• Medical Director -- Claims

    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 ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Medical Director - National Medicare…

    Humana (Harrisburg, PA)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Harrisburg, PA)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (10/29/24)
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  • Client Services Director - Casualty | CST…

    Sedgwick (Harrisburg, PA)
    …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Services Director - Casualty | CST & EST Time Zones...EST Time Zones **PRIMARY PURPOSE** : To determine account management strategies related to client service plans; to be… more
    Sedgwick (11/12/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Harrisburg, PA)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Assistant - Risk Management

    Penn State Health (Hershey, PA)
    Management to include hospital risk, professional liability, insurance and claims management . Reviews, assesses and analyzes various types of confidential ... insurance and general and professional liability. + Provides dedicated support to Director of Risk Management on special, time-sensitive, non-routine projects,… more
    Penn State Health (10/23/24)
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  • Coordinator, Intake Utilization Management

    Evolent Health (Harrisburg, PA)
    …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
    Evolent Health (11/12/24)
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  • Area Manager, Fleet Safety

    Walmart (Pottsville, PA)
    …Hygiene and Safety Technician; Safety Trained Supervisor; North American Transportation Management Institute Certified Director of Safety; North American ... Transportation Management Institute Certified safety Supervisor; Safety Management Specialist; Certified Safety Manager; Safety Director ; Licensed Safety… more
    Walmart (10/29/24)
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  • Physician Compensation Analyst

    Intermountain Health (Harrisburg, PA)
    Director of Physician Compensation, Manager of Physician Compensation, Medical Group, region/market, service line, Provider Recruiting, Professional Staff ... of compensation programs and performs other duties as assigned by the Director - Physician Compensation and/or Physician Compensation Manager. **Skills** + Attention… more
    Intermountain Health (11/05/24)
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  • Sales Account Coordinator Senior

    Intermountain Health (Harrisburg, PA)
    …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
    Intermountain Health (10/31/24)
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  • Senior Compliance Specialist

    Fujifilm (Harrisburg, PA)
    …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
    Fujifilm (10/09/24)
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