- 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 ... more
- Ascension Health (Nashville, TN)
- …TN market. Must be located with in the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, ... more
- Banner Health (AZ)
- …looking to leverage your abilities - apply today. In this role of **Associate Director Pharmacy Utilization Management ,** you will oversee the Pharmacists ... more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …resources to help you flourish and leaders who care about your success. The Utilization Management (UM) Director is responsible for the market(s) ... more
- Centene Corporation (Columbus, OH)
- …of Ohio.** **RN License is highly preferred.** **Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy ... more
- AnMed Health (Anderson, SC)
- …and direction of the Care Coordination, Clinical Documentation, and Utilization Management programs at AnMed. The Medical Director ensures the program and ... more
- Intermountain Health (Las Vegas, NV)
- … management , claims, network management , and finance. As the Medical Director for Utilization Management , you are responsible, in partnership with ... more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Director , Utilization Management (UM) Operations & Member Services, the UM Operations Specialist will provide ... more
- Prime Healthcare (Inglewood, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200257/ director -of-case- management utilization - management ... more
- AdventHealth (Maitland, FL)
- …The Medical Director is responsible for providing physician review of utilization , claims management , and quality assurance related to inpatient care, ... more
- Humana (Boston, MA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... more
- Humana (Nashville, TN)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... more
- CVS Health (Springfield, IL)
- …Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and ... more
- Humana (Harrisburg, PA)
- …. **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization Management of the care received by members ... more
- Humana (Juneau, AK)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... more
- The County of Los Angeles (Los Angeles, CA)
- …service capacity and compliance with state and federal mandates. The Deputy Director oversees utilization management , provider expansion, and high-acuity ... more
- Martin's Point Health Care (Portland, ME)
- …applicable managed care experience with progressively increasing responsibilities in medical director capacities, including utilization management and ... more
- Providence (Torrance, CA)
- **Description** Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing ... more
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