-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...
-
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
...