- CVS Health (Columbus, OH)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM...special clinical investigations and research as requested by the Senior Medical Director , Medical… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... * Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community,...* Be able to effectively communicate these finding to Senior Management and staff at all levels. * Develop… more
- Magellan Health Services (Albuquerque, NM)
- …Medicare and Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health ... quality assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management ( UM ) functions for physical health ... federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic direction,… more
- Magellan Health Services (Honolulu, HI)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May ... day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management...various committees or project teams as directed by the senior medical director or vice-president.… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- AdventHealth (Maitland, FL)
- …Site position** **The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members ... related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization,… more
- VNS Health (Manhattan, NY)
- …other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director meetings as stipulated by the State BH contract ... company holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement saving funds +… more
- Evolent Health (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Director , Partner Operations** The Senior Director , Partner ... Evolent as the go-to expert on client priorities. **Collaboration Opportunities** The Senior Director , Partner Operations role also collaborates with internal… more
- Mount Sinai Health System (New York, NY)
- …proposals to ensure the needs of the system are met. + Works closely with Senior Medical Director , Managed Care and Billing on matters impacting revenue ... **Job Description** ** Director - Hospital Contract Support- Mount Sinai Health Partners**...ensuring accomplishment of objectives under the direction of MSHP senior leadership. **Qualifications** + Bachelors Degree required, Masters degree… more
- University of Michigan (Ann Arbor, MI)
- …is not eligible for sponsorship + this is a data, not a medical /computational position **Job Summary** The Senior Prospect Research Consultant partners with ... Senior Prospect Research Consultant Apply Now **How to...Research Consultant independently manages their own workload, assists the Director and the Assistant Director of Development… more
- CVS Health (Hartford, CT)
- …and exciting ways every day. Aetna is recruiting for an Executive Director , Medicaid Provider Experience Standardization who is responsible for ensuring the ... PCPs are terminated. + Reviewing active prior authorizations and informing the UM /CM departments prior to the completion of the termination to ensure continuity… more
- Dignity Health (Bakersfield, CA)
- …Director of Utilization Management ( UM ) ensuring partnership with the Managed Care Medical Director of UM for the implementation and compliance to all ... ( UM ) ensuring partnership with the Managed Care Medical Director of UM for...communication and a strong leadership presence with executive partners, senior leaders, internal and external customers to coordinate and… more
- University of Michigan (Ann Arbor, MI)
- … technologist at a high level of expertise, and with assistance from Medical Technologist Specialists, the Senior Clinical Technologist is normally responsible ... Clinical Technologist Senior Apply Now **How to Apply** A cover...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Michigan (Brighton, MI)
- …+ You will effectively run the daily electronic calendar of the Medical Director , Administrative Director , Nursing Services Senior Director , and ... Administrative Assistant Senior - Brighton Center for Specialty Care Apply...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …+ 5 years \- Clinical experience required + 5 year \- Experience as a Medical Director in a risk based managed care program and in\-depth knowledge of ... + Establish and implement standards and policies to promote quality of medical care and services provided to members, and to assure accreditation\. +… more
- University of Maine System (Orono, ME)
- …to, tuition benefits (employee and dependent), comprehensive insurance coverage including medical , dental, vision, life insurance, and short and long term disability ... life. Numerous cultural activities, excellent public schools, safe neighborhoods, high quality medical care, little traffic, and a reasonable cost of living make the… more
- Huron Consulting Group (Chicago, IL)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... utilization of healthcare services by reviewing patient cases for medical necessity, appropriateness, and efficiency of Munson Healthcare's services. This… more
- University of Maryland, Baltimore (Baltimore, MD)
- … level Neonatologist to join UM -SJMC as the level III NICU Medical Director . This position requires someone with strong clinical, operational, and leadership ... * Medical Director , Level III Neonatal Intensive Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The… more
- University of Miami (Miami, FL)
- …is currently seeking a full time Sr. Manager, Programs. The Senior Manager, Programs oversees the day-to-day administrative management of assigned program(s) ... to the University faculty and staff and other key stakeholders. Furthermore, the Senior Manager, Programs serves as the liaison to leadership, faculty, students, and… more