- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to ... Changing Medicine happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including… more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director , CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. ... , and length of stay (LOS) strategic oversight. The Medical Director will report to the Vice...hospital in their region. Key Responsibilities + Leadership & Management **: + Oversee Utilization Management … more
- Grant Thornton (Pittsburgh, PA)
- …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
- UPMC (Pittsburgh, PA)
- …for specified levels of care and the utilization of appropriate medical necessity criteria and ensure appropriate care management integration and ... health care delivered to members as well as quality management and specified utilization management ....management toolsthat promote retention. * Partner with the Director of Practice Management or designee for… more
- Select Medical (Natrona Heights, PA)
- …Specialty Hospital - Alle Kiski** **(located inside Allegheny Valley Hospital)** ** Director of Pharmacy (DOP)** **Full Time** At Select Specialty Hospitals, a ... division of Select Medical , we care for chronically and critically ill or...responsible for the clinical, operational, administrative, staffing and financial management of the hospital pharmacy. + Correctly preparing all… more
- Bayer (Pittsburgh, PA)
- **Associate Director , Regional Marketing, Cardiovascular - Ohio & Pennsylvania** **Associate Director , Regional Marketing, Cardiovascular - Ohio and ... a region, including opinion leaders and other influencers, treatment and utilization trends, payer and reimbursement dynamics, and opportunities and challenges for… more
- UPMC (Pittsburgh, PA)
- …work commitment!** **UPMC Presbyterian Operating Room is hiring a full-time Unit Director to join their department! This position is Monday through Friday with ... No on-call, weekend, or holiday hours!** **Responsibilities:** + Collaborates with medical staff to monitor patient outcomes; set clinical quality priorities,… more
- Sanofi Group (Pittsburgh, PA)
- **Job Title:** Regional Business Director - Keystone-PA, MD, DC **Location** : Us Remote-PA, MD, DC **About the Job** Reporting into a US Oncology Divisional General ... Manager, Commercial, the Regional Business Director , Oncology assumes the commercial leadership role for assigned...in partnership with their V&A, OOA, Marketing, PSS and Medical , has responsibility for building a strategic account plan… more
- WM (Pittsburgh, PA)
- …orientation, gender identity, age, national origin, disability, or veteran status. Waste Management (WM), a Fortune 250 company, is the leading provider of ... and Loss (P&L) reviews, and executes prescribed programs on routing equipment utilization , equipment maintenance, and labor and material costs. + Implements and… more
- Fisher Associates (Canonsburg, PA)
- Director of Land Development (Civil/Site) Canonsburg, PA (http://maps.google.com/maps?q=121+Hillpointe+Drive+Canonsburg+PA+USA+15317) * Land Development Job Type ... Ensure the group's financial success by meeting yearly revenue, commission fees, utilization , and billing multiplier goals. + Collaborate with the Vice President of… more
- UPMC (Washington, PA)
- …staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director /Physician Advisor and staff to ensure effective ... **Purpose:** The Manager oversees the day-to-day operations of the Case management department under the direction of the Director . The Manager is accountable for… more
- Select Medical (Pittsburgh, PA)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... well by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management… more
- Select Medical (Natrona Heights, PA)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... well by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management… more
- Fresenius Medical Center (Baden, PA)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Highmark Health (Pittsburgh, PA)
- …leadership team. The Physician Advisor is an integral part of the Utilization Management Committee and participates in hospital and enterprise-level quality ... Vice President of Care Continuum and Transitions and the Medical Director of Physician Advisors. **Duties:** +...appeal letters and participates in data collection activities for utilization management . + Receives daily report from… more
- Gentiva (Coraopolis, PA)
- …Illness Management (AIM) program** will report directly to the Director of AIM. Responsible for identifying and coordinating patient/family needs and for ... with them and other specialists to offer advanced illness management , a specialized form of high-touch palliative care designed...nurse practitioner, or PCP + Assist in overseeing the utilization of medications, DME and supplies related to the… more
- Grifols Shared Services North America, Inc (Pittsburgh, PA)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... role in the successful launch of a new Bleeding Management product within the Grifols Biopharma portfolio. The KAM...The KAM will report directly to the Regional Sales Director with responsibility for their specific geographic alignment. **The… more
- UPMC (Pittsburgh, PA)
- …level; clinical duties reduced due to additional responsibilities + Collaborates with Administrative Director , Medical Director , and Supervisor to provide an ... programs within the department + Assure clinic coordination through optimal resource utilization maintaining a patient focus + Assesses departmental needs as they… more
- UPMC (Pittsburgh, PA)
- …of the University Trauma Center of the UPMC. Responsible for collaborating with the Medical Director of Trauma Services, the Program Administrator and the Trauma ... referring physicians/agencies. Responsibilities: + Coordinates activities with the Trauma Program Medical Director and Trauma Program Administrator to facilitate… more
- Highmark Health (Wexford, PA)
- …with all regulatory agency requirements **ESSENTIAL RESPONSIBILITIES** + Reviews pharmacy utilization management (UM) coverage requests and prepares such cases ... for clinical review by a pharmacist and/or medical director when required. (20%) + Within...+ May perform other non-clinical duties as required by management and department needs. **EXPERIENCE** **Required** + 2 years… more