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31 Jobs in Pennsylvania

  • Medical Director - Medical Affairs (Oncology)

    CVS Health - Harrisburg, Pennsylvania
    ... requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of ... share of special clinical investigations and research as requested by the Senior Medical Director ...
  • Medical Director - Medical Affairs (Oncology)

    CVS Health - Harrisburg, Pennsylvania
    ... requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of ... share of special clinical investigations and research as requested by the Senior Medical Director ...
  • PARD Mgr

    Novitas Solutions Inc. - Mechanicsburg, Pennsylvania
    ... necessary, with Senior Manager or Director on audit problems and/or interpretations of regulations. (5%) * Reviews completed audit reports and approves them prior to the Senior Manager's or Director's review. (5 ...
  • Senior Financial Analyst - Remote

    Prime Therapeutics - Harrisburg, Pennsylvania
    ... ** Senior Financial Analyst - Remote Job Description Summary This position requires significant ... problems and issues. If supporting Medicare Part D, will be responsible for implementing CMS ...
  • Audiologist

    UPMC - Johnstown, Pennsylvania
    ... hearing abilities and/or for purposes of contributing to medical diagnoses of hearing and other ... by being observant of signs of malfunctioning and reporting problems to the Senior Audiologist ...
  • Front Office Secretary Supervisor

    UPMC - Pittsburgh, Pennsylvania
    ... Functions as an administrative coordinator to the Facility Director and supervisors and ensures ... and special medical supply requisitions, distribution of mail and correspondence to appropriate ...
  • Director, Brokerage Digital Sales

    Humana - Harrisburg, Pennsylvania
    ... segment. This role will report to the Senior VP, MarketPoint. The Director, Broker Digital Sales ... Become a part of our caring community and help us put health first The Director, Broker ...
  • Advanced Care Paramedic - CAS, UPMC Your Care

    UPMC - Pittsburgh, Pennsylvania
    ... medical command authorization by the Medical Director, have reliable transportation, and be willing to ... , and be declared fit for duty by the Medical Director. **Licensure, Certifications, and Clearances ...
  • Casual EAP Specialist (Pittsburgh)

    UPMC - Pittsburgh, Pennsylvania
    ... direction of LS Clinical Director and/or the Medical Director, the EAP Specialist is responsible for ... consultation with the Senior Director, Clinical Director, and/or Clinical Manager. Assist supervisory ...
  • Associate Director, Security Architecture(remote)

    Humana - Harrisburg, Pennsylvania
    ... Become a part of our caring community and help us put health first The Associate Director ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director, Security ...
  • Sr. Advanced Care Paramedic - CAS, UPMC Your Care

    UPMC - Pittsburgh, Pennsylvania
    ... receive medical command authorization by the Medical Director, have reliable transportation, and be ... evaluation, and be declared fit for duty by the Medical Director. **Licensure, Certifications, and Clearances ...
  • Coding Educator - East Division

    Conviva - Harrisburg, Pennsylvania
    ... collaboration with healthcare providers Medical record review knowledge Medicare Risk Adjustment ... Excellence team under the CenterWell Primary Care Organization. This role reports to Associate Director of ...
  • LTSS Director, Clinical Health Services - Pennsylvania

    CVS Health - Harrisburg, Pennsylvania
    ... , DSNP Senior Leadership Clinical Health Services, Centers for Medicare and Medicaid Services, and State ... while integrating CVS assets to bring accessible healthcare to our members. The LTSS Director ...
  • Senior Director-Payor Contracting

    WellSpan Health - York, Pennsylvania
    ... Senior Director-Payor Contracting Location: WellSpan Health, York, PA Schedule: Full ... for various types of managed care payors: including Medicare, Medical Assistance, & Commercial managed ...
  • Clinical Manager Home Health Full Time

    CenterWell - Lancaster, Pennsylvania
    ... and in compliance with Medicare regulations. Coordinates communication between team members ... conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget ...
  • Lead Director - Actuarial (Plan Support)

    CVS Health - Blue Bell, Pennsylvania
    ... Overview** The primary responsibility of this director role will be leading Actuarial market support ... staff from a business perspective and be able to influence senior management to accept alternative ...
  • Radiology Supervisor - Nuclear Medicine - Full Time - Pennsylvania Hospital

    Penn Medicine - Philadelphia, Pennsylvania
    ... field of medicine. Working for this leading academic medical center means collaboration with top ... : In conjunction with Administrative Director of Operations, provides leadership, administrative ...
  • Maternal Fetal Medicine/Perinatology

    Lancaster General Health - Lancaster, Pennsylvania
    ... Summary Job Description POSITION SUMMARY: Assist the Medical Director of ... and resident physicians in the Family Practice Residency program. Assist Medical Director to ...
  • Lead Director - Actuarial (Medicaid)

    CVS Health - Blue Bell, Pennsylvania
    ... Overview** The primary responsibility of this director role will be leading Actuarial market support ... ) Review assumptions developed by staff from a business perspective and be able to influence senior ...
  • Lead Director; Actuarial - Plan Support (Central Region)

    CVS Health - Blue Bell, Pennsylvania
    ... Overview** The primary responsibility of this director role will be leading Actuarial market support ... staff from a business perspective and be able to influence senior management to accept alternative ...
  • Lead Director; Actuarial - Plan Support (NE Region)

    CVS Health - Blue Bell, Pennsylvania
    ... Overview** The primary responsibility of this director role will be leading Actuarial market support ... ) Review assumptions developed by staff from a business perspective and be able to influence senior ...
  • Director, Managed Care - Navista

    Cardinal Health - Harrisburg, Pennsylvania
    ... passionate about helping oncology practices navigate the future. The Director, Managed Care is responsible ... responsible to implement strategic initiatives related to payer contracts. The Director, Managed Care ...
  • Director Cybersecurity Engineering(Metrics and Automation) (remote)

    Humana - Harrisburg, Pennsylvania
    ... Become a part of our caring community and help us put health first Director of Enterprise ... across EIP. Strong analytical and strategic thinking skills, with the ability to influence senior ...
  • Lead Director, Product Mgt & Development - Medicare (Pharmacist)

    CVS Health - Harrisburg, Pennsylvania
    ... as Part of the Medicare benefit and product cycle. Directs the strategic development and implementation of large product initiatives, including new products and product enhancements for Medicare ...
  • Senior Medicare Strategy Consultant

    Humana - Harrisburg, Pennsylvania
    ... emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Consultant, you will ... team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest ...
  • Associate CMO, Government Products

    UPMC - Pittsburgh, Pennsylvania
    ... Medicare/SNP and Community HealthChoices and Medical AVP of Medicaid. MD license required ... Under the administrative direction of the UPMC Insurance Services Division Chief Medical Officer ...
  • Primary Care Physician - Olney

    ChenMed - Philadelphia, Pennsylvania
    ... successful full-risk Medicare Advantage providers in the nation and has a vision to be America’s leading ... gaps closures, and medical cost measures. Each PCP will have goals for these metrics and will be ...
  • Nursing Supervisor

    Northampton County - Nazareth, Pennsylvania
    ... position reports directly to the Assistant Director of Nursing and/or Director of Nursing ... or contracted pool agencies. Consults unit nurse regarding patients' medical and social status, and ...
  • Reimbursement Coordinator Senior - Geisinger Health Plan (Work from Home Pennsylvania resident)

    Geisinger - Danville, Pennsylvania
    ... Job Summary Geisinger Health Plan is looking for candidates with significant Medicare/Medicaid policy experience to join the reimbursement services team. (medical coding certification required ...
  • Director, US Market Access Marketing, I&I Rhu/GI

    Pfizer - Collegeville, Pennsylvania
    ... extensive and frequent exposure to senior levels of management. ROLE RESPONSIBILITIES The ... medical and pharmacy benefit products Knowledge of key marketplace dynamics and healthcare trends ...
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