Medical Director Jobs in Pennsylvania

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..

Job Information Humana UM Medical Director - Conviva in Pittsburgh Pennsylvania ... in Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. ... and reviews..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..

Job SummaryThe Medical Director, Health Services along with the ... along with the Vice President, Medical Operations, is directly responsible for ... and the appropriate management of medical resources.Job DutiesDuties..

Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health..

... facility staff. Maintains integrity of medical records and other FMS administrative ... treatments in collaboration with the Director. Plans, coordinates and acts as ... implementation of FMS staffing, and..

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors...

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

... Health - Milton S. Hershey Medical Center Location : US:PA:Hershey Work ... Dayshift SUMMARY OF POSITION : Medical Laboratory Science Program director is responsible for organization, administration, ... or..

Medical Director -Publication Planning- Medical Communications ***REMOTE-WORK FROM HOME-OFFICE or ... PREFFERED*** Publications- Publication Planning - Medical Communications – Healthcare Communications- Medical Affairs This is a full-time ... Publications &..

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients.  You will work with the health care team to promote positive ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives ... and drives the pharmacy and medical drug formulary strategies across all ... the formulary strategies. Responsibilities..

Bilingual Psychiatric Medical Director - to $270k DOE - ... currently looking for a Psychiatric Medical Director to work in our community ... that seeks a dynamic Psychiatric Medical Director..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..

Description The Medical Director's primary responsibility is the review ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..

... Stars and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania Description The ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment..

... Humana Medicare Appeals and Grievance Medical Director in Pittsburgh Pennsylvania Description The ... in Pittsburgh Pennsylvania Description The Medical Director relies on fundamentals of CMS ... C Line of..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients.  You will work with the health care team to promote positive ..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients.  You will work with the health care team to promote positive ..