- Bayer (New York, NY)
- …diverse minds to make a real difference, there’s only one choice. Associate Director , Regional Marketing - ONC Prostate - NYC/Boston Associate Director , Regional ... communication strategy. 1) Key opinion leader (KOL) engagement and relationship management 2) Regional Convention leadership and execution 3) Speaker’s bureau 4)… more
- Bayer (San Diego, CA)
- …minds to make a real difference, there’s only one choice. Cardiorenal Associate Director Regional Marketing - California PURPOSEAs part of the field-based Product & ... a region, including opinion leaders and other influencers, treatment and utilization trends, payer and reimbursement dynamics, and opportunities and challenges for… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …We are seeking an experienced **MD** to join our team as an **Assistant Medical Director ( Utilization Management - Oncology)** . The AMD will leverage their ... addition, they will support clinical programs (disease and case management ), as well as the review and adoption of...of Internal Medicine is preferred for the Assistant Medical Director with an Oncology focus. (Required) + Unrestricted Washington… more
- Katmai (Fort Carson, CO)
- …Bachelor of Science in Nursing (BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, ... background checks. **DESIRED QUALIFICATIONS & SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional in Healthcare… more
- Organon & Co. (Columbus, OH)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD ... generating potential solutions that enhance partnership. Collaborating with the National Account Director , the RPAD participates in the development of, as well as… more
- Commonwealth Care Alliance (Boston, MA)
- …and provider relationship management tools. - Understanding of claims operations, utilization management , and quality programs as they relate to provider ... in provider relations, contracting, or network operations, including 3-5 years in a director or senior management role. - Experience with value-based payment… more
- Lyric (Newtown Square, PA)
- …clients. + Familiarity with affordability, claims operations, payment integrity, utilization management , medical policy and/or benefit policy development. ... opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent Lyric in… more
- Luke Staffing (Yigo, GU)
- …co-workers, families, peers, and other health team members. + Submits all concerns through Utilization Management Director ; be able to identify, analyze, and ... experience is required. One year of previous experience in Utilization Management is required. Full time employment...+ Ensures Line of Duty paperwork is on file prior to authorization. + Verify eligibility of beneficiaries using… more
- Oregon State University (Astoria, OR)
- …Youth Development program. This 4-H Program Coordinator reports to the Regional Director assigned to the Coastal Region. Decisions regarding this position are made ... the supervision team which includes the 4-H Youth Development Director /Program Leader and the Coastal Regional Director ..... This 4-H Program Coordinator is responsible for the management , promotion, and delivery of a diverse portfolio of… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …within mandated timeframes + Inputs EMR and Fair Hearing data into the Utilization Management system with accuracy and completeness per established guidelines + ... related to EMR and Fair Hearing activity _Responsibility C: Participates in the Utilization Management process_ + Delivers administrative support for the UM… more
- Stony Brook University (Stony Brook, NY)
- …Flow Cytometry & Lyme Laboratory sections). Under the direction of TH Assoc Technical Director , she /he will be responsible for oversight of the operations to ensure ... ensure efficient workflow under the direction of the SL-5 Associate Technical Director , Immunology Laboratory. This includes ensuring test results are timely and all… more
- Cordis (Chicago, IL)
- …Business) through direct case support. ?Reports to National Clinical Sales Director .? **Responsibilities** + Responsible for meeting revenue generation targets on ... or annual basis. + Focused on driving depth and increasing Cordis product utilization in existing accounts through the cultivation of new physician users and… more
- Ally (Raleigh, NC)
- …strategy for Ally's Auto business line. The ideal candidate will have prior model development experience, strong data management , quantitative, and programming ... models for internal utilization , as appropriate. * Support the Model Risk Management validation process for models owned by your team. **The Skills You Bring** *… more
- Fallon Health (Worcester, MA)
- …and clinical functions related to outpatient and inpatient, utilization management operations, including but not limited to prior authorization, concurrent ... + Recommends and implements innovative process improvements for the prior authorization and utilization management ...cost of care opportunities related to Utilization Management . + Works with VP/ Medical Director … more
- CVS Health (Springfield, IL)
- …in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities ( prior authorization and appeals) and responds ... 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs (Oncology) We need a Board...commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy… more
- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
- Prime Healthcare (Inglewood, CA)
- …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case Management… more
- Integra Partners (Troy, MI)
- …funded programs; no OIG sanctions + 5+ years of utilization management experience, including complex case review + Prior leadership experience overseeing ... (Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a full-time, 40+… more
- Integra Partners (Troy, MI)
- …of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM) operations. This full-time, salaried role functions ... The Utilization Review Medical Director is responsible...or past OIG or state sanctions + Experience performing utilization management or clinical review activities +… more
