- The Cigna Group (Philadelphia, PA)
- …departments of insurance, and similar accreditors/regulators for the performance of all utilization management (UM) programs across the enterprise . The CMO is ... areas of the organization and outcomes monitors focusing on potential over- and under- utilization of delegated services + Oversee clinical policy development via… more
- CVS Health (Pittsburgh, PA)
- … management (UM) programs and the formulary/UM management systems for the enterprise . The role will support clinical workstream activities in meeting ... maintenance of the CVS Caremark's standard and client-modified formularies, utilization management programs/policies and assuring clinical appropriateness,… more
- Humana (Harrisburg, PA)
- …us put health first** Humana Healthy Horizons is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and executing strategy ... across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, assess, and translate state… more
- CVS Health (Harrisburg, PA)
- …cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as ... cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as… more
- Penn Medicine (Philadelphia, PA)
- …programs. + Lead the development of coordinated regional strategies, growth of the clinical enterprise , network affiliations, as well as the integration of ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- ThermoFisher Scientific (Pittsburgh, PA)
- …professionals such as physicians, researchers, medical and pharmacy directors and hospital decision -makers. 2. Clinical Support: Provide support for clinical ... with clinical working groups and associations that support the utilization of TFS solutions. Minimum Qualifications: + Degree Required: Ph.D., PharmD. or… more