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Midstate Radiology Associates, LLC - Wallingford, CT
A Full time position in a busy Radiology Department for an Acute Care Nurse Practitioner or Physician Assistant. BLS, ACLS required. Email: WebID:The Hartford Courant. Category:Healthcare, Keywords:Practical Registered Nurse (PRN), Location ... - RealMatch, Jan 16

Medical Director-MM&P

Highmark Health - Wilmington, DE
... **Job Description :** **General Overview:** Physician who provides clinical support to the Medical Management - Policy team to ensure that utilization management activities are performed in accordance with the highest and most current clinical ... - Jan 16

Medical Coder

Highmark Health - Pittsburgh, PA
... + Create and present professional provider education specialized for that individual physician or group. + Other duties as assigned or requested. **QUALIFICATIONS** **Minimum Education** + High School Diploma or GED **Preferred Education** + ... - Jan 16

Director Strategy - Provider

Highmark Health - Pittsburgh, PA
... + Leads development and implementation of provider-specific strategies such as capacity strategies, customer prioritization, service line development, physician recruitment. These strategies will evolve over time and the Director will be responsible ... - Jan 16

Embedded Medical Case Manager - LSW, MSW

Highmark Health - Pittsburgh, PA
... + Interaction with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. 2. Knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States + The Medical Case Manager will be ... - Jan 16

Manager, Quality, HEDIS & Coding

Highmark Health - Pittsburgh, PA
... with a variety of writing styles.Must be able to communicate with medical administrators, including Medical Directors and Physician Advisors related to problem identification, action plan implementation, ongoing monitoring and problem resolution + ... - Jan 16

Medical Director-Gateway Health Plan

Highmark Health - Pittsburgh, PA
... + Collaboration with Gateway staff and physician advisory committees for development of Gateway policies, procedures and special projects. 2. Management -- the incumbent has oversight of the following functions, which does not include management of ... - Jan 16


Highmark Health - Pittsburgh, PA
... The employee will develop and implement physician, pharmacy, account, and member educational initiatives that promote Highmark’s Formularies, utilization management programs, and case/ disease management initiatives; provide clinical review and ... - Jan 16

Medical Director - Product, Network & Reimbursement

Highmark Health - Pittsburgh, PA
... This would include actively engaging with the contracting team cultivate and transition health systems, organized physician practices, CINs, and ACOs to value-based arrangements with Highmark, and serving as a clinical point of contact for these ... - Jan 16

Senior Medical Director, Government Markets

Highmark Health - Pittsburgh, PA
... Develop understanding of current hospital and physician payment methodologies, and how they impact utilization incentives in the provider community for care. Assist in the development and monitoring the effectiveness of internal physician advisors ... - Jan 16
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