- Reed Smith LLP (Pittsburgh, PA)
- …Plans to improve profitability (Client Value Team engagement/matter management , additional staffing/resource levers, client/matter selection, timekeeper ... for ourselves and for our communities. Position Summary The Global Practice Senior Manager for Life Sciences and Health Industry Group (LSHI) will support the… more
- VSolvit LLC (Virginia Beach, VA)
- …metrics Develop, maintain, track, and update department schedules and tasks Assist Operations Manager in department studies and prepare briefs typically focusing ... surveys, department informational briefs, and other initiatives identified by the Operations Manager Coordinate department responses to Command data calls.… more
- Christus Health (Lakeport, TX)
- …Manager will manage pharmacy distributive services, facilitate drug utilization initiatives, integrate clinical pharmacy programs, oversee pharmacy information ... Description Summary: The Manager Pharmacy Services will manage the day-to-day activities...day-to-day activities within the department to include daily fulfillment operations , clinical operations , regulatory compliance, business literacy,… more
- Christus Health (East Mountain, TX)
- …Manager will manage pharmacy distributive services, facilitate drug utilization initiatives, integrate clinical pharmacy programs, oversee pharmacy information ... Description Summary: The Manager Pharmacy Services will manage the day to...day activities within the department to include daily fulfillment operations , clinical operations , regulatory compliance, business literacy… more
- Foxhole Technology (Washington, DC)
- Overview Position: Software Product Management Lead Location: Washington DC (Hybrid) Clearance: Secret Start: Based on contract award Foxhole Technology provides ... . Foxhole Technology is seeking an experienced Subject Matter Expert Software Production Management Lead as part of a team of information assurance professionals in… more
- Harford County Government Department of Public Works (Perryman, MD)
- …required administrative functions; prepares reports, and may act as a Project manager for complex operations and capital projects. Interprets Federal, State, ... This position is responsible for applied process control, engineering, operations , research, troubleshooting, technical/regulatory reporting, and project work for… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Nov 30, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...strategies, KPIs, and actions to achieve them. + Analyze operations to evaluate performance of the specific program or… more
- Elevance Health (Washington, DC)
- …office 4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management ** **ll** is responsible for managing a team of ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …functions. Oversees daily operations , which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...financial, and utilization goals through effective management , communication, and… more
- Huron Consulting Group (Chicago, IL)
- …Join our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, ... of the Utilization Review Plan and the overall operation of the Utilization Management Department in accordance with federal, state and local guidelines,… more
- LifeCenter Northwest (Bellevue, WA)
- …- $159,600.00 Salary Position Type Full Time Description and Qualifications The Manager , Organ Utilization (OUM) provides strategic leadership and operational ... Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case operations...identify areas for improvement. + Partner with the Organ Utilization Program Manager (OUPM) on OUCT staffing,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Manager , the UM Operations Trainer's primary job function is to support Utilization Management operations by training non-clinical staff on how to ... processing required UM notifications (letters, faxes, etc.). The UM Operations Trainer is responsible for practicing all of the...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Sharp HealthCare (San Diego, CA)
- …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist, you will perform UM activities, such as admission, ... role is essential in the overall organizational and functional operations , helping advance and enhance the patient experience and...a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate ... of business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement, change adoption… more
- LifeCenter Northwest (Bellevue, WA)
- …performance goals. ESSENTIAL JOB FUNCTIONS Leadership Responsibilities + Oversees daily operations of the organ utilization team, including allocation processes ... a culture of collaboration, accountability, and continuous improvement across the organ utilization function. + Mentors and develops the manager (s) and lead… more
- Healthfirst (NY)
- …with other Operations leaders including but not limited to Care Management , Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to align ... optimum quality of member care in a cost-effective manner** + **Ensure UM operations meet regulatory requirements set forth by CMS, New York State Department of… more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… more
- Henry Ford Health System (Troy, MI)
- … Manager of Pharmacy Benefits and other delegated pharmacist. Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, ... and implementing pharmacy benefit management policies and procedures. Major areas of responsibility include...Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt + Shift: Day Job + Union Code:… more
- BayCare Health System (St. Petersburg, FL)
- …experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + ... Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) **Education:**...Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years… more
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