- The Cigna Group (Philadelphia, PA)
- The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. ... CMS, departments of insurance, or other outside regulators + Evaluate utilization trends, referral patterns, fraudulent medical practices, quality standards,… more
- Penn Medicine (Philadelphia, PA)
- …Street, Philadelphia** **Hours: Full Time, per Departmental Needs** **Summary:** + **The Chief Financial Officer ** oversees the Department of Radiation Oncology ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...the Department leadership team, the position serves as the chief financial strategist and key counsel to the Chair,… more
- Penn Medicine (Philadelphia, PA)
- …leader in the field and a signature program for our health system. The Chief Administrative Officer of the Penn Transplant Institute (PTI) working in conjunction ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- CVS Health (Trenton, NJ)
- …and adherence to regulatory requirements.* Work closely with health plan leadership, the Chief Medical Officer , other Medical Leadership, Pharmacy ... health care more personal, convenient and affordable. Position Summary The Behavioral Health Medical Director is a key position on Aetna Better Health of NJ's… more
- Penn Medicine (Philadelphia, PA)
- …The Director Division Administration (DDA) has a dual reporting relationship to the Division Chief and Chief Operating Officer , and works closely with the ... and Quality, Director of Finance, and clinic leadership (practice managers, practice leads, medical directors). + DDA partners with Division Chief to (a) develop… more
- Penn Medicine (Philadelphia, PA)
- …payer regulations, and appropriate physician documentation requirements. Reporting directly to the Chief Medical Officer , the Physician Advisor works closely ... and/or develop expertise on matters regarding physician practice patterns, over and under- utilization of resources, medical necessity, levels of care, care… more
- Zufall Health Center (Somerville, NJ)
- …community-based care providers, and interdisciplinary care teams. Under the supervision of the Chief Medical Officer and the HIV Program Manager, and ... admission requiring transition of care from hospital to home, high utilization of services, complex medical needs or those at high risk for complications or… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to performance improvement protocols including clinical pathways. 14. Coordinates with Carrier's Chief Medical Officer to oversee and improve clinical ... all laboratory results and documents timely. 8. Responds to Utilization Management and documents requests efficiently and timely. 9....Medical Staff Meetings at the request of the Chief Medical Officer . 25. Acts… more
- CenterWell (Trenton, NJ)
- …national clinical program leader within our growing Complex Care function under the PCO's Chief Medical Officer . This role reports to the National Director, ... (SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer , Complex Care clinical strategy team, Clinical… more
- Hackensack Meridian Health (Belle Mead, NJ)
- **Overview** **Reporting directly to the Chief Nursing Officer , this position is accountable for implementing the strategic plan for care delivery systems across ... the Medical Center/Patient Care Facility ( Medical Center), which...review of ONELink/safety events and partners with Patient Safety Officer on any follow-up activities.** + **Reviews current scheduling… more
- Evolent Health (Trenton, NJ)
- …a clinical liaison to providers, clients, and patients as directed by the office of the Chief Medical Officer . **What You Will Be Doing:** + Responsible for ... Oncology you will be a key member of the utilization management team. We can offer you a meaningful...+ Routinely interacts with leadership and management staff, other Medical Directors, and health plan members and staff whenever… more
- Ford Motor Company (Trenton, NJ)
- …Kendall Thaker, Director of Integrated Services Marketing who reports to Lisa Matarazzo, Chief Marketing Officer , Ford Motor Company. **_This role will consider ... up on actions. + Govern vendor relationships to ensure optimal resource utilization , bridge capability gaps and establish cost management accountability working with… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …needed. 13. Participates in Medical Staff Meetings at the request of the Chief Medical Officer . 14. Acts as Carrier's professional representative to the ... **Overview** **The Part Time Admissions APN performs timely medical clearance reviews for all patients referred to Blake Recovery Center and Carrier Clinic. Assures… more
- Penn Medicine (Philadelphia, PA)
- …1. Coordinate the development of annual marketing plan, in collaboration with Chief Marketing Officer and marketing staff including internet strategies, consumer ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Philadelphia, PA)
- …Clinical Coordinator actively participates in a collaborative/consultative/supportive role with the Chief Nursing Officer and Clinical Directors to assure ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more