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Keywords: Medical Director Utilization Management, Location: Philadelphia, PA

Page: 1

Medical Director Utilization Management

Responsibilities: The Medical Director, Utilization Management provides organizational leadership in the operational... in collaboration with the Corporate Medical Director(s), Utilization Management and the Vice President, Medical Affairs. The...

Posted Date: 13 Aug 2025

Medical Director - Post-Acute Care Management - Care Transitions - Remote

medicine (EBM) and managed care principles Preferred Qualifications: Hands-on utilization and/or quality management... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...

Posted Date: 10 Sep 2025

Director, Product Management, Field Technology

The Director, Product Management – Field Technology will lead the management, optimization, and adoption of sales... and insights to optimize execution. The Director will act as a key partner to Sales, Digital, Data & Tech, Commercial Operations...

Company: GlaxoSmithKline
Location: Philadelphia, PA
Posted Date: 02 Oct 2025

Medical Director - remote (PA/NJ/DE)

of population health, quality management, patient safety and health insurance. The Medical Director will be expected to effectively... Medical Director serves as a physician leader responsible for promoting the delivery of safe and effective medical care in the...

Posted Date: 02 Oct 2025

Medical Director

or opportunities effectively. What is the purpose of this role? The Medical Director provides cross-market clinical leadership... and serving as a key member of the clinical leadership team, the Medical Director partners with pod leaders and contracted...

Company: Nest Health
Location: Philadelphia, PA
Posted Date: 26 Sep 2025

Medical Director (Workers Compensation)

Job Title: Medical Director Job Summary The Medical Director serves a clinical leadership role across all COMPANY... (& subsidiaries) and is responsible for medical oversight of the physical medicine network and utilization review, telephonic triage...

Company: Elite
Location: Philadelphia, PA
Posted Date: 12 Jul 2025

Care Management Coordinator Behavioral Health, ABA services - Remote (PA/NJ/DE)

Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when... Coordinator provides relevant information regarding members BH condition to the Medical Director for their further review...

Posted Date: 27 Aug 2025

Associate Director, Payer Accounts

: 3777 Role Description Your Role: The Associate Director, Payer Accounts primary responsibilities are to secure..., and New York. Your Responsibilities: Leverage strong account management experience and strategic account planning...

Company: Leo Pharma
Location: Philadelphia, PA
Posted Date: 03 Oct 2025
Salary: $175000 - 225000 per year

Director Of Instructional Design Training Operations

Description & Requirements We are seeking a Strategic and Visionary Learning & Development Director to lead the... the learning management system (LMS), instructional development for federal projects and special initiatives...

Company: Maximus
Location: Philadelphia, PA
Posted Date: 28 Sep 2025

Senior Director, Clinical Operations

with stakeholders in medical, regulatory, quality, data management, and executive leadership. Job Details: This position requires...Temple University's Lewis Katz School of Medicine is searching for a Sr. Director of Clinical Operations! Salary...

Location: Philadelphia, PA
Posted Date: 21 Sep 2025
Salary: $130000 - 150000 per year

Senior Director, Advisory Services - Market Access

, contracting, and reimbursement challenges. As Senior Director Market Access, you will lead high-impact engagements across the... industry expertise. The Senior Director, Market Access, will be focused on the following: Lead strategic market access...

Company: IntegriChain
Location: Philadelphia, PA
Posted Date: 11 Sep 2025

Senior Director, Advisory Services - Market Access

, contracting, and reimbursement challenges. As Senior Director Market Access, you will lead high-impact engagements across the... industry expertise. The Senior Director, Market Access, will be focused on the following: Lead strategic market access...

Company: IntegriChain
Location: Philadelphia, PA
Posted Date: 10 Sep 2025

Director of Rehabilitation

Responsibilities Director of Rehabilitation Summary: The Director of Rehabilitation (DOR) is responsible... objectives through strong leadership and effective management of staff, customers, and referral sources. Maintains professional...

Posted Date: 28 Aug 2025
Salary: $40 per hour

Director, Health Value Insights - Hybrid (PA/NJ/DE)

to utilization management, analytics, contracting, policy, and provider communications · Deep understanding of healthcare data..., and implement strategic initiatives aimed at bending the medical cost curve, mitigating/avoiding emerging cost drivers...

Posted Date: 27 Aug 2025

Director of Events and Dining

, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status. The Director... Director ensures delivery of a best-in-class experience for museum visitors, clients, and event guests. The Director...

Posted Date: 24 Aug 2025
Salary: $125000 per year

Director of Prevention

leadership in the design, implementation and utilization of client management/outcomes measurement system in the prevention... and compassionate service. CORA’s Community Services Division is currently seeking a Director of Prevention to ensure that the...

Company: Cora
Location: Philadelphia, PA
Posted Date: 07 Aug 2025
Salary: $78311 per year

CEI (Construction, Engineering and Inspection) Director

of Director level experience in Project Management, Construction Management or Construction Inspection within gas... management for various infrastructure projects. Will support PennDOT District 6 and other clients. Obtain high level of client...

Company: TRC Companies
Location: Philadelphia, PA
Posted Date: 26 Jul 2025

Supervisor, Inflight Base (Philadelphia)

incentives, long-term incentives, paid holidays, 401(k) plan, vacation/sick time and medical/dental/vision insurance that begins... personnel, facilities, and equipment needs for these functions and be accountable for their effective utilization and cost...

Location: Philadelphia, PA
Posted Date: 28 Sep 2025
Salary: $58394 - 77508 per year

Business Manager II

utilization of all available financial resources. Conduct financial analyses as requested by Director/Manager, expenses by cost... and non-discriminatory means. A Brief Overview This role oversees the daily operational management of the business...

Posted Date: 24 Sep 2025
Salary: $67500 - 86060 per year

Audit Coordinator

Cycle; Medical Director Utilization Management; Director of Case Management and others as identified/assigned Experience... access, case management/utilization review, charge capture, HIM, patient accounting, billing and coding compliance...

Posted Date: 20 Sep 2025