Find your dream job now!

Click on Location links to filter by Job Title & Location.
Click on Company links to filter by Company & Location.
For exact match, enclose search terms in "double quotes".

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 (Child and Adolescent Psychiatrist) Part Time - remote (PA/NJ/DE)

Medical Director will be expected to effectively collaborate with professional staff, senior leadership, management... Behavioral Health Medical Director (Child and Adolescent) serves as a physician leader responsible for promoting the delivery...

Posted Date: 07 Aug 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

Medical Director (MD) Part Time - remote (PA/NJ/DE)

management, patient safety and health insurance. The Medical Director will be expected to effectively collaborate... weeks, depending on number of MDR's. Receive a comp day for days worked The Medical Director serves as a physician leader...

Posted Date: 10 Jul 2025

Medical Director (MD) - 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: 10 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

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

DIRECT HIRE - Calliditas Therapeutics – Area Business Director - Nephrology/Rare Disease – East

(working leader). Attend all company-sponsored sales and medical meetings as directed by management; attend live conferences... treatments in orphan indications, with an initial focus on renal and hepatic diseases with significant unmet medical needs...

Company: EVERSANA
Location: Philadelphia, PA
Posted Date: 20 Aug 2025

DIRECT HIRE - Calliditas Therapeutics – Area Business Director - Nephrology/Rare Disease – East

(working leader). Attend all company-sponsored sales and medical meetings as directed by management; attend live conferences... treatments in orphan indications, with an initial focus on renal and hepatic diseases with significant unmet medical needs...

Posted Date: 09 Aug 2025

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

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: 23 Jul 2025
Salary: $40 per hour

RN Pre-Post Op Outpatient Surgery - Azura

direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing... for addressing and acting on adverse events and action thresholds in collaboration with facility management. Maintains integrity...

Posted Date: 25 Jul 2025

Registered Nurse Case Manager Inpatient Units

from physiological and economic perspectives. Has overall accountability for the utilization management and transition management... to identify appropriate utilization of resources and to ensure reimbursement. Uses criteria to confirm medical necessity...

Posted Date: 31 Aug 2025
Salary: $98820 - 126000 per year

Sr Case Mgr Behavioral Health - ABA (Remote)

management and utilization management services o Works with the BCBAs, Medical Director and other team members to shape care... care navigation, utilization and case management policies, medical policies, desk references · Monitors call and case...

Posted Date: 27 Aug 2025

Media Supervisor

industry. We partner with leading pharmaceutical, biotech, and medical device clients - delivering unparalleled levels... with your Associate Director and Director and colleagues within your primary practice area and across other practice areas to present...

Company: Inizio Evoke
Location: Philadelphia, PA
Posted Date: 27 Aug 2025

Account Executive, K-12 Sales - PA/MD/DE/DC

that includes competitive pay and benefits such as medical, dental, and vision insurance plans, 401k, paid time off..., and more. Doing work that matters Position Summary: The Account Executive K-12 Sales role (internally known as the Director...

Posted Date: 22 Aug 2025

Manager Case Mgt Behavioral Health, ABA services - REMOTE (PA/NJ/DE)

identified to the Medical Director for further evaluation and determination. § Ensures utilization decisions are compliant... Case Management team. They guarantee effective care navigation, case management and utilization management activities...

Posted Date: 10 Aug 2025