- CVS Health (Augusta, ME)
- … in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to ... programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions/reviews. - Directors… more
- Evolent Health (Augusta, ME)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Reviewer you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent Health (Augusta, ME)
- …Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Woodlands Senior Living LLC (Augusta, ME)
- …What you will do as a Community Relationships Manager: + Be responsible for leads management program and utilization of leads management software + Serve as ... Do you have a background in elder care or senior living environments and have a soft spot in...organization in Maine to have earned The Joint Commission accreditation ! Our team consists of mission-driven professionals who are… more