- Henkel (Westlake, OH)
- Director of Commercial Excellence North America **_About_** **_this_** **_Position_** At Henkel, you'll be part of an organization that's shaping the future through ... initiatives on sales excellence & strategic pricing + Drive professional key account management + Lead, develop and implement Category Management strategy +… more
- Elevance Health (Independence, OH)
- ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid.… more
- Elevance Health (Independence, OH)
- …responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for both ... Director ** is responsible for serving as the Operational Medical Director for our care management...director provides clinical expertise in all aspects of utilization review and case management . Provides input… more
- Molina Healthcare (Cleveland, OH)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... resource management . + Develops and implements a Utilization Management program and action plan, which...activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- Molina Healthcare (Cleveland, OH)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- Molina Healthcare (Cleveland, OH)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management...**REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3… more
- Select Medical (Cleveland, OH)
- …significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators. ... **Overview** **Cleveland Clinic Rehabilitation Hospital - Fairhill** ** Director of Quality Management ** **(DQM)** **Opening in October, the Cleveland Clinic… more
- Molina Healthcare (Cleveland, OH)
- …closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and ... and clinical leadership for health plan and/or market specific utilization management and care management ...health portions of state contracts. * Assists behavioral health medical director lead trainers in the development… more
- Elevance Health (Independence, OH)
- ** Medical Director Associate - CarelonRx** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... dispensing services to drive affordability and improve member outcomes. The ** Medical Director Associate- CarelonRx** supports pharmacy prior authorization… more
- Cleveland Clinic (Cleveland, OH)
- …AHCA, CMS, NFPA, OSHA, etc.) are met. + Collaborate with the governing body, management , medical staff and clinical staff in planning, promoting and conducting ... the most respected healthcare organizations in the world. The Director , Institute I, reports to either the Executive ...teams and partner with market to support facility space utilization . + Work with hospital teams to enable hospital… more
- Molina Healthcare (Cleveland, OH)
- …with operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process ... early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies...+ Research and develop reports and analysis for senior management , effectively presenting and communicating results. + Works closely… more
- Molina Healthcare (Cleveland, OH)
- …active and unrestricted in state of practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide ... of relevant education and experience. * At least 3 years health care management /leadership experience. * Registered Nurse (RN) or other advanced clinical or … more
- Molina Healthcare (Cleveland, OH)
- …+ Manage projects spanning multiple domains + Supports Market and Enterprise management and other team members are related to all things financially related ... reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting… more
- Fresenius Medical Center (Garfield Heights, OH)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Molina Healthcare (Cleveland, OH)
- …and cost-effective member care. **Job Duties** + Performs Behavioral Health utilization management reviews for inpatient, outpatient, and intermediate-level ... + Identifies quality-of-care, safety, and compliance concerns and escalate to the Medical Director as appropriate. + Maintains compliance with federal, state,… more
- Cleveland Clinic (Cleveland, OH)
- …the Cleveland Clinic Center for Functional Medicine + Working closely with the Medical Director in clinical program development and implementation + Working ... team members to optimize the patient care experience + Providing feedback to Medical Director and Practice Administrator on effective mechanisms to improve… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …patient care and activities sufficient to maintain proficiency in state-of-the-art rehabilitation/ medical care. Reviews and completes SCI service consults for neuro ... rehab medical appropriateness. Participates in managing facility wide performance measures...managing facility wide performance measures such as access and utilization . Participates in accreditation meetings or surveys as needed.… more
- Astellas Pharma (Cleveland, OH)
- …a region. Maximize business growth through close collaboration with Area Director , Marketing, Managed Markets Manager, and Training and Development. Manage Sales ... with sales professionals to assess their growth and development in territory management , sales strategy and approach. + Foster proactive and open communication… more
- ChenMed (Cleveland, OH)
- …with other health care professionals. Consults with the manager, physician, and medical director to ensure compliance with guidelines. This position may ... team and is responsible for providing direct patient care in ChenMed/Jencare medical centers, nursing homes, skilled nursing facilities (SNF) and home settings… more
- Grant Thornton (Cleveland, OH)
- …primary tax relationship with the client, and you will help with the engagement management for multiple clients for your service line - all with the resources, ... in the Senior Manager role is the primary pathway to Partner or Managing Director in our firm. You'll collaborate with other team members and specialists in our… more
