- HomeSafe Alliance (King Of Prussia, PA)
- …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and… more
- Select Medical (Camp Hill, PA)
- …**Inpatient Central Business Office Trainer** (on-site role) **Why work at Select Medical ?** **We are committed to your growth and success:** + Career advancement ... _Availability of benefits is dependent on role with Select Medical ._ Our team offers first-shift, Monday through Friday schedules...be involved in special projects as assigned by the Director of CBO or VP Patient Accounting. **Responsibilities** +… more
- Humana (Harrisburg, PA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Harrisburg, PA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director , Hospitalist Services is responsible for assisting the Medical ... The Associate director will report to LGHP Medical Director and have a reporting relationship...management programs in order to ensure quality of medical care of patients at LRH and to improve… more
- CVS Health (Harrisburg, PA)
- …clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to ... and appeal system. + Leads the administration of all medical management activities of the aligned Plans....the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider… more
- 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 reviews cases of diverse scope and complexity ranging...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical /surgical utilization management review experience + Experience… more
- Lyric (Harrisburg, PA)
- …+ Collaborates cross-functionally within a matrixed organization, specifically partnering with Medical Director staff, Clinical Content Development, Sales, and ... to ideate and evangelize new editing concepts + Validates the findings of Medical Director staff, Clinical Analysts, Analytics Advisors and addresses any… more
- Norstella (Harrisburg, PA)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... Senior Director , RWD Analytics and Innovation Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
- UPMC (Pittsburgh, PA)
- **Purpose:** Strategize with Senior Associate Counsel/ Director of Risk Management and other UPMC Health System business leaders to initiate and implement a risk ... risk management concerns and identify strategies to reduce the risk of medical malpractices claims . + Identify state, federal and UPMC Health System policies… more
- WellSpan Health (York, PA)
- Director -Patient Financial Services Specialty Billing Location: WellSpan Health, York, PA Schedule: Full Time General Summary Directs, plans, organizes, and controls ... (PFS) Key Performance Indicator (KPI) goals through effective work queue management , dashboard performance monitoring, and strong employee engagement. Duties and… more
- J&J Family of Companies (Harrisburg, PA)
- Director , Health Economics and Market Access - Robotics and Interventional Solutions - 2406204289W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Robotics and Interventional… more
- University of Pennsylvania (Philadelphia, PA)
- …health and wellness programs and resources, and much more. Posted Job Title Director of Finance & Planning Job Profile Title Administrative and Financial Officer Job ... Description Summary The Director of Finance and Planning will report to and...Job Description Job Responsibilities + Establish and manage sophisticated accounting/ management reporting systems that provide departments with analysis of… more
- Lancaster General Health (Lancaster, PA)
- …built by and powered by Penn Medicine. Our approach provides full claims administration, medical management , network development/contracting, wellness, and ... administrative follow-up for problems and issues identified and led by the Medical Director . **SECONDARY FUNCTIONS:** **The following duties are considered… more
- Takeda Pharmaceuticals (Exton, PA)
- …strategies. + Provide product development and label development strategies to ensure promotional claims can be supported. + May provide management of individuals ... my knowledge. **Job Description** Join Takeda as an Associate Director , US Advertising & Promotion Regulatory Review out of...office. Where you will be working on the US Medical team, you will be empowered to serve as… more
- WTW (Philadelphia, PA)
- …experience in the US market in both market-facing and home office or product management roles to join as an Associate Director in our Insurance Consulting ... In this role, you will collaborate with our team of pricing, portfolio management , underwriting, finance, and claims experts to deliver advisory and technology… more
- EPAM Systems (Conshohocken, PA)
- …- Payor, Provider, or Life Sciences and/or horizontal areas - Core Operations: Claims , Enrollment and Billing, Med Management ; RCM; Commercial Operations, Supply ... sounds like you, this could be the perfect opportunity to join EPAM as a ** Director , Healthcare Advisory** . In this role, you will engage with insurance clients in… more
- Cardinal Health (Harrisburg, PA)
- …future. The Director , Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible to ... implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing contracting… more
- 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
- Evolent Health (Harrisburg, PA)
- …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… more