- CVS Health (St. Paul, MN)
- … 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 (St. Paul, MN)
- …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
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …the Medical Center and VISN. The incumbent receives broad and general supervision by the senior management team. This senior management team is involved ... the clinical aspects of the Diagnostic ICC, including budget and fiscal management , human resource management , strategic planning, and program development,… more
- Evolent Health (St. Paul, MN)
- …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
- Sanford Health (MN)
- …informally influence change and promote standardization and efficiency. Communicate with senior corporate leadership, regional executive management , and quality ... frontline staff, providers, leadership, and regulatory agencies.Apply skills in project management , change management , and Sanford's improvement methodology as… more