• Senior Director , Managed

    Select Medical (Mechanicsburg, PA)
    …local level. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/341201/ senior - director %2c- managed - care ... **Overview** The Senior Director is responsible for leading the Managed Care Contracting team and planning, analyzing, negotiating, and implementing new… more
    Select Medical (09/03/25)
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  • Senior Retail Director - PPG Paints…

    ARAMARK (Pittsburgh, PA)
    **Job Description** Aramark Sports & Entertainment is seeking a Senior Retail Director to oversees retail operations at PPG Paints Arena in Pittsburgh, PA. The ... Senior Retail Director is responsible for operations...you with the necessary tools to help you take care of your health, family, finances and future. Click… more
    ARAMARK (08/26/25)
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  • Senior Director Program Integrity…

    Geisinger (Danville, PA)
    …(Required), Master's Degree-Law (Preferred) Experience Minimum of 10 years-Health Insurance/ Managed Care (Required), Minimum of 5 years-Managerial/Supervisory ... INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of… more
    Geisinger (09/07/25)
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  • Medical Director , Commercial Products

    UPMC (Pittsburgh, PA)
    …skills and being able to leverage a broad knowledge base in managed care is needed. The Medical Director must also possess a global understanding of ... lines; serving as the primary clinical liaison with the Senior Medical Director of Commercial Products, Sales...disease management to improve quality and cost effectiveness of care delivered to Commercial members. + Swiftly respond to… more
    UPMC (08/22/25)
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  • Executive Director , Outcomes Research,…

    Merck (North Wales, PA)
    …and economic modelling. Key responsibilities also include overseeing the development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global ... **Job Description** **Role Summary:** + The Executive Director , Value & Implementation (V&I) Outcomes Research position...as Outcomes Research. + Under the guidance of a senior leader, this individual will lead a team of… more
    Merck (08/28/25)
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  • Director , Health Economics and Market…

    Olympus Corporation of the Americas (Center Valley, PA)
    …+ In-depth knowledge of (US) healthcare systems, health policy, including managed care organizations, IDN's, Medicare and Medicaid; innovative reimbursement ... to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill their desires, dreams, and lives. Our five… more
    Olympus Corporation of the Americas (06/25/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Harrisburg, PA)
    …Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions is ... within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology specialty… more
    Prime Therapeutics (07/01/25)
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  • Director , Actuarial Services…

    UPMC (Pittsburgh, PA)
    …years of experience in progressively more responsible actuarial work in health insurance/ managed care or equivalent training/education. + Experience with both ... We are UPMC, and we are changing health care for the better. With 96,000 employees, 40...UPMC Health Plan's growing Actuary department is seeking a Director , Actuary to ensure that the UPMC Health Plan… more
    UPMC (08/13/25)
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  • RN Clinical Manager Senior - Hospice - FT…

    Gentiva (Pittsburgh, PA)
    …industry regulations (Medicare, Medicaid, JCAHO, ACHC), and best practices * Familiarity with managed care principles and human resource guidelines * Ability to ... ready to lead and elevate the standard of hospice care ?** **RN Clinical Manager Senior - Hospice..., You Will:** * Report directly to the Executive Director or Administrator * Lead and support a high-performing… more
    Gentiva (08/13/25)
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  • Senior Risk Management Specialist

    UPMC (Pittsburgh, PA)
    …of the clinical and management staff. Establish a working relationship with staff of managed care organization and office site staff to facilitate integration of ... UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team...loss prevention initiatives in professional liability to enhance patient care quality and manage liability risks effectively. Critical thinking… more
    UPMC (08/08/25)
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