- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care… more
- Ochsner Health (Jefferson, LA)
- …your future today!** This job manages expense management, vendor relationships, contract management, standardization and consolidation processes and utilization ... cost reduction initiatives throughout the organization by serving as a project manager and consultant to the clinical and non-clinical areas; tracks the system… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …to meet the healthcare needs of the patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management. + ... family. + Assists in identifying and reporting variances in utilization of resources, avoidable days/denials. Works in collaboration with...here do not create any implied or express employment contract between you and our company / our clients… more
- Elevance Health (Miami, FL)
- **JR153784 Behavioral Health Care Manager II** The Behavioral Health Care Manager II is a utilization management role and is responsible for utilization ... in a cost-effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate. + Performs psychiatric… more
- ICF (Bethesda, MD)
- …ICF management team. + **Resource Planning:** + Collaborate with the ICF Project Manager to provide staff utilization and resource planning. + **Reporting:** + ... Description ICF is looking for a multi-faceted onsite Library Collection Processing Manager to join our team. This position will support our National Library of… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …level of customer service to the managed care plan. * The case manager provides center case management/ utilization review and discharge planning to assure ... our Residents' Lives!** Diversicare Healthcare Services is seeking an outstanding RN Case Manager that has a passion for providing the highest quality of care with… more
- Trinity Health (Elkader, IA)
- …until funding is obtained. May prepare special reports as directed by the Manager to document utilization of the Financial Counseling unit's services and ... contacts include the Pre-Service unit, Patient Access, Social Work Services, Utilization Review/ Case Management, Ancillary and Nursing department staffs. Assists… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Associate Manager Contracts ? At HealthTrust, you come first. HCA Healthcare has committed up to ... a difference. We are looking for a dedicated Associate Manager Contracts like you to be a...part of our team. **Job Summary and Qualifications** **Associate Contract Manager - Strategic Sourcing -** This… more
- Baptist Memorial (Memphis, TN)
- …control of contract file. + Manages renewal process for payor contracts , including renegotiation. Analyzes utilization data submitted for contract ... Overview Manager -Provider Relations Job Code: 22242 FLSA Status Job...contract document control, and renewal process for payor contracts . Job Responsibilities + Identifies and evaluates managed care… more
- SHI (Somerset, NJ)
- …you need to thrive - in our offices or yours.** **Job Summary** The Contract Success Manager will manage and develop public sector customer relationships that ... promote retention and loyalty. The Contract Success Manager will work closely with...to do business with" in fulfilling the requirements of contracts . Role Description * Serve as the main point… more
- Boehringer Ingelheim (Chicago, IL)
- …based bonus and or other compensation elements. **Description** The Strategic Account Manager will uncover opportunities for utilization of approved BI oncology ... where appropriate to meet the needs of customers. The Strategic Account Manager is responsible for creating mutually beneficial Oncology business relationships with… more
- Austin Industries (Irving, TX)
- …** for heavy civil projects in the **North** **Texas area.** The Equipment Service Manager is responsible for maximizing the utilization of Austin Bridge and ... equipment platform and refine and develop and implement new Infrastructure based utilization and management program + Participate in the development of capture plans… more
- Amgen (Washington, DC)
- …team. Join us and transform the lives of patients while transforming your career. ** Contracts & Pricing Strategy Senior Manager , Rare Disease** **What you will ... change the world. In this vital role the Senior Manager , Coverage, Pricing & Coverage is a key member...engage customers and ensure appropriate and strong coverage or utilization management is in place for their product. This… more
- Henry Ford Health System (Detroit, MI)
- …Strategic Sourcing and in accordance with established policies and procedures, the Contract Sourcing Manager is responsible for managing contracting activity in ... Henry Ford Health Group Purchasing Program. In addition, the Contract Sourcing Manager participates in, and often...contract . Collaborates with Legal Department to ensure all contracts negotiated are consistent with HFH legal terms and… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates ... of clinical information to support and determine medical necessity criteria and contract benefits. Collaborates with Care Management and other areas to ensure proper… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …subspecialties. **Description** + The Manager of Business Analysis and Contract Administration will ensure all contracts , products, and pricing updates ... file, updating it regularly + Sends monthly notifications to Contract managers detailing upcoming expiring contracts +...the team + Participates in periodic business reviews with Contract manager and suppliers, providing support as… more
- Elevance Health (San Antonio, TX)
- …and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ... support. **Build the Possibilities. Make an extraordinary impact.** The ** Utilization Management Representative II - Prior Authorization** is responsible for… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …in long range planning and determining staffing needs. + Assists Home Care Manager /Residential Nurse manager to monitor utilization and processes for ... you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential...staff and participant issues. + Provides initial supervision of contract aides at Winthrop Place and in the community… more
- United Therapeutics (Research Triangle Park, NC)
- …and attend field ride-alongs in order to understand the audience and resource utilization **Senior Product Manager ** + Lead large, complex, and cross-functional ... the forefront of a rare disease treatment for Pulmonary Hypertension. As a **Product Manager ** or **Senior Product Manager ** , you'll take ownership of complex,… more