- Humana (Trenton, NJ)
- **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
- Mount Sinai Health System (New York, NY)
- …and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management , care facilitation and ... **Job Description** The Assistant Director of Case Management supports the... management is preferred Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West… more
- City of New York (New York, NY)
- …TASK FORCE: Management & Operations JOB TITLE: One (1) Assistant Director of Management and Operations CONTROL CODE: MOT-24-01 Summary: The Mayor's ... a more streamlined and responsive city government. Job Description: The Assistant Director of Management and Operations will provide leadership, strategic… more
- Evolent (Trenton, NJ)
- …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
- Humana (Trenton, NJ)
- … 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
- Evolent (Trenton, NJ)
- …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 (Trenton, NJ)
- … 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
- Molina Healthcare (New York, NY)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
- Humana (Trenton, NJ)
- …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 (Trenton, NJ)
- …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 (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- JPMorgan Chase (New York, NY)
- …and shaping the future with your strategic vision and influence. As a Product Director Global Salesforce CRM in Asset Management , you lead innovation through the ... + Leads the vision and own the strategic roadmap for Asset Management 's global sales enablement platform, including Salesforce applications and critical integrations… more
- Grant Thornton (New York, NY)
- …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
- PNC (New York, NY)
- …to contribute to the company's success. As a Chief Investment Office ALM Portfolio Management (IC) Managing Director within PNC's Asset & Liability Management ... may be performed remotely, at manager's discretion. ALM Investments - Portfolio Management - (Managing Director ) PNC's bank portfolio (ALM investments) team… more
- Humana (Trenton, NJ)
- …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
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …research areas centered around rare diseases and immune disorders. **Job Summary:** The Director of Data Management (DM) Reporting provides leadership in Data ... data protection, operational metrics, and clinical trial quality and risk management reporting requirements that adhere to programming standards and specifications… more
- IBM (New York, NY)
- …for areas such as effective network and asset utilization . * Technology utilization to optimize Cost Management - Saves Management Program. * ... and cost of Cloud Infrastructure services and products that incentivize effective utilization . * Partnering closely with Product Management , Engineering and… more
- City of New York (New York, NY)
- …the Agency in high level planning and implementation meetings. Represent the Executive Director in meetings with program management , legal staff, and key ... is recruiting for one Administrative Staff Analyst NM-II to function as Senior Director , Specialized Services who will. Reporting to the Executive Director (ED),… more
- Mount Sinai Health System (New York, NY)
- …a plus. + Previous experience in developing clinical programs related to Formulary and Utilization management required. + Minimum of 6 years experience in the ... to Mount Sinai Health System. + Responsible for the development of complex utilization management strategies and drug utilization review programs to… more