- Daiichi Sankyo, Inc. (Bernards, NJ)
- … and supplier performance measurement skills is requiredProcurement process knowledge , contract management , financial analysis, market analysis, supplier ... in-depth bid analysis and complex negotiations for efficiencies. Harnesses enterprise-wide knowledge and perspective coupled with in-depth functional knowledge … more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …discuss their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all ... need them most, by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential?… more
- Novo Nordisk Inc. (Boston, MA)
- …collateral development Achieve or exceed assigned sales objectives through effective utilization of all available resources, strategies and tactics Collaborates with ... in endocrinology required Managed Care selling experience is highly desirable Expert knowledge of the growth disorders market preferred Ability to facilitate trust… more
- Raytheon (Tucson, AZ)
- …safer, more secure world. Raytheon is seeking an Industrial Engineer Section Manager to support the Effectors portfolio of factories to maximize throughput, improve ... Manpower Planning, Factory Layouts, Factory Simulations, Strategic Planning, Project Management , Continuous Improvement, and more. Industrial Engineer Section Managers… more
- Merck & Co. (Durham, NC)
- …the team finishes the design and construction of the facility, the Operations Manager will play a critical role in supporting the Operations Management ... complying with current Good Manufacturing Practices in the form of project management and ultimately shop floor leadership.- Key Responsibilities for a Drug Product… more
- Merck & Co. (Durham, NC)
- …several years; currently Durham employs 1,000+ people. This role as a Manager , Operations will be an energetic, leader with strong interpersonal, leadership, and ... finances, labor, employee, environment and safetyTactical and strategic Shift(s) management , including collaboration with indirect staff;Promote the behaviors and… more
- Merck & Co. (Durham, NC)
- …Process Standardization, Risk Reporting, Safety Protocols, Safety Standards, SAP Inventory Management , Shipping and Receiving, Space Utilization , Supply Change ... manufacturing areas and operating under the direction of the Logistics Manager .Must adhere to current Good Manufacturing Practices, Standard Operating Procedures and… more
- Novo Nordisk Inc. (Providence, RI)
- …with target physicians Recognizes opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience ... the Specialty Field Sales Representative reports to the District Business Manager of the specific sales territory. The Specialty Field Sales Representative… more
- Tufts Medicine (Burlington, MA)
- …with the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization ... day support and oversight to Utilization Review departments and UM vendor management . The UM Operations Manager is responsible for compliance with CMS… more
- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager...in utilization management and appeal/denial management . + Holds a strong working knowledge … more
- Healthfirst (IA)
- … management including preauthorization of outpatient or inpatient services + Knowledge of utilization management /quality management case philosophies ... **Duties/Responsibilities:** + Oversees utilization management functions which include timely...settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, and/or TruCare knowledge … more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management , you...the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders,… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:**...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management… more
- Prime Healthcare (Montclair, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/208989/case- manager -%28rn%29 utilization - management ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
- Prime Healthcare (Weslaco, TX)
- …Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/registered-nurse-case- manager utilization - management ... least one-year experience in case management , discharge planning or management , preferred.3. Current BCLS (AHA) certificate preferred.4. Knowledge of… more
- Alameda Health System (Oakland, CA)
- …Participate in orientation of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current trends and changes in ... System Utilization Management SUM Utilization ...in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case Manager (ACM)… more
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