- Evolent Health (Bismarck, ND)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- CenterWell (Bismarck, ND)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... and many of the delegation oversight listed above + Home infusion Therapy Accreditation and Pharmacy accreditation for infusion nursing services, NABP, URAC,… more
- Evolent Health (Bismarck, ND)
- …Be Doing:** As a Physician Clinical Reviewer, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Sanford Health (ND)
- …informally influence change and promote standardization and efficiency. Communicate with senior corporate leadership, regional executive management , and quality ... frontline staff, providers, leadership, and regulatory agencies.Apply skills in project management , change management , and Sanford's improvement methodology as… more