- Providence (Seattle, WA)
- **Description** **THE ROLE** The Senior Director Utilization Management & Denials - Administration is 100% remote. The role requires a broad knowledge ... and focus on Utilization Management and Denials principles such as performance improvement, healthcare finance (including contractual arrangements, … more
- WellSense (Boston, MA)
- …care requirements. The Senior Director ensures a compliant quality based utilization management program. The Senior Director is responsible for ... the BH Care Management , BH Utilization Management and Clinical Programming teams. The Senior Director develops and integrates the strategies to… more
- Ascension Health (Austin, TX)
- …Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. + Ensure ... integration of utilization management functions with network strategy and...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Office of Finance and Operations (District Of Columbia, DC)
- …serves as Director , Office of Small and Disadvantaged Business Utilization (OSDBU), charged with promoting opportunities for small, minority, disadvantaged, and ... women-owned and disabled veteran businesses in ED programs. Responsibilities The Director , OSDBU, serves as a chief advisor and principal consultant to… more
- UPMC (Moosic, PA)
- …consultation with practitioners in the field. This includes significant responsibility for quality management and utilization management and for assuring the ... We have an exciting opportunity for a full-time Senior Medical Director to join our...on appropriate committees of the PH MCOs. + Advises senior management , especially Regional Directors, on the… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Senior Director Clinical Resource Management ? At HealthTrust, you come first. ... make a difference. We are looking for a dedicated Senior Director Clinical Resource Management ...supply chain operations. ii) Value Analysis iii) Clinical Resource Management Program iv) Product standardization and utilization … more
- Penn Medicine (Philadelphia, PA)
- …opportunity for an experienced nurse to join the leadership team as a Senior Director to lead the Case Management and Social Work departments. In this key ... actively engaging multiple disciplines and professional staff. As the Senior Director , you will lead a team...and meets department budgets. . Oversees expense and revenue management including resource utilization for supplies and… more
- Hampshire College (Amherst, MA)
- …to include the effective utilization and support of college employees. The senior director will work with the administration including the president and ... existing human resource programs and practices. The senior director will consult with senior management to develop and align comprehensive human… more
- VIP Care (Tampa, FL)
- …help improve utilization and provide better health for patients. The Senior Medical Director would also leverage their entrepreneurial and innovative ... Summary/Objective: The Senior Medical Director is responsible for...more years of managed care experience + Experience in Utilization Management and Physician Improvement Programs +… more
- Research Foundation CUNY (New York, NY)
- Job Title: Senior Director , New York Works for Children PVN ID: VA-2402-006152 Category: Managerial and Professional Location: OFFICE OF SR. UNIV DEAN FOR ... committed to the early childhood workforce across New York State. GENERAL DESCRIPTION The Senior Director , New York Works for Children, will play a pivotal and… more
- City of New York (New York, NY)
- …(OPPT) is recruiting for one Administrative Staff Analyst NM-II to function as Senior Director , Specialized Services who will. Reporting to the Executive ... (ED), with wide latitude for independent judgment, the Senior Director of Procedures, collaborates with ...high level planning and implementation meetings. Represent the Executive Director in meetings with program management , legal… more
- J&J Family of Companies (Titusville, NJ)
- …for alignment with data teams across the enterprise via the JNJ Data Management Council. The Senior Director , Customer Data Strategy, Partnerships ... Senior Director , Customer Data Strategy, Partnerships...ranging from analytics, insight generation, Sales Incentive compensation, business management /metrics reporting and compliance/privacy/governance. This leader will identify opportunities… more
- McLaren Health Care (Flint, MI)
- …identification of high risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special ... We are looking for a Utilization Management , RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health… more
- MTA (New York, NY)
- …work trains, and track access, for MTA C&D projects. The Senior Director oversees the day-to-day and week-to-week management of supply and demand for ... Senior Director , Force Account Implementation Job...and demand across all C&D projects to optimize the utilization of resources . Lead strategic implementation of initiatives… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Director II, Regulatory Operations Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... and to support the safety net required to achieve that purpose. Job Summary The Senior Director II, Regulatory Operations serves as a senior leader within… more
- Highmark Health (Wilmington, DE)
- …:** **JOB SUMMARY** This job leads a physician team and ensures that utilization management responsibilities are performed in accordance with the highest and ... DOH, and DOL regulations at all times, and the Senior Medical Director will be responsible for...related to process improvement, system enhancements, and/or improvement of utilization management , quality of care and/or member… more
- ChenMed (Louisville, KY)
- …leader for the foundational business unit of our care model - the center. The Senior Medical Director (SMD) will partner with the Center Director /Center ... with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required...and have attained partnership. + Must complete full medical director training prior to promotion to Senior … more
- CVS Health (Hartford, CT)
- …works cohesively together within the health plan Chief Medical Officer and utilization management clinical staff to positively impact utilization ... for oversight of medical directors to ensure appropriate and timely utilization management activities for day-to-day operations, ie prior authorization,… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Director Perioperative Surgical Solutions? At HealthTrust, you come first. HCA Healthcare ... make a difference. We are looking for a dedicated Senior Director Perioperative Surgical Solutions like you...their most challenging issues in the OR including spend management , inventory management , OR utilization ,… more
- Argonne National Laboratory (Lemont, IL)
- …on internal communications and employee engagement, while ensuring proactive senior management visibility. + Advising the Laboratory Director and other ... currently inviting applications for the position of Chief Communications Officer and Senior Director of Communications and Public Affairs (CPA). Argonne National… more