- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...+ Achieves and maintains benchmarked utilization and cost management ( UM ) goals and clinical quality improvement (QI) objectives, in… more
- CVS Health (Sacramento, CA)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM...special clinical investigations and research as requested by the Senior Medical Director , Medical… more
- Magellan Health Services (Albuquerque, NM)
- …Medicare and Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health ... quality assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico… more
- Magellan Health Services (Honolulu, HI)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May ... day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management...various committees or project teams as directed by the senior medical director or vice-president.… more
- University of Michigan (Ann Arbor, MI)
- …Management Director + Facilities Planning Head Hlth + Finance and Administration Director + Senior Project Manager + Director , Clinical Engineering ... Executive Director of Facilities Planning and Operations, U-M Health...feet of clinical and administrative facilities within the academic medical center, located in Ann Arbor and surrounding southeast… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- AdventHealth (Maitland, FL)
- …Site position** **The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members ... related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization,… more
- VNS Health (Manhattan, NY)
- …other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director meetings as stipulated by the State BH contract ... company holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement saving funds +… more
- Ascension Health (Nashville, TN)
- …initiatives in utilization management to optimize patient care, and partner with the National Senior Director of UM to align on organizational goals. Ready ... throughout the TN market. We're looking for an experienced Director of Utilization Management to join our team! In...16 hospitals and a network of affiliated joint ventures, medical practices, clinics and specialty facilities. Across the state,… more
- Dignity Health (Bakersfield, CA)
- …dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to ... benefits they want from a variety of options including medical dental and vision plans for the employee and...**within California** **.** Working in a collaborative environment, the Director will be a hands-on leader to the Enrollment… more
- CVS Health (Woonsocket, RI)
- …make health care more personal, convenient and affordable. The **Lead Director ,** **Medicaid Provider Experience Standardization** is responsible for ensuring the ... members' PCPs are terminated + Review active prior authorizations and inform the UM /CM departments prior to the completion of the termination to ensure continuity of… more
- University of Michigan (Ann Arbor, MI)
- …General supervision is received from Administrative Manager, Nurse Manager, and Medical Director . This position requires moderate standing/walking, as well ... Medical Assistant Senior Apply Now **Job...Time** Full-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Um Hospital **Department** MM Chelsea CMSC Core **Posting Begin/End… more
- Healthfirst (NY)
- …and medical departments + Conducts ad hoc medical condition research per Medical Director and/or UM Clinical Director requests + Collaborates ... **Duties/Responsibilities:** + Develops, reviews, and updates medical policies and clinical guidelines to ensure they are evidence-based and aligned with best… more
- Molina Healthcare (FL)
- …Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and Finance teams to drive, plan and manage a comprehensive ... Molina Health Plans. + Collaborate with other clinical COE leaders (Quality, UM , CM, BH, LTSS). + Lead teams in identifying, defining, sizing/validating,… more
- University of Michigan (Ann Arbor, MI)
- Admin Specialist Senior / Intermediate Health Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the ... to this position. **Job Summary** The University of Michigan Medical School Office of Faculty Affairs is seeking two...Office of Faculty Affairs is seeking two Admin Specialist Senior Health positions to partner with internal and external… more
- University of Michigan (Ann Arbor, MI)
- … technologist at a high level of expertise, and with assistance from Medical Technologist Specialists, the Senior Clinical Technologist is normally responsible ... Clinical Technologist Senior Apply Now **How to Apply** A cover...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Michigan (Ann Arbor, MI)
- …development scientist with their high level of expertise, and with assistance from Medical Laboratory Scientists (Specialists and Senior ) is responsible for and ... Clinical Technologist Senior Apply Now **Job Summary** The Assay Development...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Michigan (Ann Arbor, MI)
- …with staff to assure professional growth + Collaborate effective strategies with the Medical Director , the Senior Manager, and the Clinical Associate ... Allied Health Supervisor Intermediate or Senior Apply Now **Job Summary** The Department of...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Maine System (Orono, ME)
- …to, tuition benefits (employee and dependent), comprehensive insurance coverage including medical , dental, vision, life insurance, and short and long term disability ... life. Numerous cultural activities, excellent public schools, safe neighborhoods, high quality medical care, little traffic, and a reasonable cost of living make the… more
- Covenant Health Inc. (Louisville, TN)
- …treatment and authorizes sessions per guidelines. + Works collaboratively with Medical Director and accesses consultation and involvement whenever appropriate ... Peninsula offers care specifically designed for seniors with co-existing psychiatric and medical conditions at the Senior Behavioral Center located at Parkwest… more
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