- UnitedHealth Group (Minneapolis, MN)
- …delivered while working with a Fortune 4 industry leader. We are currently seeking a Utilization Management Medical Director to join our Clinical ... utilization reviews for the state of California. The Medical Directors work with groups of nurses and support...time for each member Work with medical director teams focusing on inpatient care management ,… more
- HealthPartners (Minneapolis, MN)
- …close coordination with medical director and care team. Perform utilization management for HealthPartners members admitted to Out of Network Facilities, ... using established inpatient guidelines, contacting Supervisor, Physician, Specialist, Hospitalist, and Medical Director as needed. Participate in discussion of… more
- Evolent (St. Paul, MN)
- …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + ... Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a...practice of Orthopedic Spine Surgery is preferred. + Administrative Medical Experience- Utilization Management , Leadership… more
- Evolent (St. Paul, MN)
- …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 (St. Paul, MN)
- …most vulnerable members. The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations ... a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review...rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations… more
- Humana (St. Paul, MN)
- … 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
- Humana (St. Paul, MN)
- … 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 actively uses their medical...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Humana (St. Paul, MN)
- … 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 actively uses their medical...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Evolent (St. Paul, MN)
- …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 (St. Paul, MN)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... cases. 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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …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
- CVS Health (St. Paul, MN)
- … will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical license without encumbrances… more
- United Therapeutics (St. Paul, MN)
- …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
- Grant Thornton (Minneapolis, MN)
- …to share strategy, to implement process improvements and to roll out capacity management strategies to maximize utilization and drive operational excellence + ... Grant Thornton is seeking an Advisory Capacity & Resource Management (C&RM) Leader to join the team. Approved office...on yearly budget planning for headcount, gross charge hours, utilization , and leverage. You will lead your team to… more
- Humana (St. Paul, MN)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with ... part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and… more
- Fairview Health Services (Maple Grove, MN)
- **Job Overview** **Practice Description** **Fairview Health Services** seeks a Site Medical Director - Women's and Children's Service Line for its **M Health ... and Surgery Center - Maple Grove** . The Site Medical Director , Women and Children's Service Line...strategies. **Job Expectations:** FTE: .1 + Implementation and ongoing management of the following for Women's Care: Pertinent policies… more
- Humana (St. Paul, MN)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with ... of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice… more
- Evolent (St. Paul, MN)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a **Cardiologist** to shape… more
- Merck (St. Paul, MN)
- **Job Description** **Role Summary:** + The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... (ex-USA). + Manages programs (patient support, educational or risk management ) to support appropriate and safe utilization ...years regional medical affairs experience (eg, Regional Director Medical Affairs) with proven track record… more
