- IPG Mediabrands (Los Angeles, CA)
- …are looking for a people-first organization that can offer you the career you crave, UM is your home. We are the destination of choice for the world's best talent, ... are hungry for personal growth and continuous learning. People who thrive at UM are collaborators by nature who pursue diverse perspectives because they understand… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to various levels in the organization Apply their clinical knowledge when assessing/auditing medical records and UM letters against medical necessity ... Bring your true colors to blue. The Role: The Medical Clinical Program Manager will focus on utilization management...of key issues/ risks and meet deadlines Collaborate with Director and Senior Program Managers to identify/… more
- University of Miami (Miami, FL)
- …abdominal organs in approximately 50% of cases. + In conjunction with the Medical Director assumes ultimate responsibility for donor management and the process ... medical record. + Shares on-call responsibility with Medical Director to oversee clinical evaluation and...organs for clinical transplantation. + Collaborates with the Executive Director and the Senior Leadership Team to… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...+ Achieves and maintains benchmarked utilization and cost management ( UM ) goals and clinical quality improvement (QI) objectives, in… more
- University of Maine System (Orono, ME)
- …as well as the state and local communities. Under the general direction of the Director of UM Center on Aging and AmeriCorps' program policy guidelines, the RSVP ... The University of Maine Center on Aging Retired and Senior Volunteer Program (RSVP) offers older adults a more... Director has fulltime responsibility for the development and operation… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Professor level (non-tenure track) to join our dynamic team and serve as Medical Director of our vibrant community-based academic radiation oncology practice at ... **Faculty* **Organization:** **School of Medicine - Clinical Departments* **Title:** * Medical Director Assistant/Associate Professor Community-Based Physician Faculty*… more
- Humana (Montgomery, AL)
- …lead Medical Directors performing utilization management for inpatient authorizations training medical director team to assist and facilitate new hires and ... rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations...changes in CMS clinical outcomes; represent Humana and Humana's UM health strategy in external venues **Use your skills… more
- Commonwealth Care Alliance (Boston, MA)
- 023520 Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the ... Utilization Review Medical Director will be responsible for providing leadership and subject...leadership and subject matter expertise to our utilization management ( UM ) group. This role is a key role in… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Professor*level (non-tenure track) to join our dynamic team and serve as* Medical Director *of our vibrant community-based academic radiation oncology practice ... **Faculty* **Organization:** **School of Medicine - Clinical Departments* **Title:** * Medical Director - Assistant or Associate Professor Community-Based… more
- CVS Health (Tallahassee, FL)
- …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... as needed. * Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community, state regulatory… more
- Evolent (Cheyenne, WY)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... programs that include improvements to clinical effectiveness of utilization management ( UM ) and risk-based models.** + Process improvement and enhancement of… more
- Sharp HealthCare (San Diego, CA)
- …as a physician executive in a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical ... **Shift Start Time** **Shift End Time** California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD) **Hours** **:** **Shift Start… more
- Tufts Medicine (Burlington, MA)
- …program strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to strategically plan, organize, implement, and ... multiple revenue cycle and hospital departments, such as Coding, Utilization Management ( UM ), Case Management, Quality and Physician advisors and leaders. The … more
- University of Maryland, Baltimore (Baltimore, MD)
- …Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and ... and innovation to win extramural funding and new public-private partnerships involving UM -IHC, respectively. UMGCCC: The role of*Assistant Director for Learning… more
- University of Maryland, Baltimore (Baltimore, MD)
- … level Neonatologist to join UM -SJMC as the level III NICU Medical Director . This position requires someone with strong clinical, operational, and leadership ... * Medical Director , Level III Neonatal Intensive Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The… more
- University of Miami (Miami, FL)
- …is currently seeking a full time Sr. Manager, Programs. The Senior Manager, Programs oversees the day-to-day administrative management of assigned program(s) ... to the University faculty and staff and other key stakeholders. Furthermore, the Senior Manager, Programs serves as the liaison to leadership, faculty, students, and… more
- Sutter Health (Santa Rosa, CA)
- …with care management, UM staff and health care team members and medical directors of third-party payers to discuss the needs of patient's and alternative levels ... regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …various levels in the organization + Apply their clinical knowledge when assessing/auditing medical records and UM letters against medical necessity criteria ... healthcare? Bring your true colors to blue. The Role:The Medical Clinical Program Manager will focus on utilization management...key issues/ risks and meet deadlines + Collaborate with Director and Senior Program Managers to identify/… more
- University of Miami (Miami, FL)
- …. JOB DESCRIPTION UM Title: Senior Registered Nurse Supervisor's Title: OR Director ... Include Percent of Effort): 50% Meets requirements of Pain Management Senior Nurse Performs all responsibilities/duties required by the Pain Management… more
