- Elevance Health (Indianapolis, IN)
- ** Utilization Management Medical Director - Indiana Medicaid** **Location:** This role enables associates to work virtually full-time, with the exception ... required by law. Alternate locations may be considered. The ** Medical Director ** is responsible for reviewing cases...and Family Medicine specialties preferred. + 3-5 years of Utilization Management experience preferred. + Indiana license… more
- CVS Health (Indianapolis, IN)
- …a regional role that primarily supports the Aetna Better Health Plan of Oklahoma. This UM ( Utilization Management ) Medical Director will be a "Work from ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...and appeal request. This position is primarily responsible for Utilization Management , including prior authorization as well… more
- Evolent (Indianapolis, IN)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management … more
- Humana (Indianapolis, IN)
- … Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received ... caring community and help us put health first** The Medical Director actively uses their medical...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Humana (Indianapolis, IN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... caring community and help us put health first** The Medical Director relies on medical ...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Evolent (Indianapolis, IN)
- …LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as...also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our… more
- Evolent (Indianapolis, IN)
- …for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in ... , you will be a key member of the utilization management team. We can offer you...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Centene Corporation (Indianapolis, IN)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... Provides medical leadership of all for utilization management , cost containment, and medical...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Evolent (Indianapolis, IN)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
- Evolent (Indianapolis, IN)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
- Humana (Indianapolis, IN)
- …health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical management ... caring community and help us put health first** The Medical Director actively uses their medical...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Highmark Health (Indianapolis, IN)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community… more
- Elevance Health (Indianapolis, IN)
- … Senior** is responsible for the development, implementation, and oversight of integrated Medical Management of more than one member population type of Physical ... you will make an impact:** + Oversees case and utilization management execution/decision making for managed member...development of the strategic vision, goals, and objectives for medical management . + Serves as liaison to… more
- Evolent (Indianapolis, IN)
- …in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...Oncology, you will be a key member of the utilization management team. We can offer you… more
- Evolent (Indianapolis, IN)
- …in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...Surgery you will be a key member of the utilization management team. We can offer you… more
- Humana (Indianapolis, IN)
- …hospitals/ Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management ... caring community and help us put health first The Medical Director actively uses their medical...adaptability and willingness to learn evolving workflows, tools, and utilization management practices **Work Schedule Monday -… more
- Humana (Indianapolis, IN)
- …Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management ... caring community and help us put health first** The Medical Director relies on broad clinical expertise...with prior experience participating in teams focusing on quality management , utilization management , or similar… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Friday. Half day Saturday rotation, once a month.** The **Behavioral Health Medical Director -Psychiatrist Appeals** is responsible for the administration of… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Director , Product Management Conceives of, develops, delivers, and manages products for ... customer use. The Director , Product Management requires an in-depth understanding...account teams and solution architects to ensure optimal platform utilization and innovation. + **Customer & Market Insights** +… more
- Datavant (Indianapolis, IN)
- …educational and life experiences to realize our bold vision for healthcare. The Director of Workforce Management , Forecast Planning & Capacity will provide ... ensure the organization can meet service, efficiency, and growth objectives. The Director will oversee a high-performing team of leaders, analysts, and system SMEs… more