- CVS Health (Springfield, IL)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... Account Management in support of Key Clients as assigned.The Medical Director transacts Utilization Management UM...special clinical investigations and research as requested by the Senior Medical Director , Medical… more
- ChenMed (Louisville, KY)
- …P&L leader for the foundational business unit of our care model - the center. The Senior Medical Director (SMD) will partner with the Center Director ... conjunction with the transitional care team; hospital, SNF, post-acute, UM , and home-based services for the division. + Assists... director training prior to promotion to Senior Medical Director , as part… more
- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of ... LTSS line of business including but not limited to UM , Quality, care management, and network growth as listed...team and develops specific actions to manage LTSS related medical cost trends* Develops benchmarks for LTSS clinical staff… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical ... person as needed* Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community, state regulatory… more
- The Cigna Group (Philadelphia, PA)
- **OVERVIEW:** The Chief Pharmacy Officer ( Senior Director ) oversees and directs the creation, adoption and evaluation of clinical pharmacy programs, product and ... Health Plan book of business. + Partners with the Health Plan National Medical Officer for Pharmacy to develop and deploy clinical affordability solutions for drugs… more
- Magellan Health Services (Albuquerque, NM)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May ... day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management...various committees or project teams as directed by the senior medical director or vice-president.… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- University of Michigan (Ann Arbor, MI)
- …Services, and partners with the Associate Chief Clinical Officer (ACCO) and the Senior Nursing Director for overall performance and leadership of the ... Ambulatory Care Services + Partners with the ACCO and Senior Nursing Director to effectively oversee, operationalize,...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- AdventHealth (Maitland, FL)
- …Site position** **The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members ... related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization,… more
- University of Michigan (Ann Arbor, MI)
- Financial Specialist Senior Apply Now **What You'll Do** General Duties: + Assists the finance intermediate manager in analyzing and monitoring accounting and budget ... is provided by the Financial Intermediate Manager and the CHS Associate Director . This position has no supervision responsibilities. + Under FLSA, incumbents in… more
- The Cigna Group (Houston, TX)
- …execution of the medical cost management and strategy. The Medicare Affordability Director must be an experienced leader with a deep understanding of health plan ... The Medicare Affordability Director serves as the strategic leader responsible for...to care initiatives, identifying Medicare-specific needs for clinical support, UM , site of care and other medical … more
- University of Michigan (Ann Arbor, MI)
- Senior Administrative Manager of the Office of Physician Scientist Education and Training Apply Now **How to Apply** A cover letter is required for consideration for ... position. **Summary** The Office of Research seeks an Administrative Manager Senior Healthcarefor the newly established Office of Physician Scientist Education and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- … leaders for decision making + Apply their clinical knowledge when assessing/auditing medical records and UM letters against medical necessity criteria ... + Accurately plan and scope projects; keep project leads, senior consultants, and Director informed of key...skills and understanding of CMS Part C guidance including UM operational procedures, and CMS guidance including coverage and… more
- University of Miami (Coral Gables, FL)
- …related experience. Bachelor's degree preferred. Position requires significant experience with UM purchasing systems. The Senior Program Coordinator should have ... of Student Affairs, has a great opportunity for a Senior Program Coordinator to work at the Coral Gables...budget of the Student Bar Association, and assist the Director of Programs in managing the budget for the… more
- University of Michigan (Ann Arbor, MI)
- …society. **Responsibilities + Provide administrative and calendar management support to the Senior Associate Chair for Research; Executive Director , Pain & ... Administrative Assistant Senior Healthcare Apply Now **How to Apply** A...with writing a variety of correspondence including faculty and medical school recommendation letters and tracking due dates. +… more
- University of Michigan (Ann Arbor, MI)
- Senior Fire Safety Specialist Apply Now **How to Apply** A cover letter addressed to Safety Management Services is required for consideration for this position and ... care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School… more
- University of Michigan (Ann Arbor, MI)
- …net margin. + Collects and analyzes patient satisfaction data, communicates results with medical director and clinic staff, and addresses areas of concern. + ... Allied Health Supervisor Senior Apply Now **How to Apply** A cover...to supervise the administrative and operational activities of Briarwood Medical Group. A successful candidate will ensure high-quality patient… more
- University of Miami (Coral Gables, FL)
- …Miami School of Law First Star Academy has a great opportunity for a Senior Program Coordinator at the Coral Gables Campus. Summer Temporary Position Job Summary: ... of the summer leadership team, along with the Program Director and Assistant Program Director , to ensure...times for Case Manager and caregiver visits to the UM campus, Therapy sessions and Court appearances by youth… more
- The Cigna Group (Bloomfield, CT)
- The Pre-Certification Specialist is responsible for supporting the Precertification Nurse, Medical Director and Director of Health Services by collecting, ... interpreting and evaluating medical information received for authorization. The Pre-cert Specialist will...work evening, weekend and holiday shifts to support the UM Department + Other duties as requested **Qualifications:** +… more
- University of Michigan (Ann Arbor, MI)
- …the audit and drafting a QARC Audit Report for review and approval by QA Medical Director and Manager. + **Confirms CAPA actions are appropriate and completed** ... position will serve as a QA Research Compliance Specialist Senior (aka QARC Auditor II) in the Oncology Clinical...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more