Utilization Management Jobs in Bloomfield, PA
Utilization Management Jobs in Bloomfield, PA

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The Scientific Director International Medical Affairs - Gastroenterology provides medical and scientific strategic and operational input into core medical affairs activities including but not limited to: health-care professional and provider interactions; generation of clinical and sc More...
Clinical Data Governance/informatics Lead - Cigna Healthcare - Hybrid
Role Summary:Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for part of The Cigna Groups Enterprise Clinical & Health Organization (ECHO) the Clinical Data Governance Lead is responsible for overseeing More...
Senior Manager, Business Analysis Team (na/onpt) - Cigna Healthcare
WORK LOCATION: HYBRID / REMOTEThe National Ancillary and Out of Network Protection Team (NA/ONPT) plays a significant role in Cignas Enterprise Affordability strategy. Our team manages over 400 national contracts across US Commercial and US Government lines of business and roughly $9B More...
Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts. This role will serve as a scientific and clinical expe More...
In Field Project Manager
Benefits:401(k)Company carCompetitive salaryFree uniformsHealth insuranceTraining & developmentFull-Time Competitive Hourly Pay Local ProjectsKitchen Tune-Up of Bloomfield is growingand were looking for a full-time experienced In-Field Project Manager to oversee residential kitc More...
Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts. This role will serve as a scientific and clinical expe More...
Provider Contract & Network Underwriting Advisor (lifesource Transplant Analytics) - Hybrid
SummaryCigna is seeking a highly motivated and innovative team member to join our growing and dynamic LifeSource Transplant Analytics team as a Provider Contract & Network Underwriting Advisor. In this role you will assist contractors in creating network solutions and provider con More...
About This Role:As the Senior Director of Medical Affairs Statistics you will play a pivotal role in leading a dynamic team focused on evidence generation and health technology assessment. This position is critical to ensuring the development and dissemination of scientific evidence o More...
As the Field Medical Strategy & Insights Lead within the Global Medical Affairs (GMA) organization you will spearhead the development of an overarching strategy for the Global Field Medical Team (MSLs) to support clinical trials site engagement scientific exchange and insights gat More...
About This RoleThe Medical Director Lupus role is a part of Immunology Specialty Care North America (US) Medical a strategic partner within Biogen that helps inform medical practice across our therapeutic areas and pipeline to improve meaningful patient outcomes. As a key member of t More...
About This Role:As a Senior Medical Director for Alzheimers disease & Dementia (ADD) Clinical Development you will be at the helm of pioneering programs that have the potential to transform lives. Youll lead and oversee clinical development activities across both early and latesta More...
About This Role:As a Medical Director Clinical Development Immunology you will be an integral member of the Immunology Therapeutic Area within the Clinical Development Organization. In this dynamic role you will play a critical part in shaping and advancing clinical programs particula More...
The Director of Medical Engagement Excellence Oncology reports to the Senior Director of Medical Affairs Operations. The Director of Medical Engagement Excellence is responsible for leading all aspects of medical training for field teams to uphold the highest standards of medic More...
Sqa Testing Advisor Physician Utilization Management Operations - Work At Home
SummaryThe QA & Testing Advisor role reports into the Cigna UM Physician Operations department within the Clinical Care Management (CCM) organization. This team member is responsible for providing expert content and professional leadership on complex Quality Assurance (QA) assignm More...
Clinical Data Governance Lead - Enterprise Quality Accreditation - Hybrid
Role Summary:Effective of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Groups Enterprise Clinical & Health Organization (ECHO) the Clinical Data Governance Lead is responsible for overseei More...
What Does A Director Medical Writing DoThe role of a Director Medical Writing involves leading the creation of highquality medical content and ensuring compliance with regulatory standards. Here are some key responsibilities and qualifications for this position: Key Responsibilit More...
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