- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Harrisburg, PA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- CVS Health (Harrisburg, PA)
- …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** +… more
- Humana (Harrisburg, PA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- AmeriHealth Caritas (Newtown Square, PA)
- …quality improvement and related policy and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the Vice ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership… more
- Gentiva (Harrisburg, PA)
- …to patient's/families/caregivers. + Collaborate with Nurse Practitioner, PCP, and/ or Medical Director to address patient needs. **About You** **Registered ... give people the care they need with dignity, grace, and love. The **RN Director of Advanced Illness Management (AIM)** will report directly to the VP of Palliative… more
- WellSpan Health (York, PA)
- …policies and procedures, etc.), and serves as a conduit to the corporate Human Resources Centers of Excellence. **Duties and Responsibilities** + Consults with ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (Gettysburg, PA)
- …policies and procedures, etc.), and serves as a conduit to the corporate Human Resources Centers of Excellence. **Duties and Responsibilities** + Consults with ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- The Cigna Group (Philadelphia, PA)
- …to protect formulary and trend solutions from unintended conflicts across commercial, Medicare , and product offerings that depend on those contracts. + Support of ... to work and influence cross-functional partners to achieve key initiatives and corporate goals + Demonstrated initiative with commitment and ability to work under… more
- Gentiva (Harrisburg, PA)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the PSC Physician… more