- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Responsibilities:Operational Strategy:Align with the Head of Clinical Development Operations or Senior Director , Clinical Operations on plans for successful ... areas centered around rare diseases and immune disorders. Job Summary: Senior clinical operational leader accountable for operational planning and execution of… more
- Novo Nordisk Inc. (San Francisco, CA)
- …coordination with his/er Field Director . Relationships Position reports to Field Director / Senior Field Director . Serves as organization spokesperson on ... needed Provides monthly reports on scientific support activities in region to Director including budget expenditures as directed Records all activities within a… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …beneficial solutions and engagements with customers. Relationships This position reports into a Director or Senior Director within the National Account ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will ... our rapidly growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent… more
- Ascension Health (Pensacola, FL)
- **Details** + **Department: Utilization Review ** + **Schedule: Full time days** + **Hospital: Ascension Sacred Heart Pensacola** + **Location: Pensacola, ... at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient... functions for assigned sites. + Collaborate with the director to develop and implement quality review … 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 for ... utilization /cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations for updating current...teams. + Co-Chairs with the CMO CPTAC and Peer Review Committees. + Partners with Senior Management… more
- The Cigna Group (Sacramento, CA)
- …for inpatient acute care, rehabilitation, referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of ... level of care. + Consults with manager and medical director to resolve any issues related to delay of...impact. + Access the approved Cigna guidelines for inpatient review and directs communication with the facility to elicit… more
- Intermountain Health (Broomfield, CO)
- **Job Description:** The Senior Medical Director for the Musculosketal Service Line serves as the physician leader for Peaks Region physicians and advanced ... professionals (APs). The Senior Medical Director works collaboratively in a...and drives results for key quality, experience, cost, and utilization metrics. 12. Effectively communicates to boards, colleagues, community,… more
- Intermountain Health (Broomfield, CO)
- **Job Description:** The Senior Medical Director for Children's Health serves as the physician leader for Peaks Region in the Children's Health Service Line. ... in a dyad leadership structure with a service line director . The Senior Medical Director ...services provided. + Supports key quality, experience, cost, and utilization metrics. + Communicates effectively to boards, colleagues, community,… more
- CBRE (Boston, MA)
- Business Development Senior Director , Enterprise Occupier Solutions Job ID 208590 Posted 28-Feb-2025 Service line GWS Segment Role type Full-time Areas of ... Director , Business Development** We are seeking a Senior Director , Business Development & Client Solutions...same for direct reports to next level management for review and approval. Monitors appropriate staffing levels and reports… more
- Banner Health (Phoenix, AZ)
- …**Department Name:** Clinical Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director , Network Performance is a senior ... Through data-informed leadership, enterprise collaboration, and credible clinical engagement, the Senior Medical Director will ensure Banner's network strategy… more
- McLaren Health Care (Indianapolis, IN)
- …for utilization management functions. This includes but is not limited to review and authorization of services, utilization of medical policy, utilization ... We are looking for a Utilization Management RN, to join us in leading...and under and overuse of services. Collaborates with Medical Director and senior management on complex cases… more
- Amentum (Santa Clara, CA)
- **Amentum** is seeking a ** Senior Site Director ** This position is responsible for the overall operation of the project/contract including ensuring the safety ... representing the company with respect to the client. The ** Senior Site Director ** oversees a workforce of...and ensures accurate forecasts with commensurate action plans. + Review , report and manage key performance measures defined within… more
- Vibrant Emotional Health (New York, NY)
- Job Title: Senior Director of Clinical Services Department: Community Services Reports to: Vice President of Community Programs Location: (Remote/In-House) ... can be a reality for everyone. Position Overview: The Senior Director will be responsible for leading...Complex decision-making requiring in-depth analysis and consensus-building, subject to review by other members of senior management.… more
- Vail Resorts (OH)
- …until the position is filled (whichever is first). **Jo** **b Summary:** The Senior Director of Strategic Mountain Planning is responsible for leading ... cross-functionally with operations, finance, environmental, and capital development teams, the Senior Director ensures that all mountain planning aligns with… more
- Ventura County (Ventura, CA)
- …+ Experience with managed care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs + At ... of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff...care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review … more
- Marriott (Snowmass Village, CO)
- …the day-to-day operation of the accounting office and assists the property Director of Finance and Accounting in providing financial leadership to the business. ... Operating Procedures (SOPs and LSOPs) and support the Peer Review Process. * Uses all available on the job...or context to the financial results. * Advises the Director of Finance on existing and evolving operating/financial issues.… more
- Molina Healthcare (Madison, WI)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous ... and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team activities.… more
- e CancerCare (Fresno, CA)
- Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of the ... the creation and execution of the clinical trial development strategy, study contract review , study budget review , negotiation, and in consultation with the… more
- Tufts Medicine (Burlington, MA)
- …in the Clinical Documentation Integrity (CDI), Coding, HIM Operations, and Utilization Review (UR) departments while implementing enterprise-wide vision. The ... are heard and facilitate a plan for resolution. Responsibilities under CDI & Utilization : 1. Accountability for success of the CDI program; track and trend… more
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