- Centene Corporation (Harrisburg, PA)
- …leadership to the development, implementation, monitoring, and ongoing improvement of the utilization management process + Provides senior leadership team ... achieve functional goals, and communicates goals to utilization management team + Works with senior leadership to ensure the utilization process is… more
- WellSpan Health (York, PA)
- Senior Director Emergency Services & Patient Care Location: York Hospital, York, PA Schedule: Full Time General Summary Works in collaboration with the Chief ... delivered and are consistent with the organization priorities within the Lean Management System, including strategies to reduce variation in clinical care and impact… more
- Evolent (Harrisburg, PA)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On ... or regions, assuming overall accountability for utilization management while working in conjunction with the Senior... management while working in conjunction with the Senior Medical Director . **Qualifications - Required and… more
- Evolent (Harrisburg, PA)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. We can offer you a… more
- Cushman & Wakefield (Harrisburg, PA)
- …Operations Director plays a crucial role in collaborating with senior Portfolio Administration (PA) leaders to develop performance goals and long-term ... **Job Title** Global Operations Director , Portfolio Administration **Job Description Summary** Global Operations Director , Portfolio Administration Job Summary… more
- UPMC (Mechanicsburg, PA)
- …healing environment with patients, families, staff, physicians and hospital personnel including senior management in both written and verbal communication. + ... UPMC is seeking a Unit Director to lead the Emergency Dept at our...department orientation, and fostering a culture of continuous performance management . This includes completing and delivering employee evaluations, managing… more
- Penn State Health (Hershey, PA)
- …related to improved product, service and process standardization and utilization by appropriately assisting in the selection, evaluation, monitoring, analysis ... with key stakeholders that include CFOs, Hospital Presidents, Operations Officers and senior leadership representing all divisions of the company along with most… more
- UPMC (Harrisburg, PA)
- …healing environment with patients, families, staff, physicians and hospital personnel including senior management in both written and verbal communication. + ... seasoned nurse will grow your knowledge, teach you time management and make you an expert on admissions and...growth. We look forward to meeting you. The Unit Director maintains 24-hour accountability for leading and managing their… more
- UPMC (Harrisburg, PA)
- …healing environment with patients, families, staff, physicians and hospital personnel including senior management in both written and verbal communication. + ... diagnosis who require neurovascular intervention, neurosurgical intervention and pharmaco-medical management . Nurses are educated to care for these complex patients… more
- Prime Therapeutics (Harrisburg, PA)
- …Posting Title** Sr. Director Actuarial Services - Remote **Job Description** The Senior Director of Actuarial Services leads a team of actuaries responsible ... and complex actuarial modeling + Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related… more
- Cardinal Health (Harrisburg, PA)
- …customers, and suppliers at various management levels; may interact with senior management . + Interactions normally involve resolution of issues related to ... Market Director of Pharmacy provides overall leadership direction and management assistance of operation processes and initiatives within the system for their… more
- Cardinal Health (Harrisburg, PA)
- …outcomes, and customers + Interacts with internal and/or external leaders, including senior management + Persuades others into agreement in sensitive situations ... and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This… more
- Verint Systems, Inc. (Harrisburg, PA)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... for senior leadership, creating content for employee information sessions and...four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday… more
- GAF (Harrisburg, PA)
- …GAF. And under this roof, we protect what matters most. Summary: The Director of Environmental Compliance is in charge of establishing, implementing, and overseeing ... to identify root causes and effective corrective actions. + Partnering with Senior Leadership on potential acquisitions. + Liaise with internal and external counsel… more
- Intermountain Health (Harrisburg, PA)
- …analysis and total cost of ownership understanding and analysis, implements demand management strategies, utilization management strategies and supply ... Intermountain Healthcare. (c) This position also manages key stakeholder relationship management (CRM), coordinating complex and critical projects in the supply… more
- UPMC (York, PA)
- …environment with patients, families, staff, physicians and hospital personnel including senior management in both written and verbal communication. **Licensure, ... is accountable for achieving quality patient care through appropriate leadership and utilization of human and fiscal resources in their program area. The position… more
- Abbott (Harrisburg, PA)
- …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... and atherectomy devices. We currently have an opportunity available for a ** Senior A** **ccount Manager, Coronary,** **in Harrisburg, PA.** This role will be… more
- Prime Therapeutics (Harrisburg, PA)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department Potential ... notifications, and periodic reports related to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization,… more
- UPMC (Mechanicsburg, PA)
- …(CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and ... system. + Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and clinical team to… more
- Evolent (Harrisburg, PA)
- …for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for ... lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of...utilization management decisions made by all clinical staff + Ensures… more