- Evolent Health (Helena, MT)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Billings Clinic (Billings, MT)
- …comply with regulatory reporting standards and quality measures. Facilitates data management within required timelines for the organization's accreditation and ... and Medicaid Services) * o DNV (Det Norske Veritas) Accreditation * o (HHS) Health and Human Services *...Educates and assists medical, nursing, and other clinical staff, management , and senior executive leadership, in identifying… more
- CenterWell (Helena, MT)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... and many of the delegation oversight listed above + Home infusion Therapy Accreditation and Pharmacy accreditation for infusion nursing services, NABP, URAC,… more
- Intermountain Health (Billings, MT)
- …+ Providing leadership and expertise to ensure that medical quality improvement and utilization management programs are carried out in clinical areas through the ... stewardship, help plan and execute the strategic plan, and maintain accreditation /regulatory compliance. As a Physician Executive Lead, St. Vincent's Chief Medical… more