- Alameda Health System (Oakland, CA)
- …Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- UnitedHealth Group (Dallas, TX)
- …'s activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and ... deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the… more
- Humana (Austin, TX)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... community and help us put health first The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Sharp HealthCare (San Diego, CA)
- …the direction of the manager of in-patient care management and the Director of Utilization Management . Required Qualifications 3 Years Experience in ... Facility/Regional - SCMG Operations meetings and task forces.Facilitate regional Utilization Management committees and other working regional… more
- Devereux Advanced Behavioral Health (Kennesaw, GA)
- …referrals. Additionally, the Director will supervise the admissions and utilization management department, ensuring a seamless and compassionate process for ... Devereux Georgia in Kennesaw seeks a dynamic and driven Director of Business Development to join our team. This...will lead marketing initiatives and oversee the admissions and utilization management team for our residential treatment… more
- UnitedHealth Group (Raleigh, NC)
- …effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the ... Management experience and/or administrative leadership experience Experience in utilization and clinical coverage review Clinical experience within the past 2… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued ... extended stays, identifying opportunities for process improvements to enhance utilization management . Serves as a key contact...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Community Health Systems (Franklin, TN)
- …environment preferred Knowledge, Skills and Abilities Strong knowledge of utilization management principles, payer requirements, and healthcare regulations. ... Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Tris Pharma (Monmouth Junction, NJ)
- …execution of contracting, pricing governance, government compliance, and vendor management . The Director orchestrates complex cross-functional workflows, manages ... have an opening in our Monmouth Junction, NJ facility for a Director , Market Access, OperationsThis position is responsible for managing the operational… more
- Evolent (Carson City, NV)
- …Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …areas centered around rare diseases and immune disorders. Summary The Associate Director , Global Oncology Medical Affairs, Medical Analytics will be responsible for ... internal stakeholders, including senior leadership and medical affairs teams. Ensure utilization of advanced analytics techniques to identify HCP sentiment trends,… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …design pull you in? Are you ready to experiment with us? The Position The Director , Key Opinion Leader Strategy & Engagement will lead a team and critically shape ... recommendations for ongoing improvement. Identify and implement actionable improvements Budget Management : Ensure effective management of the marketing budget to… more
- UnitedHealth Group (Chicago, IL)
- …effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the ... participates in the Quality Improvement programs for the company. The Medical Director also provides/assists in the direction and oversight in the development and… more
- CBRE (Phoenix, AZ)
- Data Center Design and Engineering Team Lead - Project Management Senior Director Job ID 246110 Posted 07-Nov-2025 Service line PJM Segment Role type Full-time ... - United States of America About the Role: The Director of Project Management is a senior...and approval. Monitors appropriate staffing levels and reports on utilization and deployment of human resources. Leads and supports… more
- IHG (Santa Monica, CA)
- …more information visit RegentSantaMonicaBeach.com. Job Summary: We are seeking an exceptional Director of Revenue Management to drive revenue strategy and ... against goals to corporate leadership and ownership. Requirements: Minimum 5-7 years as Director of Revenue Management within the true luxury or ultra-luxury… more
- Whidbey General Hospital (Coupeville, WA)
- Director Surgical Services POSITION SUMMARY The Director of Surgical Services is the nursing leader for the perioperative service area of the hospital and ... assure quality of surgical and anesthesia outcomes and patient and employee safety. The Director will be expected to work with both hospital staff and medical staff… more
- CVS Health (Woonsocket, RI)
- …do it all with heart, each and every day. Position Summary The Lead Director , Workforce Management & RTA provides strategic leadership and oversight of resource ... performance, and provide guidance to the team to achieve efficient resource utilization and meet business objectives. What you will do Establishes workforce … more
- Fairview Health Services (St. Paul, MN)
- Job Overview The Director of Contract Lifecycle Management will play a critical role in supporting the enterprise-wide transformation of contract management ... and the effective deployment, optimization, and maintenance of Contract Lifecycle Management (CLM) technology. The Director will ensure systemwide adherence… more
- Concentrix (Nashville, TN)
- Home (https://jobs.concentrix.com/) "Job Details Director , Account Management Account Management (https://jobs.concentrix.com/job-search/?category=Account ... Location United States Of America Language English Apply Now (https://cnx.wd1.myworkdayjobs.com/external_global/job/USA-Work-at-Home/ Director --Account-Management_R1676422-1/apply?1=1) Summary Director , Account Management ,… more
- UnitedHealth Group (Omaha, NE)
- …to start Caring. Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is ... work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the flexibility… more
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