• Senior Utilization Review

    Integra Partners (Troy, MI)
    …Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director 's responsibilities include but are not ... require. The Senior MD provides clinical oversight to the Utilization Review Medical Director (s), ensures consistent application of criteria, leads… more
    Integra Partners (12/03/25)
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  • Senior Director of Health Services…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid | Eagan, ... you are ready to make a difference, join us. The Impact You Will Have The Senior Director of Health Services, Utilization Management is responsible for the… more
    Blue Cross and Blue Shield of Minnesota (12/24/25)
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  • Director , Organ Utilization

    LifeCenter Northwest (Bellevue, WA)
    …- $199,200.00 Salary Position Type Full Time Description and Qualifications The Director , Organ Utilization ( Director ), is responsible for overseeing ... of organ donation systems, allocation practices, and regulatory compliance. The Director develops and executes strategies to improve organ allocation strategy and… more
    LifeCenter Northwest (11/21/25)
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  • Director , Utilization Management…

    Fallon Health (Worcester, MA)
    Director to identify and prioritize the cost of care opportunities related to Utilization Management. + Works with VP/ Medical Director to set agenda related ... meeting, and TruCare Insights/upgrade meetings. + Represents the Vice President and Senior Medical Director of Clinical Management at internal and external… more
    Fallon Health (12/14/25)
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  • Director Utilization Management

    Healthfirst (NY)
    …to maintain and improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement + Lead ... Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to align utilization decisions + Partner with technology and data teams to refine data… more
    Healthfirst (12/04/25)
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  • Utilization Review Case Mgr - CMC…

    UTMB Health (Webster, TX)
    Utilization Review Case Mgr - CMC - Clear Lake Center - Compressed weekend night shift Friday - Sunday **Webster, Texas, United States** Nursing & Care ... or observation in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively… more
    UTMB Health (12/12/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …and strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is ... At Houston Methodist, the Sr Director Case Management position is responsible for providing...initiatives aimed at optimizing patient progression of care, aligning utilization review practices, enhancing discharge planning processes,… more
    Houston Methodist (10/16/25)
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  • System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    …+ Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty ... Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. **Required Minimum Knowledge, Skills &… more
    CommonSpirit Health (11/02/25)
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  • Senior Director for Academic…

    University of Utah (Salt Lake City, UT)
    …**Job Title** Director , Student Activities & Advising **Working Title** Senior Director for Academic Advising & Career Coaching **Career Progression ... Track** F **Track Level** M7 - Senior Director **FLSA Code** Executive **Patient Sensitive...Rate Range** $106,000 - $125,000 **Close Date** 01/03/2026 **Priority Review Date (Note - Posting may close at any… more
    University of Utah (10/21/25)
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  • Senior Director of Maintenance…

    San Jose State University (San Jose, CA)
    Senior Director of Maintenance and Operations Apply now ... Associate Vice President for Facilities Development & Operations (FD&O), the Senior Director of Maintenance & Operations provides strategic leadership,… more
    San Jose State University (12/30/25)
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  • Senior Medical Director Appeals,…

    Centene Corporation (Jefferson City, MO)
    …appeals and collaborate with key stakeholders for IRE challenges + Perform medical review activities pertaining to utilization review , quality assurance, and ... with respect to clinical issues and policies. + Identify utilization review studies and evaluate adverse trends...metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and… more
    Centene Corporation (12/11/25)
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  • Senior Director , Expert Volunteer…

    The US Pharmacopeial Convention (USP) (Rockville, MD)
    …Policy (DSCP) reporting to the Senior Vice President, DSCP. The Senior Director , Expert Volunteer Operations manages Expert Volunteer Operations, a set ... to USP's standards-setting processes, policies, approvals, communications, and improvements. The Senior Director , Expert Volunteer Operations, is responsible for… more
    The US Pharmacopeial Convention (USP) (12/17/25)
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  • Senior Director , Facilities…

    Florida Atlantic University (Boca Raton, FL)
    …Workday employee account. Position Summary: Florida Atlantic University is seeking a Senior Director , Facilities Operations and Infrastructure - Boca Raton, FL. ... Reporting directly to the Assistant Vice President for Facilities Management, the Senior Director of Facilities Operations and Infrastructure is a senior more
    Florida Atlantic University (10/03/25)
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  • Utilization Management Registered Nurse,…

    McLaren Health Care (Flint, MI)
    …for utilization management functions. This includes but is not limited to review and authorization of services, utilization of medical policy, utilization ... and more satisfying lives. We are looking for a Utilization Management RN, to join in leading the organization...and under and overuse of services. Collaborates with Medical Director and senior management on complex cases… more
    McLaren Health Care (12/18/25)
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  • Senior Account Director (Alliance…

    CBRE (New York, NY)
    Senior Account Director (Alliance Director ) ONSITE- NY, NY Job ID 243140 Posted 08-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest ... Workplace Strategy, and Workplace Experience. **Job Summary** A Sr. Account Director provides leadership, management, and development of a client account, ensuring… more
    CBRE (10/15/25)
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  • Senior Director , Investigations

    MTA (New York, NY)
    Senior Director , Investigations Job ID: 13602 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office ... of the CDO Date Posted: Nov 4, 2025 Description JOB TITLE: Senior Director Investigations DEPT/DIV: Diversity and Civil Rights WORK LOCATION: 2 Broadway, NY… more
    MTA (11/04/25)
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  • Senior Director , Engineering…

    Texas Tech University (Lubbock, TX)
    **42844BR** **Extended Job Title:** Senior Director , Engineering Research Facilities **Position Description:** Manages and directs the day to day operations of a ... space utilization & faculty collaboration. Participate in periodic space review analysis & research productivity reviews for WCOE facilities. Work with other… more
    Texas Tech University (11/11/25)
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  • Senior Director , Clinical Data…

    Takeda Pharmaceuticals (Boston, MA)
    …training program for standards. + Provides senior oversight to vendor/CROs for utilization of Takeda standards. + Conducts ongoing review and development of ... and empower you to shine? Join us as a Senior Director , Clinical Data Standards based remotely...+ Responsible for end-to-end Standards Governance to ensure proper utilization , adherence to standards governance and processes, and the… more
    Takeda Pharmaceuticals (12/27/25)
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  • Data Center Design and Engineering Team Lead…

    CBRE (Cheyenne, WY)
    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 ...same for direct reports to next level management for review and approval. + Monitors appropriate staffing levels and… more
    CBRE (11/08/25)
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  • Senior Director of Quality Assurance…

    Washington County Mental Health Services (Barre, VT)
    Senior Director of Quality Assurance and Compliance Washington County Mental Health Services is seeking an experienced Senior Director of Quality ... Assurance and Compliance to join our senior leadership team. This strategic role oversees all quality,...programs across the organization. + Oversee internal auditing processes, utilization review procedures, and data tracking systems… more
    Washington County Mental Health Services (11/06/25)
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