- Premera Blue Cross (Mountlake Terrace, WA)
- …We are seeking an experienced **MD** to join our team as an **Assistant Medical Director ( Utilization Management - Oncology)** . The AMD will leverage their ... addition, they will support clinical programs (disease and case management ), as well as the review and adoption of...of Internal Medicine is preferred for the Assistant Medical Director with an Oncology focus. (Required) + Unrestricted Washington… more
- Commonwealth Care Alliance (Boston, MA)
- … Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. - Ensures that utilization management processes are integrated with care management … more
- Luke Staffing (Yigo, GU)
- …co-workers, families, peers, and other health team members. + Submits all concerns through Utilization Management Director ; be able to identify, analyze, and ... clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field within… more
- Novo Nordisk Inc. (Seattle, WA)
- …strategic and priority Managed Markets accounts. Position reports to Field Director /Senior Field Director /Executive Director . Essential Functions ... Duties: Provides monthly reports on scientific leadership activities to Field Director including budget expenditures as directed Records all activities within Veeva… more
- Eisai, Inc (Nutley, NJ)
- …research activities and development of external communication materials. The Director facilitates coverage, reimbursement and appropriate utilization based ... your profile, we want to hear from you. The Director , US HEOR and RWE (field) is responsible for...develop compelling value proposition that drives optimal access and utilization of Eisai marketed products in the United States.Provide… more
- Lundbeck (Chicago, IL)
- …corporate guidelines. ESSENTIAL FUNCTIONS Engages in account portfolio planning using utilization data, and knowledge of therapeutic class management behavior ... lives. Join us on our journey of growth!The territory for the Regional Payer Account Director Central includes the following states: TX, OK, KS, NE, SD, ND, MN, MO,… more
- Merck & Co. (Rahway, NJ)
- Job DescriptionThe Executive Director , Value & Implementation (V&I) Outcomes Research, position resides in the V&I organization, which includes Global Medical and ... cross-functional teams is a critical part of this role. The Executive Director has scientific and budgetary oversight for all outcomes research activities conducted… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …will oversee program operations, compliance, vendor contracts and relationship management . AD will drive collaboration and alignment amongst all cross-functional ... privacy, compliance and legal. Relationships The position reports to the Director , Patient Solutions and Field Reimbursement. Closely partners closely with MAPA,… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …Compact Law\. _Experience_ + 5 years - progressive leadership experience in care management , utilization management , clinical operations, or health plan ... ** Director , Commercial Clinical Operations - Care Management...Nurse with BSN highly preferred\. Managed care experience with Utilization Management and Care Management … more
- Insmed Incorporated (NJ)
- …and business partners. Through these relationships, the DCA will lead the account management efforts and support appropriate utilization of Insmed brands so that ... other, and for the future of science, we're in. Are you?About the Role:The Director , Channel Accounts (DCA) role will be responsible for specialty pharmacy account … more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …need them most, by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? ... customers. Relationships This position reports into a Vice President or Sr. Director within the National Account Market Access Teams. Internally, this position has… more
- Commonwealth Care Alliance (Boston, MA)
- 021350 Clin Alli-Care Delivery Administration Position Summary: The Director , Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's ... outreach workers in all CCA Care Delivery programs with BH components.The Director will collaborate closely with the Care Delivery Leadership to oversee, develop… more
- Carnegie Mellon University (Pittsburgh, PA)
- …Provide analytical support and financial insight for audits, facilities projects, space utilization , grants management , and special projects. + Coordinate with ... areas to investigate and solve real-world problems. We are seeking a Director of Accounting Operations. This position provides strategic and operational leadership… more
- Florida Atlantic University (Boca Raton, FL)
- …Boca Raton, FL. Reporting directly to the Assistant Vice President for Facilities Management , the Senior Director of Facilities Operations and Infrastructure is ... and Asset Management + Collaborate with Design & Construction, Space Utilization and Analysis, and Budget and Planning teams to ensure building, grounds and… more
- Lundbeck (Chicago, IL)
- …guidelines. **ESSENTIAL FUNCTIONS** + Engages in account portfolio planning using utilization data, and knowledge of therapeutic class management behavior ... Regional Payer Account Director - Central Requisition ID: 7112 Location: Chicago,...by MCO/PBMs and how they impact patients and physician's utilization + Resourcefulness in getting access to decision makers,… more
- Commonwealth Care Alliance (Boston, MA)
- …and provider relationship management tools. - Understanding of claims operations, utilization management , and quality programs as they relate to provider ... contracting, or network operations, including 3-5 years in a director or senior management role. - Experience...3-5 years in a director or senior management role. - Experience with value-based payment models, performance-based… more
- Monte Nido (Villanova, PA)
- …the opportunity for people to realize their healthy selves. **Clinical Director ** **EDC - Pennsylvania** **Villanova, PA** **Monte Nido Philadelphia Day Treatment,** ... experience real life challenges. We are seeking a **Clinical Director ** to join the **Monte Nido** team. The **Clinical...experience elsewhere. + Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. +… more
- Florida Atlantic University (Boca Raton, FL)
- …Prepare and submit required reports and documentation in collaboration with the Senior Director . Budget and Resource Management + Support the Facilities Budget ... account. Position Summary: Florida Atlantic University is seeking an Associate Director of Physical Plant - Boca Raton, FL. Responsibilities: Operational and… more
- Monte Nido (Clifton, VA)
- …the opportunity for people to realize their healthy selves. **Clinical Director ** **Clementine Twin Lakes** **Clifton, VA** **Clementine Twin Lakes,** located in ... their own unique individuality. We are seeking a **Clinical Director ** to join the **Monte Nido** team. The **Clinical...experience elsewhere. + Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. +… more
- Weatherford (Houston, TX)
- **Position Title:** Offshore MPD Director - Americas **Location:** Houston, TX **Reports To:** SVP Operations - Americas **Job Purpose** The Offshore MPD Director ... with a strong focus on deepwater and rig-based offshore operations. The Director will lead strategy execution, support sales teams through technical expertise and… more
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