• Market Director

    Ascension Health (Nashville, TN)
    …Saint Thomas hospitals throughout the TN market . We're looking for an experienced Director of Utilization Management to join our team! In this pivotal ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...root-cause analysis to enhance our processes. You'll collaborate with Market Care Management , Finance, CDI, and Physician… more
    Ascension Health (10/25/24)
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  • Utilization Management

    CareFirst (Baltimore, MD)
    …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... utilization management team and is responsible for the design, assessment,...the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for… more
    CareFirst (11/26/24)
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  • RN- Utilization Management

    ERP International (Nellis AFB, NV)
    …No Call, No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality ... disciplines to include discharge planning and referrals for case management . * Utilization management duties...appropriate health plan. Collaborates, coordinates with TOPA and Referral Management Director when needed in accordance with… more
    ERP International (11/02/24)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
    LA Care Health Plan (11/09/24)
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  • Utilization Management Nurse - US…

    Katmai (Usaf Academy, CO)
    …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... background checks. **DESIRED QUALIFICATIONS &** **SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional in… more
    Katmai (10/19/24)
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  • Managing Director , Middle Market

    The Hartford (King Of Prussia, PA)
    … will provide direct underwriting leadership, sales leadership, and agency management for the Middle Market Underwriting Center (MMUC). Responsibilities ... Promotes utilization of services: Claims and Risk Engineering Middle Market Underwriting Operations + Inspires team to achieve operating plan objectives through… more
    The Hartford (09/18/24)
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  • Market Growth Director - Cities…

    Jacobs (Sacramento, CA)
    As a Market Growth Director ( Market GD) you report to your assigned Executive Director of Sales (EDS). You are responsible for the development of a ... strategy to include input and create alignment with the Lead Account Strategist (LAS), the Director of Operations (DO) aligned to your market , and Market more
    Jacobs (11/07/24)
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  • Associate Market Clinical Director

    ChenMed (Memphis, TN)
    …expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical ... workplace concerns. + Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. Other duties as… more
    ChenMed (11/23/24)
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  • Director , Cardiovascular Service Line…

    Bon Secours Mercy Health (Springfield, OH)
    …Center** **100 Medical Center Drive** **Springfield, OH 45504** **Reports to** **:** ** Market VP of Operations** The Director , Cardiovascular Service Line is ... + Evaluates resources across the market and develops action plans with Market leadership to maximize cost effectiveness and utilization ; while supporting a… more
    Bon Secours Mercy Health (11/13/24)
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  • Market Director Clinical…

    HCA Healthcare (Charleston, SC)
    …purpose and integrity. We care like family! Jump-start your career as a(an) Market Director Clinical Professional Development today with Trident Medical Center. ... Eligibility for benefits may vary by location._** Come join our team as a(an) Market Director Clinical Professional Development. We care for our community! Just… more
    HCA Healthcare (11/01/24)
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  • Associate Director , International…

    AbbVie (Mettawa, IL)
    …portfolio of assets within their therapy areas. This position reports to the Director , Strategic Pricing Immunology in International Market Access and Pricing ... and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Associate Director , International Strategic Pricing, will be responsible for effectively manage… more
    AbbVie (11/14/24)
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  • Associate Director , Oncology Market

    AbbVie (Mettawa, IL)
    …Commercial and Medicare FFS aspects of the Medical Benefit and associated utilization management and reimbursement dynamics. Preferred Qualifications: + Previous ... @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description The Associate Director , US Market Access Marketing, Oncology supports market more
    AbbVie (09/27/24)
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  • Director Case Management

    HonorHealth (Mesa, AZ)
    …hospitals, health plans and vendors, as required. Works closely with the Medical Director , Utilization Management , Nursing, the Chief Medical Officer and ... Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Case Management Director is accountable and responsible for departmental assessment,… more
    HonorHealth (11/16/24)
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  • Workday Commercial Market Driver…

    Huron Consulting Group (Chicago, IL)
    …They provide client engagement delivery oversight, team leadership and program management . Throughout the process, they construct enduring relationships that benefit ... leadership instill passion and followership in clients, juniors and management . If you're defined by ongoing progress-if you can...clients achieve their full potential. Rewarding and boundless a Director role at Huron will ignite your future in… more
    Huron Consulting Group (10/31/24)
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  • Director of Market Initiatives

    Bonneville Power Administration (Portland, OR)
    …Office (K), Business Transformation Office (B). A successful candidate in the Director of Market Initiatives position will provide direction and leadership ... critical mission and support activities, required of the group. Responsibilities As a Director of Market Initiatives, you will: Make major recommendations and… more
    Bonneville Power Administration (11/27/24)
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  • Workday Financials - Senior Director

    Huron Consulting Group (Chicago, IL)
    …Their talents and leadership instill passion and followership in clients, juniors, and management . So if you're defined by ongoing progress-if you can lead teams, ... guidance to pursuit team in coordination with lead Workday Managing Director ** **Coordinate and update industry specific practices on specific opportunities,… more
    Huron Consulting Group (10/23/24)
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  • Market Director Case Managemen

    LifePoint Health (Johnstown, PA)
    …**Case Management /Social Services* **Organization:** ** **Title:** * Market Director Case Managemen* **Location:** *Pennsylvania-Johnstown* **Requisition ... Position Summary: Provide Case Management leadership and management for hospitals within a market of... program.Ensure staff competencies in all areas of care management to include utilization review, transition/discharge planning,… more
    LifePoint Health (10/11/24)
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  • Medical Director - Keystone Market

    CVS Health (Harrisburg, PA)
    …ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality ... have a PA/WV/DE License without encumbrances. In the Medical Director role you will provide oversight for medical policy...of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum… more
    CVS Health (11/27/24)
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  • Medical Director - New Jersey Market

    CVS Health (Albany, NY)
    …ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality ... ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy...of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum… more
    CVS Health (11/02/24)
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  • Market Medical Director - Anesthesia…

    Virginia Mason Franciscan Health (Tacoma, WA)
    …strategic leadership partnership with an administrative dyad partner, the market leader's responsibilities also focus on leading/facilitating anesthesia and ... variability in anesthesia and perioperative medicine services/resources, maximizing effective utilization of resources and enhancing overall patient outcomes/service satisfaction.… more
    Virginia Mason Franciscan Health (11/23/24)
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