- Providence (Olympia, WA)
- …the perfect opportunity for you! **The Role:** Under the supervision of the North Division Executive Director of Care Management , the Director of Care ... Management is a pivotal role responsible for orchestrating and optimizing care management . You will lead and inspire a dedicated team, ensuring a seamless… more
- Humana (Olympia, WA)
- … Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the KY, OH, VA, WI and ... of decisions to internal associates, and possible participation in care management . The clinical scenarios arise from...The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have… more
- Humana (Olympia, WA)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Olympia, WA)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Evolent (Olympia, WA)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the… more
- Sharecare (Olympia, WA)
- …in the lives of others through their work every day! **Job Summary:** The Director of Project Management will be culturally aligned with Sharecare by displaying ... that they do. Reporting to the Vice President of Partnerships & Administration, the Director of Project Management serves as the principal project management … more
- CenterWell (Olympia, WA)
- …the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review of the care received by members in an ... community and help us put health first** The Medical Director , Primary Care relies on medical background...work, communication of decisions to internal associates, participation in care management and possible participation in … more
- Humana (Olympia, WA)
- …Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care , audit, grievance ... metrics, population health, and disease or care management . The Behavioral Health Medical Director may...care management . The Behavioral Health Medical Director may develop procedures, processes, productivity targets and new… more
- UKG (Olympia, WA)
- …UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of ... do you. **About the team:** UKG is seeking a Director of Sales for our Enterprise sales organization. At...performance of everyone. + Provide feedback to UKG senior management on market trends and methods to become more… more
- Humana (Olympia, WA)
- …, depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an ... work, communication of decisions to internal associates, and possible participation in care management . May occasionally participate in discussions with external… more
- Travelers Insurance Company (Olympia, WA)
- …to regularly engage in unique and intellectually stimulating business problems. As a Director , Product Management , you will manage the growth and profitability ... **Who Are We?** Taking care of our customers, our communities and each...Our Ideal Candidate Have?** + Bachelor's degree in Business Management /Administration, Mathematics, Finance, Actuarial Science, Economics, or other analytics… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...support staff to provide Humana members with optimal value-based care in accordance with Medicare and Humana policy. All… more
- Humana (Olympia, WA)
- …members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...of assignment + 5+ years of direct clinical patient care experience post residency or fellowship + No sanctions… more
- Humana (Olympia, WA)
- …members of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...of assignment** + **5+ years of direct clinical patient care experience post residency or fellowship** + **No sanctions… more
- Highmark Health (Olympia, WA)
- …of the medical management process are consistent with community standards of care . + Participate as a member of the CMDM multidisciplinary team. Attend huddles ... SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current… more
- Evolent (Olympia, WA)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- YMCA of Greater Seattle (Longbranch, WA)
- …in a culturally versatile and respectful manner. Tell me about this job! Camp's Health Care Director oversees the health and safety of camp's staff and campers. ... The Health Care Director is responsible for the Health...health and safety. 8. Maintains accident/incident reports for risk management . 9. Prepares a summary and evaluation of the… more
- Humana (Olympia, WA)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... whether requested services, level of care , and/or site of service should be authorized. All...operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Merck (Olympia, WA)
- **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert who ... drug, vaccine or biologic product. The Oncology Regional Medical Scientific Director provide to Scientific Leaders balanced, factual, scientific information about… more
- Teradata (Olympia, WA)
- …database technologies, ensuring continued leadership in price-performance, workload management , hybrid cloud deployment, elasticity, and advanced optimization ... will work with:** On our team, we lead product management for the Engine and Platforms portfolio - the...where they work. We focus on well-being because we care about our people and their ability to thrive… more