- Daiichi Sankyo, Inc. (Bernards, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders.Summary: The Associate Director , Regional Marketing Conventions & Field Programs will be responsible for… more
- Merck & Co. (North Wales, PA)
- …innovative individuals dedicated to advancing our company's contribution to global medical innovation by leveraging information and technology.-One of the 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 accelerate… more
- Novo Nordisk Inc. (Milwaukee, WI)
- … Director . Relationships Position reports to Field Director /Senior Field Director . Serves as organization spokesperson on advanced medical and technical ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...monthly reports on scientific support activities in region to Director including budget expenditures as directed Records all activities… more
- Merck & Co. (North Wales, PA)
- …identified growth opportunities supported by vaccine launches and through increased utilization of our inline vaccines. The Contracting and Distribution Strategies ... customers, including Wholesalers/Distributers, Physician Organization, Buying Groups, Health Systems, Medical Groups, Individual Health Care Provider Offices, the CDC,… more
- Novo Nordisk Inc. (Minneapolis, MN)
- …renal medications in Novo Nordisk. The role reports to the Regional Business Director for Rare Renal and interacts internally with other representatives, medical ... prescribing decisions: Achieve or exceed assigned sales objectives through effective utilization of all available approved resources, strategies and tactics Assess… more
- Merck & Co. (North Wales, PA)
- …drug discovery, development, and clinical evaluation to address the significant unmet medical needs.-Finance is a trusted business partner, playing a critical role ... in ensuring effective resource utilization to achieve this mission. This is a unique...business.This position operates under the guidance of the Associate Director who supports the Global Regulatory Affairs & Clinical… more
- Eisai, Inc (San Francisco, CA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... oral markets with approved indications, helping targeted customers, such as Medical Oncologists, Hematologists, Endocrinologists, and nurses, etc. learn about the… more
- Eisai, Inc (Louisville, KY)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... oral markets with approved indications, helping targeted customers, such as Medical Oncologists, Hematologists, Endocrinologists, and nurses, etc. learn about the… more
- Henry Ford Health System (Detroit, MI)
- The Medical Director of Utilization Review is responsible for the medical oversight of activities related to appropriateness of Henry Ford Hospital ... of hospital resources, and continued stays of inpatients. The Medical Director of utilization review will ensure the most efficient use of the… more
- UCLA Health (Los Angeles, CA)
- …communication is provided to all stakeholders. + Working closely with medical director , utilization management and quality review team to ensure that ... Description As the Utilization Management & Quality Review Specialist, you will be responsible for: + Managing service requests and potential quality issue… more
- AnMed Health (Anderson, SC)
- The Utilization Review Medical Director supports operations and direction of the Care Coordination, Clinical Documentation, and Utilization ... Management programs at AnMed. The Medical Director ensures the program and associated physicians work collaboratively with and provide consultation to the… more
- St. Luke's University Health Network (Allentown, PA)
- …and/or physician queries + Serves as liaison between Physician Advisor/ Medical Director , Finance, Utilization Review Department and CDCI. PHYSICAL AND ... Conducts reviews of cases lost with feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical… more
- Trinity Health (Boise, ID)
- …**Job Description:** Saint Alphonsus is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This position ... annually by the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization...patients not meeting inpatient criteria. C. Participates in local Utilization Review Committee and be a member… more
- WellSpan Health (York, PA)
- … Committees. Co-chair's System Utilization Management Committee. + Works closely with Medical Director to identify trends in payor denials and appeals. + ... management, denials and Prior Authorization activities to ensure utilization review activities are conducted timely in...Operations Committee Meetings with payers. + Organizes and assists Medical Director with System Utilization … more
- Catholic Health Initiatives (Lexington, KY)
- …facilitates educational training for medical staff on issues related to utilization management. 8. Implements utilization review policies and procedures. ... coaching, mentoring, training and development. Educates and trains staff on utilization review processes and guidelines. 10. Promotes collaborative practice… more
- CareFirst (Baltimore, MD)
- …detail can be shared during the interview process. Plans, organizes, and manages utilization review programs. Directs the utilization of referral services. ... Upon Hire Required. **Experience:** 8 years' Experience in a clinical and utilization review role. 3 years Management experience. **Preferred Qualifications:** +… more
- Ascension Health (Nashville, TN)
- …initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for allself-funded and fully insured clients to ... throughout the TN market. We're looking for an experienced Director of Utilization Management to join our...16 hospitals and a network of affiliated joint ventures, medical practices, clinics and specialty facilities. Across the state,… more
- Prime Healthcare (Ontario, CA)
- …Clinical Utilization Management (UM) provides comprehensive oversight of the Utilization Review process for the self-insured Employee Health Plans, according ... needs. + Provides strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with… 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 ... and authorizes sessions per guidelines. + Works collaboratively with Medical Director and accesses consultation and involvement...or retrospective utilization data. + Monitors current utilization review criteria and length of stay… more
- Billings Clinic (Billings, MT)
- …communicates with payer UM representatives on denials and coordinate peer to peer review with payer's medical director Initiates and coordinates peer ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic (Billings Clinic… more
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