• Clinical Reviewer , Genetic…

    Evolent Health (Harrisburg, PA)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Reviewer , Genetic Counselor** As a Clinical Reviewer -Genetic ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer -Genetic Counselor, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
    Evolent Health (11/12/24)
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  • Sr. Clinician, UPMC Harrisburg, Main 10

    UPMC (Harrisburg, PA)
    …and accountabilities in one or more of the following: expert clinical practice, teaching/development, and/or evidence based practice. This senior role leads ... The Sr. Clinician, in collaboration with other health care professionals, applies superior clinical knowledge and skills to achieve improved quality of care and work… more
    UPMC (09/12/24)
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  • Medical Director - Acute Rehab Team

    Humana (Harrisburg, PA)
    …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical ...may live anywhere in the US and work forty hours per week. Required Qualifications + MD or DO… more
    Humana (11/05/24)
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  • Medical Director - Northeast Region

    Humana (Harrisburg, PA)
    …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (11/09/24)
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  • Associate Director, Medical Writing - Remote

    Takeda Pharmaceuticals (Harrisburg, PA)
    clinical /regulatory field preferred; Bachelor's degree is required. + At least 10 years of experience writing clinical /regulatory documents for a ... team. + Demonstrated ability to independently lead the development, review , and approval of all clinical document...eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible… more
    Takeda Pharmaceuticals (10/05/24)
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  • Manager, Business Management

    J&J Family of Companies (Harrisburg, PA)
    …Operations + Sub functionClinical Trial Project Management + CategoryManager, Clinical Trial Project Management (P7) + LocationTitusville, New Jersey, United ... a global role in Business Operations and Portfolio Support (BOPs), Global Clinical Operations (GCO) Central Services, responsible for supporting and enabling the GCO… more
    J&J Family of Companies (11/13/24)
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  • CRNP or PA - Children's Community Pediatrics

    UPMC (Camp Hill, PA)
    …Market Street Camp Hill PA 17011 and 1433 North 2nd Street, Harrisburg PA 17102 Hours : Part-Time Monday to Friday, 8:00 AM - 4:30 PM Saturday rotation from 8:00 AM ... to our young patients. Our department consists of 25 staff members and 10 providers, all committed to delivering high-quality pediatric care. We offer a… more
    UPMC (10/03/24)
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  • Coordinator, Individualized Care

    Cardinal Health (Harrisburg, PA)
    …Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $18. 10 per hour - $25.80 per hour **Bonus eligible:** No ... **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the… more
    Cardinal Health (11/07/24)
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  • Associate Director, Signal Management Process…

    Takeda Pharmaceuticals (Harrisburg, PA)
    …regarding information related to signal management KPIs.This role will conduct review of signal management processes to identify areas for continuous improvement ... the Senior Director, Head, Signal Management and Innovation (SMI). You will review and support updates to signal management controlled documents and training… more
    Takeda Pharmaceuticals (11/10/24)
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  • Project Director - Remote

    Prime Therapeutics (Harrisburg, PA)
    …Management related artifacts, including preparing and presenting materials for Executive Review + Lead creation, management, and execution of Program Plan including ... methodologies + 2 years of program management experience + 10 years of work experience in IT project management...holidays, on-call, and shifts outside of Prime's core business hours of 9:00 am to 3:00 pm + Constantly… more
    Prime Therapeutics (11/06/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Harrisburg, PA)
    …of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative ... + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry...speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL… more
    Humana (10/29/24)
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  • Senior Provider Contracting Professional - AZ, LA,…

    CenterWell (Harrisburg, PA)
    …growth goals + Partners and engages with legal team business partners to review and address contract term revisions + Ability to communicate contract terms, payment ... **Additional Information** + Travel to AZ, LA, MS Markets; < 10 % annual **Work at Home Statement** To ensure Home...to protect member PHI / HIPAA information **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects… more
    CenterWell (10/30/24)
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  • Lead Actuary, SPA-Rx Part B Pricing

    Humana (Harrisburg, PA)
    …projections for the Part B pharmacy benefit. The lead actuary's team will review actual to expected data, build and maintain projection models, set forecast ... other aspects of the pharmacy pricing process such as clinical pipeline, Humana Pharmacy Solutions (HPS) trade team, and...audits. Audit Support + Develop responses to bid desk review , bid audit, and financial audit questions. + Lead… more
    Humana (11/01/24)
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  • Integrated Health Systems Director - US PDT…

    Takeda Pharmaceuticals (Harrisburg, PA)
    …+ Together with the Area Lead, IHSD will meet on a recurring basis to review results with executive sponsors and creates the dashboards to insert into the Quarterly ... IHSD will manage **Minimum Requirements/Qualifications:** + BA required; MBA preferred. + 10 + years of healthcare experience, sales leadership required + 7+ years… more
    Takeda Pharmaceuticals (09/22/24)
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