- Daiichi Sankyo, Inc. (Bernards, NJ)
- …research areas centered around rare diseases and immune disorders. Summary The Associate Director , Global Oncology Medical Affairs, Medical Analytics will be ... findings and recommendations to internal stakeholders, including senior leadership and medical affairs teams. Ensure utilization of advanced analytics techniques… more
- Merck & Co. (Lenexa, KS)
- …Business Decisions, Communication, Customer Communications, Customer-Focused, Customer Relationship Management (CRM) Utilization , Customer Service, Financial ... leadership, marketing and finance to establish annual budgets.-Allocate and direct utilization of resources to ensure funds are invested appropriately to meet… more
- Eisai, Inc (Nutley, NJ)
- …research activities and development of external communication materials. The Director facilitates coverage, reimbursement and appropriate utilization based ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...your profile, we want to hear from you. The Director , US HEOR and RWE (field) is responsible for… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... of the global Clinical Quality Assurance (CQA) strategy including audit and inspection management , issue management and oversight of the Quality management … more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …and management program to improve process execution and system utilization of the MES.Implement a continuous improvement program to leverage network capabilities ... of an immunotherapy in the treatment of multiple myeloma.Legend Biotech is seeking Director of Manufacturing Execution System as part of the Global MSAT team based… more
- Jooble (Caddo County, LA)
- …and teams; identifying and addressing staff training and development needs * Medical staff, department heads, and administrators in matters related to nursing ... service and strategies Standard I: Financial Management * Recognizes the impact of reimbursement on revenue...baseline for comparison * Discovers opportunities to improve resource utilization * Implements changes in role consistent with scope… more
- Jooble (Alexandria, LA)
- …of teams; identifying and addressing staff training and development needs Apprising medical staff, department heads, and administrators in matters related to nursing ... service and strategies Standard I: Financial Management Recognizes the impact of reimbursement on revenue Understands the relationship between values-based… more
- Daiichi Sankyo, Inc. (Phoenix, AZ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... is comprised of nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE is responsible for educating HCPs/clinics… more
- The Career Sphere (Jacksonville, FL)
- …schedule will be discussed with the client directly. Basic job responsibilities include: medical leadership for utilization management , cost containment, ... A great group in Jacksonville, FL is seeking an experienced part-time Medical Director (Board certified in either Pediatrics or Family Practice).Candidates… more
- The Career Sphere (Los Angeles, CA)
- ESSENTIAL DUTIES AND RESPONSIBILITIES:Administrative Duties:? Provide medical leadership and oversight of the primary care services at the assigned clinical site? ... Supervise medical providers including providing timely performance feedback, review of...service, and clinic flow.? With the help of clinic management and administrative assistance, manage provider panels, provider schedules,… more
- Elevance Health (Wallingford, CT)
- ** 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
- UPMC (Pittsburgh, PA)
- The UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director , Utilization Management role. The Medical Director , ... full remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent,… more
- 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
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director , Utilization Management , provides organizational leadership in the operational areas of appeals, utilization ... and related policy and practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical … more
- LA Care Health Plan (Los Angeles, CA)
- …vs. observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where ... Utilization Management Admissions Liaison RN II...clinical data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses… more
- Henry Ford Health System (Clinton Township, MI)
- GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry ... REQUIRED: MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in good standing at Henry… more
- CVS Health (IL)
- …a regional role that primarily supports the Aetna Better Health Plan of Illinois. This UM ( Utilization Management ) Medical Director will be a "Work from ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...and appeal request. This position is primarily responsible for Utilization Management , including prior authorization as well… more
- CVS Health (NJ)
- …plans in Aetna's Northeast region but may support other plans when needed. This UM ( Utilization Management ) Medical Director will be a "Work from ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...and appeal request. This position is primarily responsible for Utilization Management , including prior authorization as well… more
- CVS Health (CT)
- …urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and prior ... services to its membership. Aetna is looking for a medical director to be part of a...state licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another… more
- Wellpath (Lemoyne, PA)
- …and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, ... appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners and… more
