- Monte Nido (Miami, FL)
- …lives while providing the opportunity for people to realize their healthy selves. ** Director of Utilization Management** **Monte Nido** **Remote** Monte Nido has ... an intimate home setting. We are looking for a Director of Utilization Management to oversee the... of Utilization Management to oversee the Utilization Management/ Review team and function. This role… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …StrategyAlign with the Head of Clinical Development Operations or Senior Director , Clinical Operations on plans for successful implementation of studies. Responsible ... cross-functional, integrated study plan and create initial study budget. Review study feasibility assessments provided by the CRO(s), lead...risk related plans and ensure study team adherence and utilization . Be aware of and be able to predict… more
- Merck & Co. (North Wales, PA)
- Job Description Role Summary: The Global Senior Director Medical Affairs (GDMA) is a subject matter expert in their area of responsibility (eg, defined tumor, asset, ... and tactical execution. Communicates pertinent information to stakeholders (eg, Executive Director Medical Affairs (EDMA), Regional Strategy Leads (RSL), Regional … more
- MetroPlusHealth (New York, NY)
- …(Serious Mental Illness & Substance Use Disorder) experience in managed care utilization review , quality assurance, discharge planning. (Experience working in a ... come to work being proud of what you do every day.The Behavioral Health Utilization Management (BH UM) Clinician is responsible for conducting utilization and… more
- Insmed Incorporated (NJ)
- …A successful candidate will provide knowledge, understanding, interpretation, and utilization of regulatory guidance and regulations from various health authorities, ... of CMC meetings with the regulatory agencies, and draft and review regulatory documents for agency meetings.Provide interpretation of applicable FDA/EMA/ICH/WHO… more
- CoxHealth (Lake Spring, MO)
- …feedback for the following Committees: 1) Coding and Documentation Committee 2) Utilization Review Committee 3)SOI Scorecard Committee 4) Educational sessions ... the CDI Manager, CDI Supervisor, CDI Team Lead, CDI Specialists, Medical Director -Coding/CDI, Inpatient Coding Supervisor and Team Leaders of Coding and other key… more
- Commonwealth Care Alliance (Boston, MA)
- …The Manager, Utilization Management reports to the Director of Utilization Management - Oversees clinical decision review for services requiring prior ... Knowledge, Skills & Abilities (must have): - Expertise in managing utilization review processes including prior authorization, concurrent and retrospective… more
- Merck & Co. (Rahway, NJ)
- …of own unit.- Receives guidance and oversight from the Operations Director .Works within budgetary/financial objectives set by Director -Compliance - Responsible ... culture by reducing waste and constantly driving continuous improvement. Responsible to review and approve compliance documents, as per procedures or need.-Supply -… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …+ Minimum 3 years of experience in Managed Care, Provider Office, or Utilization Review organization required. + Knowledge of Commercial, Medicare, and Medi-Cal ... determinations. + Prepare and present authorization requests with supporting documentation for review with the Medical Director . + Assume responsibility for… more
- Stony Brook University (Stony Brook, NY)
- …development, implementation and monitoring of the organizations case management and utilization review functions. + Manages daily operations, which includes ... Assistant Director of Case Management **Position Summary** At Stony... of resources, coordination of care across the continuum, utilization review , discharge and transition planning and… more
- CSL Behring (King Of Prussia, PA)
- …collection and submit all reports needed for compliance. 4. Work with Senior Director , Policy Advocacy & Government Affairs, & Legal to interpret and implement ... to CMS guidance, federal regulations, and industry standards. Assist with review and understanding the financial impacts of new/proposed government programs and… more
- Jet Aviation (Teterboro, NJ)
- Director and GM FBO Services Location: Teterboro, NJ, US, 07608 Flexible Work Arrangement: Onsite Job Category: Fixed Base Operations (FBO) Career Level: Management ... and behind the scenes. Enabling global flight, with passion. **Position Summary** As Director & General Manager of FBO Services at Teterboro (TEB), you will occupy… more
- Huntington Ingalls Industries (Newport News, VA)
- CVN INACTIVATION PROGRAM DIRECTOR Location: Newport News, Virginia, United States Date: Oct 9, 2025 Req ID: 43302 Team: K71 IN-SVC CVN Entity: Newport News ... of labor and business plans, operating budgets and facility utilization plans. Acts as primary customer contact for the...primary customer contact for the program activities, leading program review sessions with the customer (PMS 368, NAVSEA 08,… more
- Florida Atlantic University (Boca Raton, FL)
- …account. Position Summary: Florida Atlantic University is seeking an Associate Director of Physical Plant - Boca Raton, FL. Responsibilities: Operational and ... as acting lead in the absence of the Senior Director , when assigned. + Serve as Essential Personnel. Design,...Capital Planning Support + Collaborate in the planning and review of capital construction, renovation, and space modification projects… more
- Florida Atlantic University (Boca Raton, FL)
- …employee account. Position Summary: Florida Atlantic University is seeking a Senior Director , Operations and Infrastructure - Boca Raton, FL. Reporting directly to ... the Assistant Vice President for Facilities Management, the Senior Director of Facilities Operations and Infrastructure is a senior administrative leader responsible… more
- CBRE Government and Defense Services (Reston, VA)
- **Description** **Job Summary** The Director of Operations will be responsible for providing regional management and oversight of aP&L of +$30M of design-build and ... construction services to the Federal Government at military installations. The Director of Operations is responsible for all life-cycle construction activities… more
- CSL Behring (King Of Prussia, PA)
- …with external vendors, consultants and payer advisors 9. Analyze access and utilization data to inform strategy and measure performance 10. Actively serve as ... benefits to help achieve your goals. Please take the time to review our benefits site (https://www.cslbenefits.com/csl/candidates) to see what's available to you as… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... Medical Director , John George Psychiatric Hospital + San Leandro,...FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible for… more
- Alamo Group Inc. (Winn, MI)
- **Position Summary:** The Director of Operations works closely with the President to develop the strategies necessary to achieve the operational objectives of the ... a cross-functional team to implement and successfully execute those strategies. The Director of Operations oversees the day-to-day operations of the company and is… more
- CSL Behring (King Of Prussia, PA)
- …-Excellent Strategic Thinking skills -Significant experience in the application and utilization of portfolio management systems and software - - **Our Benefits** ... benefits to help achieve your goals. Please take the time to review our benefits site (https://www.cslbenefits.com/csl/candidates) to see what's available to you as… more
