- The Cigna Group (Philadelphia, PA)
- **Overall** Responsible for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate ... contracting efforts to ensure alignment across formulary, utilization management , SafeGuard, and other trend solutions. **Essential Functions:** + Ability to… more
- AmeriHealth Caritas (Philadelphia, PA)
- …and goals. Following the shift care workflow the case is presented to the Medical Director for medical necessity review. Upon approval of services, ... pediatric patients in a clinical setting. + Minimum of 3 years of Utilization Management experience, preferably within a managed care organization. + Experience… more
- Genesis Healthcare (Norristown, PA)
- …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- IQVIA (Wayne, PA)
- ** Director , Strategic Account Management ** The **Digital Products & Solutions (DP&S)** business unit at IQVIA is a function-led organization encompassing ... design, implementation, post-implementation support, and technical advisory services. As ** Director , Strategic Account Management ** within the **Clinical Trial… more
- University of Pennsylvania (Philadelphia, PA)
- …of health and wellness programs and resources, and much more. Posted Job Title Assistant Medical Director , Gender & Sexual Health Job Profile Title Director ... C, Healthcare Job Description Summary Reporting to the Medical Director , the Assistant Medical Director , Gender and Sexual Health oversees gender… more
- Grant Thornton (Philadelphia, PA)
- …to share strategy, to implement process improvements and to roll out capacity management strategies to maximize utilization and drive operational excellence + ... Grant Thornton is seeking an Advisory Capacity & Resource Management (C&RM) Leader to join the team. Approved office...on yearly budget planning for headcount, gross charge hours, utilization , and leverage. You will lead your team to… more
- Organon & Co. (Plymouth Meeting, PA)
- …one of the nation's largest and most innovative health care companies! The Associate Director Contracting Market Access and Account Management will report to the ... Director of Contracting Management Services. This assignment is responsible for the financial...plan, paid vacation and holiday time, paid caregiver/parental and medical leave, and health benefits including medical ,… 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 ... wellness programs and resources, and much more. Posted Job Title Associate Director , Admissions Operations//Slate Manager Job Profile Title Associate Director C,… more
- Sanofi Group (Wilmington, DE)
- …of short- and long-term business plans that will optimize appropriate coverage, coding, Utilization Management , payment of and patient access to Sanofi products. ... Director will demonstrate strong relationships with Trade/Industry Relations, Medical and Pharmacy Directors (clinical and administrative), Case Managers, … more
- Colliers Engineering & Design (Philadelphia, PA)
- …+ Relationship management internally and externally for the team. + Management of work assignments to achieve utilization goals. Financial Management ... You'll be at the helm, driving success across every aspect of business management in your region. From developing to leading and inspiring a high-performing team… more
- Penn Medicine (Radnor, PA)
- …all RSC Clinical Operating Committee meetings, sets the agenda in conjunction with the Director of Nursing and Medical Director , takes minutes at the ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …their families. Management of the fiscal budget to include bed utilization , FTE planning/ utilization and monitors other operational expenses and sources of ... Are you skilled in managing behavioral health funding, reimbursements and bed utilization ? Do you excel at fostering a work environment that promotes accountability,… more
- Penn Medicine (Philadelphia, PA)
- …and workflow. + Oversee initiatives pertaining to physician and clinic schedule utilization and management to enhance access to all patients, providing ... team with interviewing, selection, employment, development, discipline, evaluation, and management of administrative managers working with Medical Directors… more
- Renaissance (Wilmington, DE)
- … management , design, administration, communication, compliance, activities and vendor management . The Director will manage, plan, direct, develop, communicate ... strive for the best, own our actions, and grow and evolve. The Director of Compensation & Benefits is responsible for the strategic direction and leadership… more
- Lilly (Philadelphia, PA)
- …bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and ... and educate colleagues and students. Lilly Oncology has established a field based Medical Science Liaison (MSL) program to aid these Scientific Experts (SEs) in… more
- Penn Medicine (Philadelphia, PA)
- …patient complaints. . Establishes provider productivity standards in coordination with the Medical Director . . Participates in and supports UPHS patient safety ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Fortrex (Philadelphia, PA)
- ** Director of Operations** **Department:** Executive **Job Status** : Full Time **FLSA Status:** Salary Exempt **Reports To:** Vice President of Operations **Work ... operational excellence and enhance organizational performance? We are seeking a dynamic Operations Director to join our team. You will play a pivotal role in… more
- Saint-Gobain (Malvern, PA)
- The Director , Benefits and Well-being is a key member of the Saint-Gobain Total Rewards leadership team reporting to the Vice President, Total Rewards. This position ... positive employee experience, foster diversity, and deliver on business objectives. The Director , Benefits and Well-being will work closely with the Vice President… more
- Bayer (Philadelphia, PA)
- …minds to make a real difference, there's only one choice.** **Associate Director , Regional Marketing, Cardiovascular - NYC & Philly** **Associate Director , ... a region, including opinion leaders and other influencers, treatment and utilization trends, payer and reimbursement dynamics, and opportunities and challenges for… more