2 physician surgical care jobs found in Harrisburg, PA

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis; and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. ESSENTIAL RESPONSIBILITIES Implement care management review processes that are consistent with established industry and corporate standards and are within the care manager's professional discipline. Function in accordance with applicable state,...

Job Description Evidence Generation Lead/Snr Research Consultant, RWE, Health Outcomes Remote/Work from home Oracle Life Sciences is seeking a qualified health outcomes researcher with a PhD to join our Health Outcomes Research team in the Real World Evidence Group. In this role you will have the opportunity to lead the design, analysis, and publication of health outcome studies (e.g., patient survey studies, large database studies electronic health records, claims, etc.) and provide research consultation to both internal and external clients. Our research help life science companies develop products that improve people's lives and well-being. Our blend of consulting, data analytics, and real-world research and evidence enables clients to understand patients, physicians and payers, bring products to market quickly, navigate the regulatory pathway and negotiate payer reimbursement and coverage. KEY OUTCOMES As a Senior Research Consultant, you will: Be the...