- CommonSpirit Health (Phoenix, AZ)
- …the senior leadership team, the System Vice President of Utilization management will contribute to high-level organizational decision-making, working closely ... **Responsibilities** The System Vice President of Utilization Management is a key member...coding and documentation requirements. Under direction of the System Senior Vice President of Clinical Regulatory and Revenue Enhancement,… more
- Centene Corporation (Columbus, OH)
- …knowledge of regulations, accreditation standards, and industry best practices related to utilization management + Works with utilization management ... OF OHIO IDEAL CANDIDATE WILL HAVE PRIOR AUTHORIZAION OR UTILIZATION MANAGEMENT EXPERIENCE PEOPLE LEADER EXPERIENCE STRONGLY...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
- Commonwealth Care Alliance (Boston, MA)
- …Director will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
- Sharp HealthCare (San Diego, CA)
- …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective review Process. Performs ... risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs,...CMO CPTAC and Peer Review Committees. + Partners with Senior Management including CMO and COO to… more
- UPMC (Pittsburgh, PA)
- …with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Senior Strategic Sourcing Lead (SSL) helps to ... to grow in your career at UPMC UPMC is looking for a full-time Senior Strategic Sourcing Lead. This position works Monday- Friday, 9:00am-5:00pm. A hybrid work… more
- Amentum (Washington, DC)
- …at the logical level working with communication protocols. The Systems Engineer ( Senior ) will perform systems management and integration functions. You will ... are searching for a Top Secret cleared Systems Engineer ( Senior ) to join our team in Washington, DC. You...hardware and operating systems including the evaluation of system utilization , monitoring response time and primary support for detection… more
- University of Rochester (Rochester, NY)
- …management , clinical services, pharmacy data analytics, and pharmacy procurement/inventory management . The Senior Director, Ambulatory Pharmacy Services in ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director, Ambulatory Pharmacy Services is responsible for the… more
- Veterans Affairs, Veterans Health Administration (Abilene, TX)
- …Social Work: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf The Senior Social Worker: provides clinical ... working knowledge and skill in the use of business productivity software, data management , and computer systems/programs, especially those programs in use by VHA. is… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …which has as its focus: prevention; health promotion; coordination; and chronic disease management . The Senior Social Worker actively participates as a member of ... Summary Cheyenne Veterans Affairs Medical Center is hiring PACT Senior Social Worker. This position is located in Cheyenne Veterans and may be eligible for Telework… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …our academic community. **Description** We are seeking an experienced and visionary Senior Administrator to lead the Department of Ophthalmology through a period of ... success in a competitive, rapidly evolving healthcare landscape. The Senior Administrator for Ophthalmology oversees and manages the operational, financial,… more
- CVS Health (Sacramento, CA)
- …LPN, LVN, or RN + Must reside in California + 3+ years of Utilization Management and/or Case Management experience **Preferred Qualifications** + 2+ ... + Strong communication skills with external clients, primarily regulatory and accreditation partners **Education** + Bachelors degree preferred + CA clinical… more
- University of Michigan (Ann Arbor, MI)
- Admin Specialist Senior Health Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... The Michigan Medicine Classification for this position Administrative Specialists Senior Healthcare Provides high-level administrative support and assistance to the… more
- Auburn University (Auburn, AL)
- …Assessment and Strategic Plan **Division Name** Student Affairs **Position Title** Senior Assessment Analyst **Job Class Code** HC34 **Appointment Status** Full-time ... **at Auburn University!** We're on the hunt for a ** Senior Assessment Analyst** -a role that's more than a...an asset to propel the unit's mission and uphold accreditation standards. It entails executing research and evaluation initiatives… more
- CVS Health (Springfield, IL)
- …expertise and oversight to all areas within the clinical services including Care Management , Utilization Management , Population Health, Health Equity and ... with heart, each and every day. **Position Summary:** The ABHIL Chief Psychiatrist ( Senior Medical Director) will serve as a strategic and operational partner to the… more
- Dana-Farber Cancer Institute (Boston, MA)
- …staff, facilitating training opportunities and supporting career growth. + Work with senior management and Human Resources to address performance issues, as ... must be comfortable with ongoing change and have outstanding change management skills. The SVP Ambulatory Care must demonstrate their data-driven decision-making… more
- Houston Methodist (Sugar Land, TX)
- …/regulatory/ government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Performs management responsibilities of selection, scheduling, supervision, retention, and ... At Houston Methodist, the Senior Practice Manager position is responsible for independently managing and/or coordinating complex delivery of care within a large,… more
- Banner Health (Phoenix, AZ)
- …and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package. POSITION SUMMARY This ... position has overall accountability for the operational leadership and day-to-day management of the health insurance plans and networks, ensuring service excellence,… more
- City of New York (New York, NY)
- …to fill one (1) Management Auditor II Auditor to function as a Senior Account Auditor who will: - Perform both Annual and Final closeout audits for CAMFR, ... - Review newly registered contracts to assure the accurate utilization when allocating allowable costs to its various funding...of Education and by the Council for Higher Education Accreditation (CHEA) in management , computer science, public… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- Summary The Senior Licensed Professional Mental Health Counselor - Substance Use Disorders serves as Team Leader, Substance Abuse Treatment Program for the ... track service activities including visits, referrals, patient demographics, equipment utilization and patient satisfaction. Develop, implement, and evaluate clinical… more
- Cayuse Holdings (Washington, DC)
- **Overview** **The Work** The Senior Systems Engineer is responsible for supervising, coordinating, designing, developing, and performing additions and changes to ... operations of network hardware and operating systems, including evaluating system utilization , monitoring response time, and providing primary support for detecting… more