- Daiichi Sankyo, Inc. (Bernards, NJ)
- …other research areas centered around rare diseases and immune disorders. Job Summary: The Director of Data Management (DM) Reporting provides leadership in Data ... the quality and timely delivery of programming deliverables, including integrated data review plan (IDRP), study data listings and exception reports, sample data… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …: Responsible for resource management within their therapeutic area. Management requires review of resources against development pipeline to identify ... conduct, reporting, and close out) including timeline, quality, and budget management . Drives and leads the successful execution of all operational components… more
- Merck & Co. (Durham, NC)
- …finances, labor, employee, environment and safetyTactical and strategic Shift(s) management , including collaboration with indirect staff;Promote the behaviors and ... and business plan; receives guidance and oversight from Operations Associate Director and Director ;Interprets client and/or customer needs and assesses… more
- Novo Nordisk Inc. (San Francisco, CA)
- …maintains medical (territory and account) plans in coordination with his/er Field Director . Relationships Position reports to Field Director /Senior Field ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- Merck & Co. (Durham, NC)
- …Manager will play a critical role in supporting the Operations Management team, partnering with internal stakeholders, and building the operations team.Members ... complying with current Good Manufacturing Practices in the form of project management and ultimately shop floor leadership.- Key Responsibilities for a Drug Product… 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? ... solutions and engagements with customers. Relationships This position reports into a Director or Senior Director within the National Account Market Access… more
- Novo Nordisk Inc. (Boston, MA)
- …the business potential o the territory. Relationships Reports to the Regional Director - Rare Endocrine. External relationships include those with the following: ... Kit, consistent with AMCP guidelines and NNI policies Supports the Regional Director - Rare Endocrine in planning and implementing regional functions/POA meetings… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Director of Utilization Review (UR) in a behavioral health setting oversees the UR process, ensuring appropriate and cost-effective care while adhering ... and collaborating with clinical staff to ensure optimal patient outcomes. Overseas utilization management and criteria-based reviews of care, clinical appeals… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director ... Serve as the lead for CCA's Utilization Review functions working closely with other medical management...+ Primary care discipline, prior experience as Associate Medical Director (or equivalent) or physician reviewer in a Managed… more
- Integra Partners (Troy, MI)
- …Summary + Integra Partners is seeking a full-time Utilization Review Medical Director to support our Utilization Management team. This is a salaried, ... the local delivery system rendering the criteria inappropriate, the Utilization Management Nurse will route the case...the UR Medical Director . The UR Medical Director will review the case and may… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for ... Utilization Management and Review for...Utilization Management and Review for the Enterprise. The...and attainment of financial goals. Reporting to the Sr. Director /AVP/VP Utilization Management , the role… more
- Intermountain Health (Las Vegas, NV)
- … management , claims, network management , and finance. As the Medical Director for Utilization Management , you are responsible, in partnership with ... order to be considered for the position.** Performs medical review activities pertaining to utilization review...timely documentation and reporting. + Demonstrated knowledge of case management , utilization management , quality … more
- UTMB Health (Friendswood, TX)
- …resource utilization to Director and/or Assistant Director of Utilization Review /Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review /Case Management program by utilizing clinical… more
- Wellpath (Lemoyne, PA)
- …**How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review , case management , quality ... quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with… more
- LifePoint Health (Gallatin, TN)
- Monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital admissions and extended hospitals stays. ... Reports to: Director - Case Management Minimum Education Associate's,...or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** *Tennessee-Gallatin*… more
- Commonwealth Care Alliance (Boston, MA)
- … Management reports to the Director of Utilization Management * Oversees clinical decision review for services requiring prior authorization in a ... Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible...for overseeing and managing the daily operation of the Utilization Management Review Nurse and… more
- HCA Healthcare (Port St. Lucie, FL)
- …PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience ... Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director...you to apply for our Registered Nurse RN Case Mgmt opening. We promptly review all applications.… more
- MyFlorida (Chattahoochee, FL)
- …of related training and tracking of CQI progress. + Directs the provision of utilization review for the facility, providing real-time insight for timely and ... OPERATIONS & MGMT CONSULTANT MGR - SES - 60005985 Date:...utilization of outcome comparisons and benchmarks to ensure Management Excellence, particularly during strategic planning. As part of… more
- Elevance Health (Walnut Creek, CA)
- …Candidates must live in California. The **Medical Director ** will be responsible for utilization review case management for Medicare and Medicaid in the ... **Medical Director - Medicare and Medicaid** Location: This role enables...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Elevance Health (Richmond, VA)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education and ... **Medical Management Nurse** **Location:** This role enables associates to...is medically necessary and provides consultation to the Medical Director on cases that are unclear or do not… more
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