- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance +… more
- Humana (Harrisburg, PA)
- …general surgery preferable** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Harrisburg, PA)
- …of established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
- CVS Health (Harrisburg, PA)
- …medication utilization reviews (PA) and/or medical necessity appeals for commercial clients, governmental ( Medicare /Medicaid) programs and individual client ... Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Harrisburg, PA)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
- KPMG (Harrisburg, PA)
- **Business Title:** Director , State and Local **Requisition Number:** 112685 - 76 **Function:** Advisory **Area of Interest:** **State:** PA **City:** Harrisburg ... a career in Advisory. KPMG is currently seeking a Director in Customer & Operations - State & Local...Human Services Medicaid solution delivery market, working for a commercial off-the-shelf (COTS) solution provider or consulting organization with… more
- Cardinal Health (Harrisburg, PA)
- …and direction regarding managed care contracts. This includes coordination of commercial , Medicare Advantage, Managed Medicaid and other third-party managed ... team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care… more