- CVS Health (Harrisburg, PA)
- …health care more personal, convenient and affordable. Position Summary The Dental Director - Commercial and Medicare Advantage is an individual ... navigating multiple systems and keyboarding Preferred Qualifications Basic knowledge of dental benefit products and platforms (DMO, PPO, Medicare Advantage)… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Harrisburg, PA)
- … Inpatient Guidelines** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance +… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
- Humana (Harrisburg, PA)
- …Internal Medicine, Physiatry, Family Practice, Geriatrics, or Hospitalist experience + Previous Medicare , Medicaid, and/or Commercial with 5+ years of experience ... of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations to determine the medical… more
- KPMG (Harrisburg, PA)
- **Business Title:** Director , State and Local **Requisition Number:** 112685 - 76 **Function:** Advisory **Area of Interest:** **State:** PA **City:** Harrisburg ... a career in Advisory. KPMG is currently seeking a Director in Customer & Operations - State & Local...Human Services Medicaid solution delivery market, working for a commercial off-the-shelf (COTS) solution provider or consulting organization with… more