ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems...research \#eligibleforERP **Required Skills:** Benefit Programs, Clinical Data, Clinical Pharmacy , Clinical Studies, Medical Affairs, Medical… more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations** Directs financial planning and accounting practices including budgeting, costing, financial ... analysis, and long-range forecasting for ** pharmacy rebates from manufacturers** . Partners with the business, providing subject matter expertise and direction for… more
- Heritage Ministries (Conneautville, PA)
- …to provide Hope, Dignity, and Purposeful Living in all that we do. As a Director of Rehab you will be responsible for coordinating all therapeutic services at the ... facility. The Director of Rehab is required to work within the...(on an accrual basis) + 401k + Employer contributed Medical , Dental, and vision insurance + Employer paid life… more
- Sunrise Senior Living (Haverford, PA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... guests/residents charts. + Completes Incident Reports and reports to Director of Nursing Services (DNS). + Reviews, updates and...initials, date and time 'noted' and date faxed to pharmacy . + Demonstrates and knowledgeable of the Six (6)… more
- CenterWell (Lancaster, PA)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- CSL Behring (PA)
- …reimbursement education and training and manages relationships with regional Medicare offices and Carrier Advisory Committees. **Main Responsibilities and ... marketing and sales objectives. + Work directly with third party payers and Medicare offices to insure adequate reimbursement for our products. + Provide monthly… more
- Amgen (Pittsburgh, PA)
- …do** The Cardiovascular Account Manager will report into a Cardiovascular Account Director . Their primary responsibility is to assess and diagnose the current ... for routinely meeting with appropriate opinion leaders in Cardiology, Lipidology, Pharmacy , P&T Committee, etc., that act as partners or decision-makers within… more