- Novo Nordisk Inc. (Plainsboro, NJ)
- …the utilization of the NNI Procurement Methodology through Category Management and Strategic Sourcing activities. This position will ensure the acquisition of ... identify opportunities for operational improvements and seek agreement through consensus management . Relationships Reports to an Associate Director / Director within… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …areas centered around rare diseases and immune disorders. Job Summary: The Manager , Medical Coding is accountable for delivery of medical coding services for ... in working in a fast-paced environment, continuous improvement, project management , change management , and risk management .Responsibilities:Leadership,… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …immunotherapy in the treatment of multiple myeloma.Legend Biotech is seeking Senior Project Manager , PMO as part of the Technical Operations team based in Raritan, ... OverviewThis position will be responsible for providing operational excellence project management support to the cGMP Clinical and Commercial Cell Therapy… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …within Novo Nordisk Inc (NNI). The role is responsible for stakeholder management and optimizing stakeholder experience. It collaborates closely with subject matter ... Develops a deep and collaborative relationship with key stakeholders and senior management within Finance, Legal, IT, Quality, Compliance and Product Safety. Leads… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …value and helps influence and inform budgeting decisions by the Business and the utilization of suppliers.- Serve as the Project Management Owner for DSI's ... Global) for given commodities/business areas and leading the overall supplier relationship management program for DSI, for DS products and alliances. Cultivates a… more
- Novo Nordisk Inc. (West Hollywood, CA)
- …improved patient health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also interacts and collaborates ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and… more
- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Program Manager - Utilization Management (UM) will be accountable for the ... assess and make recommendations for improvements to maintain an effective and efficient utilization management process, as well as manage medical expenses based… more
- CVS Health (Lansing, MI)
- …**Position Summary:** The Associate Manager is responsible for oversight of Utilization Management /Case Management staff. This position is responsible ... Registered Nurse + 3+ years of Managed Care experience + 1+ years of Utilization Management experience + 1+ year Leadership experience (formal or informal roles)… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager… more
- VNS Health (Manhattan, NY)
- OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This ... quality issues or complaints, and/or approvals requiring next level authorization (eg, utilization management , high cost services, out of network services,… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …bonus eligibility, and more! **Responsibilities** **JOB SUMMARY/PURPOSE** Provides leadership to Utilization Management RNs, Denials RNs and support staff to ... payer and regulatory requirements. This role would directly manage the Utilization Management staff as a centralized function to support Acute Facilities across… more
- Prime Healthcare (Weslaco, TX)
- …#registerednurse #casemanagement Connect With Us! (https://careers-primehealthcare.icims.com/jobs/188814/registered-nurse-case- manager utilization - management ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185879/case- manager utilization - management ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to… more
- Prime Healthcare (Redding, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189120/**case- manager srmc- utilization - management ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/187724/case- manager -rn utilization - management ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction and supervision of the Utilization Management Manager , the Utilization Management Specialist is responsible for ... experience, and training + Minimum three years of experience in utilization management , care coordination, or a similar role within a healthcare setting… more
- Amazon (Seattle, WA)
- …them to completion. We're seeking an experienced Technical Infrastructure Program Manager to oversee data center electrical infrastructure optimization projects. You ... will lead cross-functional and technical teams identify sub-optimal utilization , determine root causes, design solutions and drive project delivery. Along the way,… more
- Trinity Health (Boise, ID)
- …**Description:** Responsible for the day to day operations of Clinical Resource Management /Case Management , Social Work, Bundled Payment for Care Improvement and ... Transition Support at Nampa. Responsible for lead management for the development, communication and successful execution of established objectives (financial and… more
- BronxCare Health System (Bronx, NY)
- …and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients, ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The Manager , Utilization Management (UM) Quality Performance leads a team of quality ... auditors responsible for driving high-quality utilization management assessment for the Highmark ...medical necessity, and other relevant UM quality metrics. The Manager will play a critical role in driving continuous… more
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