• Senior Manager of Clinical UM - BH

    WellSense (Boston, MA)
    Medical Directors in the performance of UM activities. + Notifies the Senior Director of BH Clinical Programs if department or staff performance falls ... Senior Manager will work in conjunction with the Senior Director of Behavioral Health (BH) Clinical...closely with the Medical Policy Manager and Medical Directors regarding issues arising from UM more
    WellSense (09/01/24)
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  • Medical Director - Medical

    CVS Health (Columbus, OH)
    …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM...special clinical investigations and research as requested by the Senior Medical Director , Medical more
    CVS Health (08/31/24)
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  • Senior Medical Director

    CVS Health (Columbus, OH)
    …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... * Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community,...* Be able to effectively communicate these finding to Senior Management and staff at all levels. * Develop… more
    CVS Health (09/22/24)
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  • Senior Medical Director

    Magellan Health Services (Albuquerque, NM)
    …Medicare and Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health ... quality assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico… more
    Magellan Health Services (07/03/24)
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  • Director , Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management ( UM ) functions for physical health ... federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic direction,… more
    Commonwealth Care Alliance (09/19/24)
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  • Medical Director , BH - TX licensed,…

    Magellan Health Services (Dallas, TX)
    …clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May ... day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management...various committees or project teams as directed by the senior medical director or vice-president.… more
    Magellan Health Services (08/21/24)
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  • Physician-Scientist, Director Of Clinical…

    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 (07/17/24)
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  • Executive Medical Director Revenue…

    AdventHealth (Maitland, FL)
    …Site position** **The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members ... related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization,… more
    AdventHealth (08/16/24)
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  • Sr Director , Global Sustainability

    W. R. Grace (Columbia, MD)
    …4.300 pessoas em mais de 30 paises. Job Description Grace is seeking a Global Senior Director of Sustainability to join our Corporate Strategy team! This role ... feita de talento, tecnologia e confianca. A Grace e um dos principais fornecedores mundiais de catalisadores e materiais...business units and functions for products and operations. The Senior Director will provide thought leadership and… more
    W. R. Grace (09/05/24)
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  • Director , Behavioral Health, Health Plans

    VNS Health (Manhattan, NY)
    …other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director meetings as stipulated by the State BH contract ... company holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement saving funds +… more
    VNS Health (09/04/24)
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  • Sr. Director , Software Engineering

    The Cigna Group (St. Louis, MO)
    …levels of the organization + Ensure holistic ownership and accountability for UM platforms and organization + Deep understanding of the engineering practice ... organization, striving for continuous improvement + End-to-end knowledge of UM ecosystem, business transactions, technology stack, dependencies, and engineering… more
    The Cigna Group (09/19/24)
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  • Director - Hospital Contract Support- Mount…

    The Mount Sinai Health System (New York, NY)
    …proposals to ensure the needs of the system are met. + Works closely with Senior Medical Director , Managed Care and Billing on matters impacting revenue ... **JOB DESCRIPTION** ** Director - Hospital Contract Support- Mount Sinai Health Partners**...ensuring accomplishment of objectives under the direction of MSHP senior leadership. **RESPONSIBILITIES** + Directly supervises, and coordinates the… more
    The Mount Sinai Health System (07/30/24)
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  • Senior Prospect Research Consultant

    University of Michigan (Ann Arbor, MI)
    …is not eligible for sponsorship + this is a data, not a medical /computational position **Job Summary** The Senior Prospect Research Consultant partners with ... Senior Prospect Research Consultant Apply Now **How to...Research Consultant independently manages their own workload, assists the Director and the Assistant Director of Development… more
    University of Michigan (08/24/24)
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  • Asst. Director , Annual Giving

    University of Miami (Coral Gables, FL)
    …institutions of higher education in the US for its academic excellence, superior medical care, and cutting-edge research. At the U, we are committed to attracting ... to create an environment where everyone contributes to making UM a great place to work. We are one...and Young Alumni Engagement Coordinator reports to the Sr Director , Philanthropic Experience and is part of a dynamic… more
    University of Miami (09/06/24)
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  • Lead Director , Product Mgt & Development…

    CVS Health (Columbus, OH)
    …product initiatives, including new products and product enhancements for Medicare formularies, UM and clinical tools for Medicare PDP, MAPD and employer plan types. ... activities across teams. Represent Clinical Product strategic issues with Senior Managers and Markets cross-functionally. Ensures integration of product strategy… more
    CVS Health (09/20/24)
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  • VP Continuum Services

    Dignity Health (Bakersfield, CA)
    Director of Utilization Management ( UM ) ensuring partnership with the Managed Care Medical Director of UM for the implementation and compliance to all ... ( UM ) ensuring partnership with the Managed Care Medical Director of UM for...communication and a strong leadership presence with executive partners, senior leaders, internal and external customers to coordinate and… more
    Dignity Health (09/20/24)
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  • Clinical Technologist Senior

    University of Michigan (Ann Arbor, MI)
    … technologist at a high level of expertise, and with assistance from Medical Technologist Specialists, the Senior Clinical Technologist is normally responsible ... Clinical Technologist Senior Apply Now **How to Apply** A cover...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
    University of Michigan (08/31/24)
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  • Administrative Assistant Senior - Brighton…

    University of Michigan (Brighton, MI)
    …+ You will effectively run the daily electronic calendar of the Medical Director , Administrative Director , Nursing Services Senior Director , and ... Administrative Assistant Senior - Brighton Center for Specialty Care Apply...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
    University of Michigan (09/04/24)
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  • Administrative Assistant Senior

    University of Michigan (Ann Arbor, MI)
    …of Care Management, with additional matrix supervision received from the Senior Director , Department of Care Management. **Mission Statement** Michigan ... Administrative Assistant Senior Apply Now **How to Apply** A cover...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
    University of Michigan (09/21/24)
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  • Administrative Assistant Senior Healthcare

    University of Michigan (Ann Arbor, MI)
    Administrative Assistant Senior Healthcare Apply Now **Job Summary** The Administrative Assistant position will provide high quality administrative support to ... Clinical Nursing Director , Nurse Supervisor, within General Medicine. **Mission Statement** Michigan...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
    University of Michigan (09/19/24)
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