- AmeriHealth Caritas (Newark, DE)
- …and practice initiatives in collaboration with the Corporate Medical Director (s), Senior Medical Directors, Utilization Management and the CMO. The ... (SMO) experience preferred. + 5+ years of clinical practice. + Experience in Utilization Management as a Medical Director within a managed care organization… more
- AmeriHealth Caritas (Orlando, FL)
- …and practice initiatives in collaboration with the Corporate Medical Director (s), Senior Medical Directors, Utilization Management and the Vice ... **Medical Director , UM Review, Family Medicine** Location: Orlando, FL...Provide organizational leadership in the operational areas of care management , utilization review, appeals, quality improvement and… more
- Geisinger (Harrisburg, PA)
- …Establishes and leads execution of a strategic plan for the provision of Utilization Management services across the organization, fostering a spirit of ... and meaningful educational programs across the department. Responsible for management of the Utilization Review policy and...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an… more
- Ascension Health (Baltimore, MD)
- …Ascension Saint Agnes is seeking a dynamic and experienced Director of Case Management & Utilization Management . In this position you will play a ... **Details** + **Department:** Case Management & Utilization Management ...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Ascension Health (Austin, TX)
- …Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. + Ensure ... integration of utilization management functions with network strategy and...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Mallinckrodt Pharmaceuticals (Chicago, IL)
- Job Title Senior Director , Market Access Account Management Requisition JR000014214 Senior Director , Market Access Account Management (Open) ... Dallas, TX, Los Angeles, CA, New York, NY, San Francisco, CA Job Description The Senior Director , Market Access Account Management reports to the Executive … more
- UPMC (Moosic, PA)
- …consultation with practitioners in the field. This includes significant responsibility for quality management and utilization management and for assuring the ... We have an exciting opportunity for a full-time Senior Medical Director to join our...on appropriate committees of the PH MCOs. + Advises senior management , especially Regional Directors, on the… more
- McLaren Health Care (Indianapolis, IN)
- …identification of high risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special ... We are looking for a Utilization Management , RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Senior Director Clinical Resource Management ? At HealthTrust, you come first. ... make a difference. We are looking for a dedicated Senior Director Clinical Resource Management ...supply chain operations. ii) Value Analysis iii) Clinical Resource Management Program iv) Product standardization and utilization … more
- VIP Care (Tampa, FL)
- …help improve utilization and provide better health for patients. The Senior Medical Director would also leverage their entrepreneurial and innovative ... Summary/Objective: The Senior Medical Director is responsible for...more years of managed care experience + Experience in Utilization Management and Physician Improvement Programs +… more
- Research Foundation CUNY (New York, NY)
- Job Title: Senior Director , New York Works for Children PVN ID: VA-2402-006152 Category: Managerial and Professional Location: OFFICE OF SR. UNIV DEAN FOR ... committed to the early childhood workforce across New York State. GENERAL DESCRIPTION The Senior Director , New York Works for Children, will play a pivotal and… more
- City of New York (New York, NY)
- …(OPPT) is recruiting for one Administrative Staff Analyst NM-II to function as Senior Director , Specialized Services who will. Reporting to the Executive ... (ED), with wide latitude for independent judgment, the Senior Director of Procedures, collaborates with ...high level planning and implementation meetings. Represent the Executive Director in meetings with program management , legal… more
- Pine Street Inn (Boston, MA)
- Senior Director of Behavioral Health Department: Behavioral Health Office: 444 Harrison Avenue Location: Boston, MA Position Type: Direct Care Hours/Shift: ... as needed SUMMARY OF THE POSITION: Reporting to the Chief of Programs, the Senior Director for Behavioral Health provides leadership and direction to all… more
- Citigroup (Irving, TX)
- …Developer Manager manages a team of Product Developers within ICM (Institutional Credit Management ) with a focus on Credit Utilization . The Product Developer is ... escalating, managing and reporting control issues with transparency. + Has full management responsibility of 6+ senior product managers including management… more
- Publicis Groupe (West Chicago, IL)
- …strong team builders who foster camaraderie in a positive, nurturing environment. The Senior Account Director coaches, mentors and teaches as they demonstrate ... **Company Description** **Job Description** The Sr. Account Director is responsible for the overall leadership of...the execution of plans and program elements, and financial management . This role will focused on Automotive Organization. +… more
- Nestle (St. Louis, MO)
- …communities and families. Are you up for the dare? **POSITION SUMMARY:** As the Senior Director , Portfolio and Change Management , you'll oversee and manage ... organization success. We'll count on you to drive portfolio management , strategic alignment, change management , risk ...strategies and plans to ensure fast adoption and high utilization of new tools and ways of working +… more
- Highmark Health (Wilmington, DE)
- …:** **JOB SUMMARY** This job leads a physician team and ensures that utilization management responsibilities are performed in accordance with the highest and ... DOH, and DOL regulations at all times, and the Senior Medical Director will be responsible for...related to process improvement, system enhancements, and/or improvement of utilization management , quality of care and/or member… more
- ChenMed (Louisville, KY)
- …leader for the foundational business unit of our care model - the center. The Senior Medical Director (SMD) will partner with the Center Director /Center ... with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required...and have attained partnership. + Must complete full medical director training prior to promotion to Senior … more
- Elderwood (Buffalo, NY)
- …players - but also for our valued employees. Elderwood Administrative Services is seeking a Senior Director of Purchasing. Position Overview: + The Senior ... is located at 500 Seneca Street, Suite 100, Buffalo, NY 14204. Responsibilities Senior Director of Purchasing + Directs enterprise-wide purchasing / supply chain… more
- CVS Health (Hartford, CT)
- …works cohesively together within the health plan Chief Medical Officer and utilization management clinical staff to positively impact utilization ... for oversight of medical directors to ensure appropriate and timely utilization management activities for day-to-day operations, ie prior authorization,… more