- CVS Health (Hartford, CT)
- …efficiencies, and improve the experience for providers and members. As the **Senior Manager , Product Owner ( UM Automation)** you will be responsible for managing ... the implementation of strategic initiatives for the Utilization Management ( UM ) Clinical Services organization. These initiatives leverage technical capabilities… more
- CVS Health (Hartford, CT)
- …streamline workflows, and improve the experience for both providers and members. The ** Manager , Product Owner ( UM Automation)** within the Automation Team will ... the implementation of strategic initiatives for the Utilization Management ( UM ) Clinical Services organization. These initiatives leverage advanced technologies such… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Role:The Medical Clinical Program Manager will focus on utilization management compliance and audit ... Team: As an integral part of HMM Quality and Compliance team, the Clinical Program Manager works through the influence as an individual contributor while… more
- University of Miami (Miami, FL)
- …Quarterly Publications Report Core Grant submission Financial reports Will work with the Manager to assist the Research Program Leaders to prepare for External ... of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Sr. Project Coordinator to work at the UHealth medical campus in Miami, Fl. CORE JOB… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** The Manager , Medical Policy reports to the Director of UM , and manages the personnel and work of the medical policy team, that researches, ... in compliance with regulatory, accreditation, and contractual requirements. The manager is a subject matter expert in the area...and NCQA requirements. + Together with the Director of UM and Sr. Medical Director of medical policy, manage… more
- ERP International (Port Hueneme, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, CA** in ... in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer...* Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
- University of Miami (Miami, FL)
- …to the University faculty and staff and other key stakeholders. Furthermore, the Manager , Programs provides guidance and mentorship to program staff to encourage ... in Medical Education is currently seeking a full time Manager , Programs to work in Miami, FL. The ...implements, evaluates, and monitors organization-wide development programs. + Implements project plans related to the delivery of new and… more
- University of Miami (Miami, FL)
- …required. Experience:Five (5) years of experience managing an extensive clinical research program or project is required.This position is onsite. Knowledge, ... Translational Research Site is currently seeking a full time Manager , Clinical Research to work in Miami. The ...sponsors and master agreements, and coordinates with the Research Program Director on remediation. + Coordinates the efforts of… more
- University of Miami (Miami, FL)
- …Medicine, University of Miami is seeking a highly motivated and experienced Manager , Clinical Research to lead and oversee the division's clinical research support ... and adherence to research compliance and University of Miami policies. The Manager , Clinical Research (A) oversees the development of clinical trials and research… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …stakeholders to support strong results. Serves as subject matter expert in maintaining the UM /CM training program for PHE and other key stakeholder roles. + ... for you, we encourage you to apply! Job Description: The HE/CIP Program Development Specialist I-II supports the health equity and community investments strategic… more
- ERP International (Macdill AFB, FL)
- …maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran. ... * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established...for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
- ERP International (Twentynine Palms, CA)
- …maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran. ... * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established...for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
- University of Miami (Coral Gables, FL)
- …record keeping, reporting, and liaison activities within the University of Miami ( UM ) and outside awarding agencies. * Directs, reviews, and submits proposals; ... support of University sponsored programs. * Monitors for compliance with agency and UM requirements for all pre/post activities. * Monitors funds to ensure receipt… more
- University of Michigan (Dearborn, MI)
- …growth and retention goals of the University. The Enrollment Events and Orientation Program Manager will lead the execution of high caliber events (large ... Events and Orientation Program Coordinator Apply Now **How to Apply** A...prospective students and families about the benefits of a UM -Dearborn education, and aid in the retention of current… more
- Sharp HealthCare (San Diego, CA)
- …contact with Plan providers to stay up-to-date on their provider activities, program and initiatives for the Plan, including personal visits, written correspondence ... and initiatives through continual communications.Develops and implements an Orientation Program for all new providers who meet the credentialing requirements… more
- University of Miami (Miami, FL)
- …regulations. + Maintains study binders and filings according to protocol requirements, UM and department policy. + Distributes study drug materials according to ... relevant experience Department Specific Functions + Serves as coordinator for the Program Management Toolkit (PMT) + Assists on the development and implementation of… more
- University of Michigan (Ann Arbor, MI)
- …of activity, payroll, commodity, & capital budgets; participate in the new program development & implementation; work closely with relevant physicians to promote and ... and assist with the establishment of priorities and institutional program development. + Work closely with medical staff and...programs and ensure their uniform and correct application. + Project and monitor personnel budget for patient care unit.… more
- University of Michigan (Ann Arbor, MI)
- …professional nursing leadership and administrative direction in the Canton Outpatient Dialysis Program . Participates as a member of leadership teams to provide and ... of activity, payroll, commodity, & capital budgets; participate in the new program development & implementation; work closely with relevant physicians to promote and… more
- University of Miami (Coral Gables, FL)
- …and Teamwork (DIRECCT) we strive to create an environment where everyone contributes to making UM a great place to work. We are one of the largest private employers ... event and support clearing any report exceptions in collaboration with the Manager , Development Initiatives. + Support engagement officers in preparing for travel… more