- WellSpan Health (York, PA)
- Director - Utilization and Denials Management Location: WellSpan Health, York, PA Schedule: Full Time General Summary Supervises and oversees the ... the System. Duties and Responsibilities + Oversees the utilization management process for preauthorization, concurrent review, denials and appeals for… more
- CVS Health (Harrisburg, PA)
- …to cover urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and ... prior authorization reviews with peer to peer coverage of denials . * Appeals - The medical director ...state licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another… more