- Integra Partners (Troy, MI)
- …( Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a full-time, 40+ hour ... quality and inter-rater reliability, overseeing audit readiness, and chairing Integra's Utilization Management Committee and Credentialing Committee. This role… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid | Eagan, Minnesota Career Area: Health Services ... The Impact You Will Have The Senior Director of Health Services, Utilization Management is responsible for the design, strategic planning, evolution, and… more
- Fallon Health (Worcester, MA)
- …strategic leadership and oversight responsibility for the clinical and operational utilization management activities for all inpatient and outpatient care, ... and staff across all product lines. **Responsibilities** ** Utilization Management :** + Oversees all administrative, operational and clinical functions related to… more
- CommonSpirit Health (Phoenix, AZ)
- …the senior leadership team, the System Vice President of Utilization management will contribute to high-level organizational decision-making, working closely ... **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is… more
- Centene Corporation (Madison, WI)
- …knowledge of regulations, accreditation standards, and industry best practices related to utilization management + Works with utilization management ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
- UPMC (Pittsburgh, PA)
- …with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Senior Strategic Sourcing Lead (SSL) helps to ... Purpose: The Senior Strategic Sourcing Lead reflects the mission, vision,...and serves as an internal advocate of UPMC product standardization/ utilization initiatives. This individual coordinates new product introduction, product… more
- Centene Corporation (Jefferson City, MO)
- …Clinical review quality oversight and management . + Utilization Management experience and knowledge of quality accreditation standards preferred. + ... Purpose:** Lead a team of medical directors and supervise MD's responsible for utilization management and appeals functions to ensure members receive medically… more
- Ventura County (Ventura, CA)
- …Inpatient Psychiatric unit of the Ventura County Medical Center including utilization management , transfer coordination, discharge planning, and securing ... Senior Mental Health Nurse Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061656) Apply ...and review; + Performs daily clinical reviews to support utilization and quality management , ensuring compliance with… more
- UPMC (Pittsburgh, PA)
- …with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Senior Strategic Sourcing Manager (Sr. SSM) will ... to grow in your career at UPMC UPMC is looking for a full-time Senior Strategic Sourcing Manager. This position works Monday- Friday, standard daylight hours. This… more
- Humana (Trenton, NJ)
- …of industry regulations, accreditation standards, and emerging trends in utilization management . Support the organization's commitment to talent development, ... support the design, implementation, and advancement of strategic initiatives within the Utilization Management (UM) function. This role is responsible for… more
- University of Rochester (Rochester, NY)
- …management , clinical services, pharmacy data analytics, and pharmacy procurement/inventory management . The Senior Director, Ambulatory Pharmacy Services in ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director, Ambulatory Pharmacy Services is responsible for the… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Unit for Continuing Education, and the ANCC Magnet Recognition programs. The senior director plans, designs, directs, and evaluates the nursing quality plan and ... professional development of nurses, and top performance on quality outcomes. The senior director works collaboratively with nursing leaders at all levels and others… more
- Molina Healthcare (AZ)
- …contributing to enterprise-wide strategies for integrated behavioral health programs, utilization management standardization, and cost-effective quality outcomes ... multi-state region. + Provides psychiatric leadership and clinical expertise for utilization management , case management , and integrated behavioral… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …our academic community. **Description** We are seeking an experienced and visionary Senior Administrator to lead the Department of Ophthalmology through a period of ... success in a competitive, rapidly evolving healthcare landscape. The Senior Administrator for Ophthalmology oversees and manages the operational, financial,… more
- Amentum (Baltimore, MD)
- …& Intel space? If so, look no further. Amentum is seeking a **Linux Administrator, Senior ** to join our team of passionate individuals in **Hanover, MD** . In this ... continuously trying to stay ahead of the next challenge. **Responsibilities:** This Senior Linux administrator position will provide candidates with a chance to work… more
- Amentum (Hanover, MD)
- …& Intel space? If so, look no further. Amentum is seeking a **Linux Administrator, Senior ** to join our team of passionate individuals in **Hanover, MD** . In this ... continuously trying to stay ahead of the next challenge. **Responsibilities:** This Senior Linux administrator position will provide candidates with a chance to work… more
- Capgemini (Columbia, SC)
- … utilization across onsite and offshore including manpower allocation, bench management , monitoring talent pipeline and visa utilization , drive communication ... Senior Service Delivery Manager Choosing Capgemini means choosing...projects in terms of meeting the defined SLAs, Vendor Management and 24x7 Operations Management * Responsible… more
- UPMC (Harrisburg, PA)
- …Focus entirely on inpatient care and critical interventions * Procedural Skill Utilization : Central and arterial line cannulation, ventilator management , airway ... PA **Position Specifics:** Patient Load: CTICU census of 6-10, management of cardiac surgery patients, stat consults, and ER...and premium pay + Sign-on Bonus available if applicable Staff/ Senior Level: The Staff or Senior Advanced… more
- Immigration and Customs Enforcement (Washington, DC)
- …health facility surveyors and in collaboration with the IHSC Medical Quality Management Unit. SUPERVISORY CONTROLS: The Clinical Senior Nurse Specialist, Medical ... affecting nursing services, IHSC Clinical Nursing Guidelines, and national accreditation standards. b. Thorough knowledge of/ability to access/utilize/mentor staff… more
- Dana-Farber Cancer Institute (Boston, MA)
- …staff, facilitating training opportunities and supporting career growth. + Work with senior management and Human Resources to address performance issues, as ... must be comfortable with ongoing change and have outstanding change management skills. The SVP Ambulatory Care must demonstrate their data-driven decision-making… more