- The Cigna Group (Philadelphia, PA)
- The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. ... CMS, departments of insurance, or other outside regulators + Evaluate utilization trends, referral patterns, fraudulent medical practices, quality standards,… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …Veterans Integrated Service Network (VISN 4), Corporal Michael J. Crescenz VA Medical Center Philadelphia, PA. The Chief Health Administration Service provides ... is not a virtual position. Position Description/PD#: Management Services Officer - Chief Health Administration Service/PD06039O Relocation/Recruitment Incentives:… more
- Penn Medicine (Philadelphia, PA)
- …The Director Division Administration (DDA) has a dual reporting relationship to the Division Chief and Chief Operating Officer , and works closely with the ... and Quality, Director of Finance, and clinic leadership (practice managers, practice leads, medical directors). + DDA partners with Division Chief to (a) develop… more
- Penn Medicine (Philadelphia, PA)
- …payer regulations, and appropriate physician documentation requirements. Reporting directly to the Chief Medical Officer , the Physician Advisor works closely ... and/or develop expertise on matters regarding physician practice patterns, over and under- utilization of resources, medical necessity, levels of care, care… more
- CenterWell (Harrisburg, PA)
- …national clinical program leader within our growing Complex Care function under the PCO's Chief Medical Officer . This role reports to the National Director, ... (SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer , Complex Care clinical strategy team, Clinical… more
- Ford Motor Company (Harrisburg, PA)
- …Kendall Thaker, Director of Integrated Services Marketing who reports to Lisa Matarazzo, Chief Marketing Officer , Ford Motor Company. **_This role will consider ... up on actions. + Govern vendor relationships to ensure optimal resource utilization , bridge capability gaps and establish cost management accountability working with… more
- CVS Health (Harrisburg, PA)
- …key partner to the Medicare business segment. + The Dental Director reports to Aetna's Chief Dental Officer + Serves as liaison and is accountable to the ... clinical criteria, guideline, policies, and clinical judgment to render utilization management (UM) claim adjudication determinations * Participates in Aetna… more
- Penn Medicine (Philadelphia, PA)
- …1. Coordinate the development of annual marketing plan, in collaboration with Chief Marketing Officer and marketing staff including internet strategies, consumer ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Philadelphia, PA)
- …Clinical Coordinator actively participates in a collaborative/consultative/supportive role with the Chief Nursing Officer and Clinical Directors to assure ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more