- Merck & Co. (Rahway, NJ)
- …to characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, ... clinical and patient reported outcomes assessments, systematic reviews and meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value Dossiers for use… more
- Merck & Co. (North Wales, PA)
- …to characterize disease burden and epidemiology, treatment patterns, health-care resource utilization and costs, physician and patient satisfaction surveys, ... clinical and patient- reported outcomes assessments, systematic reviews and meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global Value Dossiers for use… more
- Novo Nordisk Inc. (Walnut Creek, CA)
- …and unique insights Leverages superior understanding of complexities within the targeted physician customer base in order to maximize performance Applies high level ... appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... University Medical Center. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of… more
- Sutter Health (Sacramento, CA)
- …health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical ... Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …with consulting specialty services is required; Experience supervising physicians and supporting utilization management as a Physician Utilization Management ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates, ... EDRP application. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Permanent Change of… more
- Corewell Health (Southfield, MI)
- …with payers based on adequate and complete documentation received by the physician /provider and utilization reviews. Initiates concurrent appeals to address ... Scope of Work This role includes accountability for utilization review (UR) and may include admission, concurrent, and retrospective reviews. Coordinates activities… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Ascension Health (Hoffman Estates, IL)
- …of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. This position reports directly ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Alexius is looking for a Physician Advisor to join our team. We are looking for a Physician… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Physician Advisor Operations Coordinator, Revenue Integrity and Utilization PRN/OCC, Variable Hours, Day Shift Covenant Health Overview: Covenant Health ... utilization management functions related to the coordination of physician advisor related activities. Prepares necessary documentation for insurance … more
- The County of Los Angeles (Los Angeles, CA)
- …of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician … more
- Beth Israel Lahey Health (Plymouth, MA)
- …and identifies trends/root causes of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. + ... a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time**...and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** +… more
- ChenMed (Miami, FL)
- …to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our ... organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this… more
- CommonSpirit Health (Houston, TX)
- …position and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health ... hospital's objectives for assuring quality patient care and effective and efficient utilization of health care services. This individual meets with case management… more
- HCA Healthcare (Brentwood, TN)
- …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + Have strategic and ... eligible. **Introduction** Do you have the career opportunities as a **Director of Physician Resource Group** you want with your current employer? We have an… more
- HCA Healthcare (Englewood, CO)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services I with HCA HealthONE Swedish Family Medicine, you can be a… more
- HCA Healthcare (Bradenton, FL)
- …affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality management and promote optimum patient experience. Major Responsibilities: Physician Alignment + Leads clinical performance expectations that support the… more
- HCA Healthcare (Riverside, CA)
- …+ You will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care...leadership in the facility + You will assemble regional physician advisory panels to provide ongoing feedback to HCA… more
