- Alameda Health System (Oakland, CA)
- …Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, ... to ensuring clean claims, identifying trends, and optimizing resource utilization . This role supports patient care coordination, fosters physician collaboration,… more
- Buckeye Community Health Plan (Thornville, OH)
- …for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical ... review activities pertaining to utilization review, quality assurance, and medical review of complex,...expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Tris Pharma (Monmouth Junction, NJ)
- …contact for IntegriChain (BPO partner), managing data file submissions, utilization reporting, rebate validation processes, and issue escalation to ensure ... timely contract payment processingOversees IntegriChain's rebate validation activities; reviews utilization data to ensure appropriate contracting coverage and manages… more
- HCA Healthcare - Chief Medical Officer (San Antonio, TX)
- …environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient ... medical staff regarding clinical resource management, appropriate documents standards, utilization and quality issues, and quality improvement activities, in… more
- Cipla (Fall River, MA)
- …coordinating materials, equipment, and workforce allocation for optimal resource utilization . Identify areas for operational improvements, focusing on reducing waste ... Monitor operational metrics such as efficiency, compliance rates, and resource utilization . Identify areas for improvement in packaging activities and contribute to… more
- Christus Health (San Antonio, TX)
- …excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically ... to meet the needs of the unit. Assures effective and appropriate utilization of material and human resources, Reviews financial and productivity management reports… more
- Kroger (Lexington, KY)
- …in customer service, managing prescription pricing and generic utilization , controlling pharmacy inventory, and providing/implementing/participating in corporate ... and company requirements - Direct the pharmacy team to achieve warehouse utilization goals, avoid unnecessary overstock, reduce the number of fill on-arrival… more
- Christus Health (Dallas, TX)
- …plans. The RN Navigator Senior will manage the length of service, promote efficient utilization of resources, and ensure that a well-organized and safe plan of care ... analytics, and create action plans that will reduce acute and post-care utilization . Solicits/shares feedback with leaders on team-based focus with attention given… more
- University of California Agriculture and Natural Resources (Ventura, CA)
- …assist in the assembly, testing and operation of complex laboratory equipment. 10% Utilization of Excel, PowerPoint, Word and their tools to create reports and ... assist in the assembly, testing and operation of complex laboratory equipment. 10% Utilization of Excel, PowerPoint, Word and their tools to create reports and… more
- Vista Community Clinic (Vista, CA)
- …and other staff. Participate in quality assurance, quality improvement and utilization review Provide in-service training to clinic staff to increase staff ... of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical… more
- Monogram Health (Fort Myers, FL)
- …IT and data tools to report, monitor, and improve quality and utilization Assist Practice Medical Executives to conduct retrospective reviews of hospitalizations and ... Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment Current state medical license without… more
- University of Florida OB-GYN Department (Gainesville, FL)
- …productivity and quality goals, metrics and milestones. Monitoring clinic utilization , schedules and services. Strategically planning and implementing clinic ... decision support tools. This may include development, refinement and integration of utilization and disease management programs that outline services and levels of… more
- US Tsubaki Automotive, LLC (Portland, TN)
- …in a manner that ensures all safety, quality, delivery, productivity, and labor utilization goals are achieved. Create and monitor daily efficient flow of material ... through the department by utilization of manpower and equipment in the department. Determine and implement continuous improvement plans for the equipment, and… more
- Novo Nordisk Inc. (Minneapolis, MN)
- …providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in ... answering questions from health care providers and IHNs Combines account management skills, business acumen, and scientific expertise to enhance value and develop collaborative relationships Establishes the medical account strategy/plan through the… more
- Merck & Co. (Rahway, NJ)
- …senior level executives and provide training to global stakeholders on utilization of compensation planning tools; conduct training sessions for end-usersCyclical ... ActivityOversee end-to-end delivery of all aspects of the annual compensation process with a cross-functional year-end network, including the implementation of compensation strategy changes within Workday's Advanced Compensation environmentLead progression… more
- Aequor (Indianapolis, IN)
- …of new information technology systems and legacy systems; Ensures maximum utilization of computer hardware and software features to secure automated systems ... and associated data; Develops and implements procedures for use of information security management software; Proposes information security software enhancements; Performs periodic audits to assure security policies and standards are being followed and are… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …internal stakeholders, including senior leadership and medical affairs teams. Ensure utilization of advanced analytics techniques to identify HCP sentiment trends, ... unknown/actionable insights, data gaps and potential actions- Impact Measurement (Internal External): Partner with internal stakeholders to identify the data and design the visualization to measure and report medical affairs impact including execution, leading… more
- Novo Nordisk Inc. (Lubbock, TX)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved ... clinical and scientific information and insights with target physicians Recognizes opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds value by sharing new information and offering… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …activities to ensure inventory accuracy.Support the optimization and efficient utilization of the warehouse space. Assist in regulatory inspections, perform ... safety and quality audits, and answer relevant questions about packaging, methods, storage, and inventory for internal and external stakeholders.Work closely with freight forwarders, receiving parties, and internal clients.Train and follow standard operating… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …resource allocation and drive impactful strategies. Regularly evaluate resource utilization to achieve productivity goals and departmental profitability Physical ... Requirements Up to 50% overnight travel. Development of People Supervisory. Qualifications Requires a Bachelor's degree; Master's degree preferred 10+ years of experience including progressively responsible experience within sales, brand management/marketing… more
Related Job Searches:
Registered Nurse RN Utilization,
Registered Nurse Utilization Management,
SNF Utilization Management RN,
Utilization Management Administration Coordinator,
Utilization Management Clinical Consultant,
Utilization Management Nurse,
Utilization Management Nurse Consultant,
Utilization Management Representative,
Utilization Review Coordinator,
Utilization Review Nurse