- Community Health Plan of Washington (Eugene, OR)
- …against criteria utilized for medical review. * Regularly communicates with the UM Manager, Medical Director , physician advisor/reviewer and primary care ... Prepare cases that do not meet medical necessity or criteria for medical director review. * Communicate effectively with medical director regarding… more
- Elevance Health (Portland, OR)
- …to Medicaid plans in partnership with blue cross blue shield plans. The Medical Director is responsible for the administration of physical and/or behavioral ... of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. **This position… more
- Evolent Health (Salem, OR)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Director , Utilization Management, you'll work with your managers, front line clinical team, and ... for our members, providers, and customers. **Collaboration Opportunities:** The Director , Utilization Management, will partner with a variety of different… more
- Highmark Health (Salem, OR)
- …in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, ... and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate,...+ Manage individual projects for timely review with the Director , Clinical Pharmacy. + Participate in Medicare Stars performance… more
