- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34207 **Job ... and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration... program. + Act as a primary liaison with plan providers including but not limited to physicians, hospital… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …their families. Management of the fiscal budget to include bed utilization , FTE planning/ utilization and monitors other operational expenses and sources of ... skilled in managing behavioral health funding, reimbursements and bed utilization ? Do you excel at fostering a work environment...Provide supervision and guidance to all employees + Fiscal oversight & FTE Management You will be… more
- AmeriHealth Caritas (Newark, DE)
- …in collaboration with the Corporate Medical Director(s), Senior Medical Directors, Utilization Management and the CMO. The following responsibilities are ... Preferred Provider Organization (PPO), large Health Care Organization, health plan or any combination thereof, or Full-time medical facility...+ 5+ years of clinical practice. + Experience in Utilization Management as a Medical Director within… more
- Penn Medicine (Radnor, PA)
- …with Federal, State, Professional and local financial requirements. * Revenue Cycle Management -Provides practice revenue cycle management / oversight . Ensure ... multiple practice locations, high practice/facility square footage, service line oversight , coordination of inpatient services, coordination of care across several… more