- Humana (Harrisburg, PA)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... in accordance with Medicare and Humana policy. **Please note that this Medical Director position is non-benefitted, and compensated hourly * **Use your… more
- CenterWell (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Summary: + Penn Presbyterian Medical Center is seeking a full-time Clinical Pharmacy Specialist, Opioid Stewardship. ... of information technology for pharmacotherapy management.* Implement and maintain clinical pharmacy programs that support meeting Medicare Core Measures.… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- CVS Health (Harrisburg, PA)
- …"base plan" and in the round robin based on "same or similar specialty" needs. * Pharmacy coverage - The medical director will perform pharmacy reviews. ... services to its membership. Aetna is looking for a medical director to be part of a...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in… more
- Penn Medicine (Philadelphia, PA)
- …information technology for pharmacotherapy management. + Implement and maintain clinical pharmacy programs that support meeting Medicare Core Measures. ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Merck (Harrisburg, PA)
- …with HSO MADs + Serves as a resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of US Medical Affairs on other ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems...research \#eligibleforERP **Required Skills:** Benefit Programs, Clinical Data, Clinical Pharmacy , Clinical Studies, Medical Affairs, Medical… more
- Centene Corporation (Harrisburg, PA)
- …competitive benefits including a fresh perspective on workplace flexibility. We are hiring a Medical Director for our New Jersey market. The ideal candidate will ... knowledge of quality accreditation standards highly preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical … more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations** Directs financial planning and accounting practices including budgeting, costing, financial ... analysis, and long-range forecasting for ** pharmacy rebates from manufacturers** . Partners with the business, providing subject matter expertise and direction for… more
- Heritage Ministries (Conneautville, PA)
- …to provide Hope, Dignity, and Purposeful Living in all that we do. As a Director of Rehab you will be responsible for coordinating all therapeutic services at the ... facility. The Director of Rehab is required to work within the...(on an accrual basis) + 401k + Employer contributed Medical , Dental, and vision insurance + Employer paid life… more
- Sunrise Senior Living (Haverford, PA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... guests/residents charts. + Completes Incident Reports and reports to Director of Nursing Services (DNS). + Reviews, updates and...initials, date and time 'noted' and date faxed to pharmacy . + Demonstrates and knowledgeable of the Six (6)… more
- CenterWell (Lancaster, PA)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- Penn Medicine (West Chester, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... of nursing leadership. Seeks clarification from Nurse Manager or Director as needed. Performs follow up phone calls to...unit protocol for dispatch of written medication orders to Pharmacy . Communicates stat orders to the nurse immediately upon… more