- Ascension Health (Nashville, TN)
- …in utilization management to optimize patient care, and partner with the National Senior Director of UM to align on organizational goals. Ready to lead and ... throughout the TN market. We're looking for an experienced Director of Utilization Management to join our...Develop systems and processes for prospective, concurrent and retrospective utilization review for allself-funded and fully insured… more
- Ascension Health (Tulsa, OK)
- …initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to ... licensure at time of hire. **Additional Preferences** + Strong Utilization Review experience + Exceptional communication skills...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of Parkwest ... from ongoing review or retrospective utilization data. + Monitors current utilization review criteria and length of stay norms. + Assists with education… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for ... utilization /cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations for updating current...teams. + Co-Chairs with the CMO CPTAC and Peer Review Committees. + Partners with Senior Management… more
- Wayne State University (Detroit, MI)
- Senior Director of Planning and Space Solutions Wayne State University is searching for an experiencedSenior Director of Planning and Space Solutionsat its ... for success in a global society. Essential functions (job duties): Job Purpose The Senior Director of Planning and Space Solutions reports to the Senior… more
- UPMC (Moosic, PA)
- We have an exciting opportunity for a full-time Senior Medical Director to join our leadership team with UPMC Community Care! As Senior Medical Director , ... invite you to learn more and apply today! The Senior Medical Director provides guidance for clinical...the Quality Management Programming designing and evaluating protocols. + Review the medical aspects of cost and utilization… more
- University of Colorado (Aurora, CO)
- **CU Medicine Family Medicine Louisville Medical Director Open Rank - Senior Instructor Series** **Description** **University of Colorado Anschutz Medical ... Family Medicine** **Job Title:** **CU Medicine Family Medicine - Louisville Medical Director ** **Open Rank - Senior Instructor Series** **Position #00825042 -… more
- Magellan Health Services (Albuquerque, NM)
- …to an assigned interdisciplinary UM team. + Responsible for the quality of utilization review determinations, including appeals. + Reviews cases, makes medical ... implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of...effectiveness and cost of care of clinical programs through review and analysis of utilization and financial… more
- Spectrum Health Services (Philadelphia, PA)
- Job Descriptions: Job Summary: The Senior Clinical Director under the direction of the Chief Medical Officer and in collaboration with the Chief Operating ... accordance with all regulatory requirements and accreditation standards. The Senior Clinical Director is responsible for building...office of the CMO in leading audits and peer review processes, in addition to providing support in the… more
- Buchanan County Health Center (Independence, IA)
- …- Understanding and experience in behavioral healthcare - Demonstrated skill in utilization management and review systems - Ability to work independently ... Program Director Job Purpose The Program Director ...of anything that might impact the hospital, patients or Senior Life Solutions in a timely manner - Ensure… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Director Clinical Resources? At HealthTrust, you come first. HCA Healthcare has ... and you have the opportunity to make a difference. We are looking for a dedicated Senior Director Clinical Resources like you to be a part of our team. **Job… more
- Acacia Network (Bronx, NY)
- …Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong problem-solving and advanced analytical skills ... Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job...identifying and referring requests for services to the Medical Director when guidelines are not met and reviewing residential… more
- Global Communities (Silver Spring, MD)
- **Overview** The Senior Director , Measurement and Evidence for Learning and Impact (MELI) plays a leadership role within Global Communities as a key leader in ... policies and procedures and the achievement of strategic priorities. As a senior leader in Global Programs, s/he will ensure effective coordination and collaboration… more
- University of Massachusetts Amherst (Amherst, MA)
- Senior Director of Operations Apply now ... the intellectual energy of the region. Job Summary The Senior Director of Operations for the College...CNS Glass Shop and consolidated Greenhouse and operations, including review of space requests and recharge of services for… more
- Penn Medicine (Philadelphia, PA)
- …and Laboratory Medicine at the Hospital of the University of Pennsylvania is seeking a Senior Director of Clinical Operations to join the team: Summary: + The ... Senior Director of Clinical Operations supports the...will develop processes and lead teams to ensure consistency, utilization of best practices, and clear communication between all… more
- Manulife (Boston, MA)
- The Director , Audit Services is accountable for the delivery of high quality, professional, cost-effective, value-added and risk-based internal audit services for ... and business management regarding the audit activities assigned. The Director also organizes and assigns audit staff to planned...audit plan for assigned areas, reporting to the AAS senior management on plan progress and any needed revisions.… more
- Huron Consulting Group (Chicago, IL)
- …you are now and create your future. **Position Summary** At Huron, Senior Directors belong where leaders are elevated and celebrated. They effectively collaborate ... with Huron and client senior leaders to design and implement goal-achieving solutions while...to pursuit team in coordination with lead Workday Managing Director ** **Coordinate and update industry specific practices on specific… more
- United Therapeutics (Research Triangle Park, NC)
- …with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was ... for collection of patient data; Supervise the informed consent composition; Review consultant reports (eg, pharmacokinetics reports); Oversee database generation and… more
- DCG Communications (Washington, DC)
- …research practices and comprehensive communications services. About the Job: DCG is seeking a Senior Director to serve as Portfolio Manager for our Department of ... will be responsible for budget management, including monitoring resource utilization , expenditures and ensuring financial compliance. Additional responsibilities include… more
- Ventura County (Ventura, CA)
- …+ Experience with managed care. + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs. + At ... of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff...care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review … more