- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director , Utilization Management , provides organizational leadership in the operational areas of appeals, utilization ... and related policy and practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical … more
- Elevance Health (Wilmington, DE)
- …responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for both ... Director ** is responsible for serving as the Operational Medical Director for our care management...director provides clinical expertise in all aspects of utilization review and case management . Provides input… more
- UPMC (Media, PA)
- …committees of the PH MCOs. + Reviews the medical aspects of cost and utilization reports generated by Medical Management Information System. + Acts as a ... a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The...Community Care members. This includes significant responsibility for quality management and utilization management and… more
- CVS Health (Philadelphia, PA)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides… more
- University of Pennsylvania (Philadelphia, PA)
- …By triaging technical requests and advocating for best practices, the Associate Director fosters efficient system utilization and empowers staff to leverage ... programs and resources, and much more. Posted Job Title Associate Director , Admissions Operations/Slate Administrator Job Profile Title Associate Director … more
- Jacobs (Philadelphia, PA)
- As a Market Growth Director , you will be responsible for developing and executing a comprehensive market strategy in close partnership with your Executive ... Director of Sales (EDS). This strategy will be shaped...strong strategy execution and client relationships * Successful budget management * Development and successful execution of strategy within… more
- Robert Half-Robert Half Corporate (Philadelphia, PA)
- **JOB REQUISITION** National Technology Accounts Business Development Director **LOCATION** PA PHILADELPHIA **JOB DESCRIPTION** **Job Summary** The Director in ... staffing services, with enterprise firms with large IT professionals (1000+) utilization , within an assigned territory. This position will leverage research driven… more
- Edwards Lifesciences (Philadelphia, PA)
- ** Director , US Market Access TMTT** Innovation starts from the heart. Heart valve disease and critical care therapies impact millions of lives, spanning all ages and ... raising awareness, our Marketing teams build lasting, trusted relationships with medical professionals and industry stakeholders to ensure patients can receive the… more
- Stantec (Philadelphia, PA)
- …from concept to completion. We partner with clients to provide both program management and construction management to strategize, plan, and implement projects ... community. Your Opportunity Stantec is seeking an Owner's Representative, Project Director for the Commonwealth of PA, Redevelopment Assistance Grant Application… more
- Philadelphia Museum of Art (Philadelphia, PA)
- …religion, sex, sexual orientation, veteran status, or any other protected status. The Director of Events and Dining serves as a strategic leader overseeing the ... principal liaison with the museum's third-party food and beverage provider, the Director ensures delivery of a best-in-class experience for museum visitors, clients,… more
- University of Pennsylvania (Philadelphia, PA)
- …on GPU-enabled computing. Implement parallel processing, distributed computing, and resource management techniques for efficient resource utilization . + Resource ... wellness programs and resources, and much more. Posted Job Title Associate Director Data Science and Scientific Support Job Profile Title Information Technology… more
- Merck (West Point, PA)
- …to enable the discovery, development, regulatory approval, manufacturing, and marketing of medical drugs and vaccines for the benefit of patients and global human ... Evidence (RWE) Capabilities & Analytics team is looking for an Associate Director , Data Strategy & Partnerships with expertise in data strategy, advanced analytics,… more
- Subaru of America (Camden, NJ)
- SUMMARY The Director of Security is a strategic leader responsible for establishing and maintaining the enterprise vision, strategy, and program to ensure ... support of the company's mission and core objectives, providing leadership, vision, and management of IT Teams. Ensures the effective operation of all IT systems and… more
- Fresenius Medical Center (Wilmington, DE)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Fresenius Medical Center (Philadelphia, PA)
- …and acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization ... during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to… more
- YesCare Corp (Philadelphia, PA)
- …reviews and sponsor physician assistants or nurse practitioners as needed. + **Schedule Management :** Notify the Site Medical Director or Health Services ... + **Additional Duties:** Fulfill other responsibilities as assigned by the Site Medical Director . **Key Qualifications** + ** Medical Degree:** Graduate… more
- Trinity Health (Woodlyn, PA)
- …for 24-hour care delivery. + At the direction of the Medical Director reviews medical outcomes/statistical and utilization data, including reviewing of ... Day Benefits **Position Purpose:** Under the supervision of the medical director , the Primary Care physician (PCP)...of a disaster will know your disaster recovery, crisis management and business continuity plans and act within your… more
- Penn Medicine (Philadelphia, PA)
- …personnel, and all fiscal affairs. Responsibilities: Technical Services: + With Medical Director , sets strategic direction of section Approves/develops standard ... volume reports to ensure appropriate billing + Manages inventory through reagent utilization analysis + Collaborates with management to establish competitive… more
- ICW Group (Philadelphia, PA)
- … management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program impact/results. + ... program support. + Provides support to claims and audit teams as needed for medical management oversight results and data analysis. + Collaborates closely with… more
- Amgen (Philadelphia, PA)
- …do** The Cardiovascular Account Manager will report into a Cardiovascular Account Director . Their primary responsibility is to assess and diagnose the current ... formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead… more