Medical Director

2 weeks ago


Harrisburg, Pennsylvania, United States Health Advocates Network, Inc. Full time
Primary Care Physician (PCP) NDC- Expert

Job Summary:

We are seeking a highly skilled Primary Care Physician (PCP) to join our team as an NDC- Expert. As a key member of our healthcare team, you will be responsible for conducting utilization and quality reviews of services for our Department.

Responsibilities:

  • Conduct prospective, concurrent, and retrospective review of adult and pediatric inpatient and outpatient medical cases covered by the Department.
  • Make determinations regarding medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients.
  • Compile case findings, prepare summaries of case findings, make recommendations for case disposition, identify program violations, and prepare appealed cases for hearings.
  • Assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators.
  • Collaborate with the Department to determine if changes should be made to criteria or regulations to better serve Medical Assistance recipients.

Requirements:

  • Board certification in family practice medicine.
  • Active Pennsylvania medical license.
  • Basic computer skills, including Microsoft Office Products.

What We Offer:

As a valued member of our team, you will have the opportunity to work with a dynamic and experienced healthcare team, contribute to the development of in-house training programs, and make a positive impact on the lives of Medicaid recipients.

Join Our Team:

At Health Advocates Network, Inc., we are committed to providing exceptional healthcare services to our clients. If you are a motivated and detail-oriented Primary Care Physician with a passion for quality care, we encourage you to apply for this exciting opportunity.



  • Harrisburg, Pennsylvania, United States Enterprise Medical Recruiting Full time

    Enterprise Medical RecruitingWe are assisting a health system in Pennsylvania to recruit a new Neurologist to serve as the Medical Director of Neurology. This is a permanent position based in Harrisburg, PA.About the RoleThe successful candidate will oversee a team of 26 providers and provide clinical and administrative support within 7 hospitals and 8...


  • Harrisburg, Pennsylvania, United States Enterprise Medical Recruiting Full time

    Enterprise Medical RecruitingWe are assisting a health system in Pennsylvania to recruit a new Neurologist.Job SummarySeeking a Medical Director to oversee 26 providers and provide clinical and administrative support within 7 hospitals and 8 outpatient offices.ResponsibilitiesOversee 26 providersProvide clinical and administrative supportSupport 7 hospitals...


  • Harrisburg, Pennsylvania, United States Enterprise Medical Recruiting Full time

    Enterprise Medical RecruitingWe are assisting a health system in Pennsylvania to recruit a new Neurologist.Job SummarySeeking a Medical Director to oversee 26 providers and provide clinical and administrative support within 7 hospitals and 8 outpatient offices.ResponsibilitiesOversee 26 providersProvide clinical and administrative supportSupport 7 hospitals...

  • Medical Director

    3 weeks ago


    Harrisburg, Pennsylvania, United States Oak Street Health Full time

    Job Title: Center Medical DirectorWe are seeking a highly skilled and experienced Center Medical Director to join our team at Oak Street Health. As a Center Medical Director, you will be responsible for leading the clinical team at our center, providing exceptional patient care, and driving clinical excellence.Key Responsibilities:Lead the clinical team at...


  • Harrisburg, Pennsylvania, United States B.E.L. & Associates, Inc. Full time

    Join Our Team as a Medical Director PhysicianWe are seeking a highly skilled and experienced Medical Director Physician to lead our team of healthcare professionals. As a Medical Director Physician, you will be responsible for providing clinical leadership and direction to our medical staff, ensuring the highest quality patient care and outcomes.About the...


  • Harrisburg, Pennsylvania, United States Enterprise Medical Recruiting Full time

    Position OverviewEnterprise Medical Recruiting is collaborating with a prominent healthcare organization in Pennsylvania to identify a qualified Neurologist for a leadership role.Key ResponsibilitiesServe as the Medical Director overseeing a team of 26 healthcare providers.Provide both clinical and administrative guidance across multiple facilities.Ensure...


  • Harrisburg, Pennsylvania, United States Enterprise Medical Recruiting Full time

    **Job Summary**Enterprise Medical Recruiting is assisting a health system in Pennsylvania to recruit a new Neurologist. The ideal candidate will serve as the Medical Director of Neurology, overseeing a team of 26 providers and providing clinical and administrative support across 7 hospitals and 8 outpatient offices.**Key Responsibilities:**Lead a team of...


  • Harrisburg, Pennsylvania, United States The Curare Group Full time

    Join Our Team as a Child Abuse Pediatrician Medical DirectorWe are seeking a highly skilled and dedicated Child Abuse Pediatrician to serve as the Medical Director of our division of child safety and advocacy. As a key member of our team, you will provide oversight, direct patient care, teaching, and consultative services to ensure the best possible outcomes...


  • Harrisburg, Pennsylvania, United States Concentra Network Services Full time

    Job Title: Physician Center Medical DirectorConcentra Network Services is seeking a highly skilled Physician Center Medical Director to join our team. As a key member of our outpatient care team, you will play a vital role in providing exceptional care to our patients.Job Summary:The Physician Center Medical Director will be responsible for delivering...


  • Harrisburg, Pennsylvania, United States Concentra Full time

    Job Title: Physician Center Medical DirectorConcentra is seeking a highly skilled Physician Center Medical Director to join our team. As a key member of our outpatient care team, you will play a vital role in providing exceptional care to our patients.About the Role:The Physician Center Medical Director will be responsible for delivering exceptional clinical...


  • Harrisburg, Pennsylvania, United States Concentra Full time

    Job SummaryWe are seeking a highly skilled and experienced Physician Center Medical Director to join our team at Concentra in Harrisburg, PA. As a key member of our outpatient care team, you will play a vital role in providing exceptional care to our patients and contributing to the success of our organization.Key ResponsibilitiesProvide exceptional clinical...


  • Harrisburg, Pennsylvania, United States Concentra Full time

    Job Title: Physician Director of Medical OperationsJob Summary:We are seeking a highly skilled and experienced Physician Director of Medical Operations to join our team at Concentra. As a key member of our leadership team, you will be responsible for building and leading clinical teams, driving business metrics, and ensuring exceptional patient care.Key...


  • Harrisburg, Pennsylvania, United States Concentra Full time

    Center Medical Director OpportunityWe are seeking a highly skilled and compassionate Center Medical Director to join our team at Concentra in Harrisburg, PA. As a key member of our outpatient care team, you will play a vital role in providing exceptional care to our patients and driving clinical excellence.ResponsibilitiesProvide direct patient care and...


  • Harrisburg, Pennsylvania, United States B.E.L. & Associates, Inc. Full time

    Medical Director Physician Job OpportunityB.E.L. & Associates, Inc. is seeking a highly skilled Medical Director Physician to join our team.About the Role:Lead a team of healthcare professionals in a dynamic and fast-paced environment.Develop and implement strategic plans to improve patient care and outcomes.Collaborate with cross-functional teams to drive...


  • Harrisburg, Pennsylvania, United States The Curare Group Full time

    Medical Director Opportunity for Infectious Disease ProgramSeeking an experienced Medical Director to lead our Infectious Disease program in North Central Pennsylvania. Our team of experienced ID providers (2 physicians/2 APPs) manage both 100% ID outpatient/inpatient populations with full spectrum of medical and surgical subspecialty colleagues.Practice...


  • Harrisburg, Pennsylvania, United States The Curare Group Full time

    Medical Director Opportunity in Child Safety and AdvocacyWe are seeking a Board Eligible/Board Certified Child Abuse Pediatrician to serve as the Medical Director of our division of child safety and advocacy. As a key member of our team, you will provide oversight, direct patient care, teaching, and consultative services as a Child Abuse Pediatrician.Key...


  • Harrisburg, Pennsylvania, United States Enterprise Medical Recruiting Full time

    **Job Summary**Enterprise Medical Recruiting is assisting a health system in Pennsylvania to recruit a new Neurologist. The ideal candidate will serve as the Medical Director of Neurology, overseeing a team of 26 providers and providing clinical and administrative support across 7 hospitals and 8 outpatient offices.**Key Responsibilities:**Lead a team of...


  • Harrisburg, Pennsylvania, United States Concentra Full time

    Job OverviewConcentra is seeking a highly skilled Physician Center Medical Director to join our team in Harrisburg, PA. As a key member of our outpatient care team, you will play a vital role in providing exceptional care to our patients and driving clinical excellence.The successful candidate will be responsible for delivering high-quality patient care,...


  • Harrisburg, Pennsylvania, United States Concentra Full time

    Center Medical Director OpportunityWe are seeking a highly skilled and compassionate Center Medical Director to join our team at Concentra in Harrisburg, PA. As a key member of our outpatient care team, you will play a vital role in providing exceptional care to our patients and driving clinical excellence.ResponsibilitiesProvide direct patient care and...


  • Harrisburg, Pennsylvania, United States The Curare Group Full time

    Medical Director Opportunity for Infectious Disease ProgramSeeking a highly skilled Medical Director to lead our Infectious Disease program in North Central Pennsylvania. As a member of our experienced ID team, you will manage both outpatient and inpatient populations with a full spectrum of medical and surgical subspecialty colleagues.Practice...