- UnitedHealth Group (Dallas, TX)
- …in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, ... review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services...focus on the application of clinical knowledge in various utilization management activities with a focus on… more
- Humana (Austin, TX)
- … Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received ... caring community and help us put health first The Medical Director actively uses their medical...other healthcare providers, clinical group practice management . Utilization management experience in a medical… more
- Alameda Health System (Oakland, CA)
- …Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- UnitedHealth Group (Raleigh, NC)
- …and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization ... activities, and participates in the Quality Improvement programs for the company. The Medical Director also provides/assists in the direction and oversight in… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued ... admissions and extended stays, identifying opportunities for process improvements to enhance utilization management . Serves as a key contact for facility staff… more
- Community Health Systems (Franklin, TN)
- …environment preferred Knowledge, Skills and Abilities Strong knowledge of utilization management principles, payer requirements, and healthcare regulations. ... Summary The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals… more
- Evolent (Carson City, NV)
- …for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in ... , you will be a key member of the utilization management team. We can offer you...reliability process. On a requested basis, may function as Medical Director for selecting health plans or… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …research areas centered around rare diseases and immune disorders. Summary The Associate Director , Global Oncology Medical Affairs, Medical Analytics will be ... findings and recommendations to internal stakeholders, including senior leadership and medical affairs teams. Ensure utilization of advanced analytics techniques… more
- UnitedHealth Group (Chicago, IL)
- …and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization ... activities, and participates in the Quality Improvement programs for the company. The Medical Director also provides/assists in the direction and oversight in… more
- Tris Pharma (Monmouth Junction, NJ)
- …execution of contracting, pricing governance, government compliance, and vendor management . The Director orchestrates complex cross-functional workflows, manages ... have an opening in our Monmouth Junction, NJ facility for a Director , Market Access, OperationsThis position is responsible for managing the operational… more
- UnitedHealth Group (Omaha, NE)
- …us to start Caring. Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is ... in all required software and platforms Although the United Health Services ICM Medical Director 's work is typically concentrated in a region, they are… more
- One Medical (San Mateo, CA)
- …people, processes and technology that make One Medical unique. As an Office Medical Director , you'll have the chance to lead your local team in demonstrating ... practicing sustainability. In collaboration with your manager, the District Medical Director and your operations partner, the...Medical to the local community Owning specific office management and HR functions Managing a patient panel with… more
- Humana (Austin, TX)
- …Integrated Delivery Systems, health insurance, or clinical group practice management Utilization management experience in a medical management ... caring community and help us put health first The Medical Director relies on broad clinical expertise...with prior experience participating in teams focusing on quality management , utilization management , or similar… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …design pull you in? Are you ready to experiment with us? The Position The Director , Key Opinion Leader Strategy & Engagement will lead a team and critically shape ... engagement across NN USO. They will be accountable for KOL and medical association identification, planning, and engagement strategies. They will develop competitive… more
- UnitedHealth Group (Dallas, TX)
- …direction, and supervision Demonstrated ability to positively interact with other clinicians, management , and all levels of medical and non- medical ... on some tough challenges. We are currently looking for Medical Directors that can work daytime in any of...time zones in the US. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and… more
- UnitedHealth Group (Minneapolis, MN)
- …direction, and supervision Demonstrated ability to positively interact with other clinicians, management , and all levels of medical and non- medical ... on some tough challenges. We are currently looking for Medical Directors that can work daytime in any of...time zones in the US. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and… more
- IHG (Santa Monica, CA)
- …more information visit RegentSantaMonicaBeach.com. Job Summary: We are seeking an exceptional Director of Revenue Management to drive revenue strategy and ... against goals to corporate leadership and ownership. Requirements: Minimum 5-7 years as Director of Revenue Management within the true luxury or ultra-luxury… more
- Whidbey General Hospital (Coupeville, WA)
- …quality initiatives in order to insure high quality and safe patient outcomes. The Director will work with medical staff and hospital leadership to insure ... Director Surgical Services POSITION SUMMARY The Director...be expected to work with both hospital staff and medical staff to insure compliance with evidence-based policies and… more
- CVS Health (Woonsocket, RI)
- …do it all with heart, each and every day. Position Summary The Lead Director , Workforce Management & RTA provides strategic leadership and oversight of resource ... performance, and provide guidance to the team to achieve efficient resource utilization and meet business objectives. What you will do Establishes workforce … more
- Fairview Health Services (St. Paul, MN)
- Job Overview The Director of Contract Lifecycle Management will play a critical role in supporting the enterprise-wide transformation of contract management ... and the effective deployment, optimization, and maintenance of Contract Lifecycle Management (CLM) technology. The Director will ensure systemwide adherence… more
