- Novo Nordisk Inc. (Topeka, KS)
- … provider efforts to deliver appropriate care for patients. Our goal is to provide information as a trusted advisor in care for chronic diseases through using ... a diverse range of HCPs and local stakeholders to enhance cardiometabolic management across the territory and region. Additionally, the role involves proactive… more
- Merck & Co. (Rahway, NJ)
- …in various countries around the world, which is part of the Global Supplier Management Group. Scope managed by the Global Site Services Procurement team includes the ... Integrated Facility Management (IFM) Program for all company facilities worldwide, the...the ability to derive actionable insights.Practical experience in the utilization and/or development of Business Intelligence digital visualization and… more
- Merck & Co. (North Wales, PA)
- …to value evidence strategies for in-line and pipeline products. Obtain senior management approval of evidence generation plans. Provide outcomes research ... characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and… more
- Merck & Co. (Rahway, NJ)
- …Associate Director, Legal - Intellectual Property (IP) Technology & Operations to provide application administration and technology management support to the ... are to oversee and manage the cloud-based Intellectual property (IP) management system and cloud-based Intellectual property (IP) document management … more
- Merck & Co. (Rahway, NJ)
- …will include but not limited to the following:Consult on any proposed utilization of platformManage technical aspects of standups which includes estimation and ... To discuss in more detail, please contact your HRBP or Talent Acquisition Advisor .Current Employees apply HERE Current Contingent Workers apply HERE US and Puerto… more
- Merck & Co. (Austin, TX)
- …Access and Affordability team, part of the Value Team of Market Access and Revenue Management (MARM) in the Human Health IT Division, plays a vital role in our ... our data by creating a unified data domain. Your efforts will provide deeper insights into patient access and affordability, driving better decision-making and… more
- Merck & Co. (North Wales, PA)
- …key priorities for our Company is a significant focus-on Data and its utilization as a Strategic asset to drive insights-driven decisions. The opportunity to ... is to focus on driving these capabilities to increase utilization of data within the organization.How will you invent...not limited to Data Marketplace, Data Quality, Data Risk Management c) Value Realization with use of these Data… more
- Merck & Co. (South San Francisco, CA)
- …Biosciences (Pharmacology) department. The successful candidate will have direct line management of a research team responsible for the design, execution, and ... teams and governance committees to guide pharmacology strategy and provide scientific and technical leadershipEnsure high-quality data generation, analysis, and… more
- Hartford HealthCare (Wethersfield, CT)
- …Medicine * Experience: At least five years of acute care clinical experience.Physician advisor experience ( Utilization Management and Clinical Resource ... *Exciting Opportunity for Physician Advisor Clinical Resource Management * Every day,...as needed. *Reports To:*Associate Medical Director of Clinical Resource Management , Utilization Management and Appeals… more
- The Cigna Group (Atlanta, GA)
- …market, incumbent candidate will work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of a cross-functional, ... Manager or Director, this individual ensures the effective performance management of the provider network for his/her... provider network for his/her assigned sub-market and/or provider groups. The role of Senior Advisor … more
- Stanford Health Care (Palo Alto, CA)
- …role. **This is a hybrid Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be responsible for ensuring ... the institution, navigating the complexities of patient care and resource utilization management , and education. Primary responsibilities include: 1.… more
- Munson Healthcare (Traverse City, MI)
- …the Physician Advisor role and responsibilities including topics related to Utilization Management , Care Management , Clinical Documentation, and other ... of Munson Healthcare serving as a resource to the Patient Care Management (PCM)/ Utilization Management (UM)/Clinical Documentation Integrity (CDI) staff… more
- Trinity Health (Boise, ID)
- …of two years' experience in hospital based medicine with exposure to utilization management and documentation initiatives. 3. Demonstrated teamwork, performance ... the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider for coordination and… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours week. + **Hospital:** Ascension Saint Thomas + **Location:** ... Thomas hospitals throughout the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, you'll… more
- Trinity Health (Silver Spring, MD)
- …closely related area. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + Knowledge of pertinent regulatory, ... **Employment Type:** Full time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision and in… more
- Billings Clinic (Billings, MT)
- …Physician Advisor , per department process or procedure Insurance and Utilization Management Maintains working knowledge of CMS requirements and readmission ... recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all...- 44.18 Under the direction of department leadership, the Utilization Review/ Management RN. This position is… more
- Dignity Health (Prescott, AZ)
- …Committee (MEC), and assist in facilitation on Facility Utilization Management Committee. **Inpatient Facility Care Coordination:** + Provide advisory ... element for CMS Conditions of Participation by active involvement in the facility utilization management processes. + Work with Chiefs of Staff / CMO's… more
- The Cigna Group (Bloomfield, CT)
- …product tracking and forecasting. Affordability solutions encompass activities that include utilization management edits at point of service, preferred drug ... in an integrated model + Develop and implement utilization management strategies and drug utilization...of these actions with partners in Supply Chain, Medical Management , Contracting, Drug Policy, Specialty Pharmacy, Provider … more
- Houston Methodist (Houston, TX)
- …and CMS regulations, DNV requirements, and guidelines on case management , utilization review, and clinical documentation. + Provide ongoing education to ... discuss needs of patients and alternative levels of care. Provide consultation to case management staff regarding...actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the… more
- Hartford HealthCare (Wethersfield, CT)
- …Resource Management Associate's focus is on providing support and coordination of utilization management services for the utilization management ... department. *_Position Responsibilities:_* 1. Monitors and manages assigned utilization management reports, including the Payer End of Day report, Utilization… more
