- Nuvance Health (Danbury, CT)
- …Works to lead standardization of policy, procedure and approach to physician advisor roles in utilization management, , documentation and denials/downgrades. ... Manages processes, policies, workflows and overall management of the physician advisor role within the organization. *...Prevention and Denial Management teams with complex cases requiring Physician Advisor expertise to support both peer… more
- Nuvance Health (Danbury, CT)
- …prioritize improvement efforts, and negotiate with payers for fair reimbursement. * * Physician Advisor Collaboration:* Collaborate with the physician ... committee meetings. * *Utilization Review (UR):* * *Proactive UR:* Lead a team of UR nurses to conduct timely...* *Denials Management & Appeals:* * *Root Cause Analysis:* Lead a specialized team to thoroughly investigate claims denied… more
- WMCHealth (Valhalla, NY)
- …with measurable outcomes related to time-to-fill, retention, and provider satisfaction. + Lead a high-performing team responsible for physician and provider ... Director of Advanced Clinical Recruitment providers strategic leadership for the physician and provider recruitment function across WMCHealth. This role is… more
- WMCHealth (Valhalla, NY)
- …(Deputy CCO), the Director collaborates closely with them to lead and operationalize systemwide compliance initiatives that promote transparency, accountability, ... Director ensures consistent implementation of compliance standards across hospitals, physician practices, and affiliates while partnering with executive, clinical,… more