- Elevance Health (Indianapolis, IN)
- …for processing and generating letters for services denied by the Utilization Management (UM) Medical Director within established Centers for Medicare and ... you for payment as part of consideration for employment. ** Utilization Manager Correspond Representative Sr (US)** + Job Family:...impact:** + Completes denial letters for services denied by Medical Director . + Maintains updated denial letter… more
- Elevance Health (Indianapolis, IN)
- …Charleston + Maine, South Portland + New Jersey, Morristown **Description** **Clinical Operations Medical Director ** ** Utilization Management of ... part of consideration for employment. ** Medical Oncology Medical Director - Utilization Review**...Medical Oncology team** is responsible for supporting the medical management staff ensuring timely and consistent… more
- Humana (Indianapolis, IN)
- … 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 ...managed care experience working with LTSS program population. + Utilization management experience in a medical… more
- Humana (Indianapolis, IN)
- … 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 (Indianapolis, IN)
- … 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 (Indianapolis, IN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... healthcare providers, clinical group practice management . + Utilization management experience in a medical... management operational improvements, including those within the medical director area + Participate in call… more
- McLaren Health Care (Indianapolis, IN)
- …for identification of high risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special ... Two(2)yearsclinicalnursingexperience. + One (1) year previous experience in Managed Care Utilization Management , Medical Management , Case Management .… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Utilization Management + **Schedule:** Full time, Mon-Fri 8am-5pm + **Hospital:** Ascension St Vincent + **Location:** Remote Must ... with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing… more
- Humana (Indianapolis, IN)
- …health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical management ... and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Elevance Health (Indianapolis, IN)
- … Benefits Management Clinical Operations organization is looking to hire a ** Director of Medical Management .** This people leader will manage and ... you for payment as part of consideration for employment. ** Director of Medical Mgmt, Post Acute Care...clinical reviews for a set of Post Acute Care Utilization Management solutions and complex cases such… more
- Elevance Health (Indianapolis, IN)
- … Medical Benefits Management is looking to hire a National Medical Director . This high-performing individual contributor will be responsible for serving ... ask you for payment as part of consideration for employment. **National Solution Medical Director - Surgery** + Job Family: MED > Licensed… more
- Elevance Health (Indianapolis, IN)
- …an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including ... for payment as part of consideration for employment. **UM Medical Director - Physical Medicine and Rehabilitation**...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Elevance Health (Indianapolis, IN)
- …or ask you for payment as part of consideration for employment. **Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500** + Job Family: MED > ... + West Virginia, Charleston + Oklahoma **Description** **Clinical Operations Associate Medical Director ** **General Orthopedic Surgery** Full Time **_Sign on… more
- Elevance Health (Indianapolis, IN)
- …check, or ask you for payment as part of consideration for employment. **Managing Medical Director , UM Clinical Operations** + Job Family: MED > Licensed ... Clinical Operations team is looking to hire a **Managing Medical Director ** to manage a team of...Preferred: -Leadership experience managing teams of physicians in a utilization management clinical operations business inside a… more
- Mindoula Health (IN)
- Mindoula is a next generation population health management company that identifies, engages, and serves populations with complex behavioral health, medical , and ... to even the most complex and underserved behavioral health populations. The Program Director will build best in class teams to deliver a successful Population Health… more
- Elevance Health (Indianapolis, IN)
- …cardiology and oncology. We're seeking a highly effective ** Director of Client Management ** to join our Medical Benefit Management business. You'll be ... you for payment as part of consideration for employment. ** Director of Client Management , Health Plans** +...business, especially with Payers and Clients. -Your acumen in Utilization Management products, clinical programs, pricing, and… more
- CommuniCare Health Services Corporate (Corydon, IN)
- Medical Director - Physician Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and ... Indiana, West Virginia, Virginia, Missouri, Pennsylvania and Maryland. As Medical Director , you will be part of...+ HCC and Risk Adjusted reimbursement methodology + Inpatient/SNF utilization metrics and bed day management +… more
- KPMG (Indianapolis, IN)
- **Business Title:** Director , IT Contract & Asset Management **Requisition Number:** 110991 - 34 **Function:** Business Support Services **Area of Interest:** ... are, join our team. KPMG is currently seeking a Director , IT Contract & Asset Management to...technical strategy; extensive experience in the implementation and increased utilization of ITIL and in strategic solution delivery models… more
- Lilly (Indianapolis, IN)
- …The Sr Director is responsible for the effective partnership between Medical /Clinical and Quality personnel to identify and mitigate performance gaps relative to ... is for the design, implementation, and execution of a medical , regulatory, and safety quality system to support the...to identify areas for further improvement. **Inspection/Audit Readiness and Management ** + The Sr Director ensures the… more
- Humana (Indianapolis, IN)
- …committed value and measure and ensure growth of the program. As the Director of Interoperability Performance Management , the ideal candidate will be comfortable ... and members. In this role, you will be directing the interoperability performance management function. You and the team you lead will be Interoperability's liaison… more