- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director , Clinical Strategy and Practice… more
- Evolent (Topeka, KS)
- …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
- Evolent (Topeka, KS)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Humana (Topeka, KS)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Genesis Healthcare (Lenexa, KS)
- …Responsibilities The Assistant Director of Rehab is responsible for assisting the Director of Rehab in the efficient management of rehabilitation services in ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Humana (Topeka, KS)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Topeka, KS)
- …Medical Director , depending on size of team or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Topeka, KS)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... 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
- Evolent (Topeka, KS)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... 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
- United Therapeutics (Topeka, KS)
- …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
- Grant Thornton (Wichita, KS)
- …to share strategy, to implement process improvements and to roll out capacity management strategies to maximize utilization and drive operational excellence + ... Grant Thornton is seeking an Advisory Capacity & Resource Management (C&RM) Leader to join the team. Approved office...on yearly budget planning for headcount, gross charge hours, utilization , and leverage. You will lead your team to… more
- Humana (Topeka, KS)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Evolent (Topeka, KS)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Surgery 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
- Evolent (Topeka, KS)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, 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
- Mental Health Association of SCK (Wichita, KS)
- POSITION TITLE : Clinical Director of Outpatient and Addiction Services FLSA CLASSIFICATION: Exempt REPORTS TO: COO POSITIONS SUPERVISED: Staff Therapists and ... Substance Counselors POSITION OVERVIEW: The Clinical Director will be responsible for the daily functioning of...the program. + Ensures compliance with payer systems, including utilization review functions. + Completes quality assurance and … more
- US Foods (Lenexa, KS)
- …for co-workers and direct reports and make winning fun. BASIC PURPOSE The Director , Sales Operations acts as a liaison for the Commercial Excellence team, fulfilling ... a strategic role within the area. The Director , Sales Operations is responsible for commercial success by...teams to maximize share and retention opportunities. + **Talent Management ** : Recruit, hire, and supervise the Area Sales… more
- SitusAMC (Overland Park, KS)
- …for all asset management personnel. + Oversee task allocation and staffing utilization for all client dedicated and pooled asset management personnel to ... is supervisory and has direct reports. This role is responsible for the overall management of multiple diverse asset management functions within Situs Asset … more
- CVS Health (Topeka, KS)
- …ensuring timely and consistent responses to members and providers. + As a Medical Director you will focus primarily on overseeing utilization review and quality ... Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity...in one of these states.** + In the Medical Director role you will provide oversight for medical policy… more
- HCA Healthcare (Wichita, KS)
- …position is incentive eligible. **Introduction** We are seeking a(an) Med Surg Director with Wesley Medical Center to promote growth and unlock possibilities. At ... Eligibility for benefits may vary by location._** We are seeking a(an) Med Surg Director for our team to be an innovator. HCA Healthcare partners with Harvard… more
- Evolent (Topeka, KS)
- …leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. **Technical Requirements:** We require ... of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal teams (EAS,… more