- Penn Medicine (Bala Cynwyd, PA)
- …Regional Administrative** **Location: 150 Monument Road** **Hours: Per Departmental Needs** The Director of Ambulatory Space Planning and Management will oversee ... the daily administrative and technical functions of practice space management and contractual and programmatic requirements as outlined in lease agreements with… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Prefer Medical Hematology/Oncology specialties + ... Prefer Medicaid experience + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or… more
- Humana (Trenton, NJ)
- …Agreements, coding practices, Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director , as indicated, could need to have ... us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the… more
- Ensono (Philadelphia, PA)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... Honesty Reliability Curiosity Collaboration Passion **Position Summary:** The Client Engagement Director is accountable for the growth of an Ensono client. The… more
- Penn Medicine (Bala Cynwyd, PA)
- …and PAH OB/Gyn. ◦ Oversees the direction and execution of operations, ensures the practice management team coordinates all practice functions to provide ... in a large integrated healthcare delivery system that uses an integrated practice management software system to register, schedule and bill patients*Basic… more
- Vaco (Trenton, NJ)
- …to realize the most value from their technology and resources through Managed Services, Data & Analytics, EHR, ERP, Advisory, and Cybersecurity services. Its ... award-winning industry experts deliver Consulting, Managed Services and Talent Solutions to providers, payers, life sciences and technology organizations. The firm… more
- Merck (Upper Gwynedd, PA)
- …Good Pharmacoepidemiology Practice (GPP) for applicable work. + Develops American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value Dossiers ... **Job Description** **Title: Associate Principal Scientist/Associate Director , Outcomes Research** **Role Summary** + Under the guidance of a senior leader, an… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Director Rebate Forecasting - Remote **Job Description** The Senior Director Rebate ... + Provide comprehensive and relevant financial analysis and reporting to Prime management + Responsible for client relationship and communication to understand and… more
- Merck (Trenton, NJ)
- …of outsourced clinical trials. **Engagement With Key External Stakeholders** + Supporting Management and the clinical operations of studies managed by GCTO. ... **Job Description** The Clinical Research Director (CRD) is the Clinical Operations lead in...& Development Division objectives. + Leads strategic development and management of institutional & investigator relationships in conjunction with… more
- CSL Behring (King Of Prussia, PA)
- As a true expert in the responsible TA, the Executive Director , will lead the development and execution of Medical Affairs strategies and tactics in support of the ... necessary up to date understanding of the US medical practice to internal CSL Behring stakeholders and align this...& Pharmacovigilance (GCSP) and will serve on the Safety Management team for key US products. **Main Responsibilities and… more
- Highmark Health (Trenton, NJ)
- …**Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice ) **Preferred** + 1 year in Medical Management in a Health ... as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest...Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical… more
- Virtua Health (Camden, NJ)
- …external parties to ensure an outstanding customer experience. Consults with Lead Physicians, Director of Practice Management , Medical Directors and staff ... and oral reports and recommendations to leadership concerning the operations of the practice (s); presentations of best practices to management team Give input… more
- Virtua Health (Marlton, NJ)
- …external parties to ensure an outstanding customer experience.* Consults with Lead Physicians, Director of Practice Management , Medical Directors and staff ... must have a strong background in high volume corporate medical specialty practice management . Summary:In collaboration with assigned Lead Physicians, directs and… more
- Virtua Health (Marlton, NJ)
- …parties to ensure an outstanding customer experience. * Consults with Lead Physicians, Director of Practice Management , Medical Directors and staff ... oral reports and recommendations to leadership concerning the operations of the practice (s) Human Resource Management * Works collaboratively with Human… more
- UPMC (Media, PA)
- …region and with a matrix report to the Director and Senior Director of Quality Management . + Responsible for identifying trends related to network ... required. + Licensed healthcare professional preferred. + Strong background experience in managed care preferred. + History of quality management implementation… more
- Cardinal Health (Trenton, NJ)
- **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical ... practice . Managed Care oversees the interactions that...for government payors timely. + Meets regularly with Associate Director , Credentialing to update on progress and status of… more
- Kelly Services (Titusville, NJ)
- …permitted to work in the United States. **Why Kelly** **(R)** **?** The Managed Solutions practice within Kelly Outsourcing and Consulting Group (KellyOCG (R) ... workforce planning decisions that impact their business and competitive advantage. The Managed Solutions practice area of KellyOCG is dedicated to partnering… more