- Daiichi Sankyo, Inc. (Bernards, NJ)
- …research areas centered around rare diseases and immune disorders. Summary The Associate Director , Global Oncology Medical Affairs, Medical Analytics will be ... findings and recommendations to internal stakeholders, including senior leadership and medical affairs teams. Ensure utilization of advanced analytics techniques… more
- Tris Pharma (Monmouth Junction, NJ)
- …execution of contracting, pricing governance, government compliance, and vendor management . The Director orchestrates complex cross-functional workflows, manages ... have an opening in our Monmouth Junction, NJ facility for a Director , Market Access, OperationsThis position is responsible for managing the operational… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …design pull you in? Are you ready to experiment with us? The Position The Director , Key Opinion Leader Strategy & Engagement will lead a team and critically shape ... engagement across NN USO. They will be accountable for KOL and medical association identification, planning, and engagement strategies. They will develop competitive… more
- Novo Nordisk Inc. (Los Angeles, CA)
- … Director . Relationships Position reports to Field Director /Senior Field Director . Serves as organization spokesperson on advanced medical and technical ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets… more
- Alameda Health System (Oakland, CA)
- …Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- Sunrise Senior Living (Charlottesville, VA)
- …be a part of. COMMUNITY NAME The Colonnades Job ID 2025-234942 JOB OVERVIEW The Director of Nursing is responsible for providing leadership and management to the ... follows: Clinical Care Delivery Operations * Directs, supervises the management of the team members in the skilled nursing...highest quality standards for well being. * Ensures proper utilization of the Resident Care Plan by all team… more
- AmeriHealth Caritas (Newtown Square, PA)
- Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ... policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer...and weekends based on business needs ; Responsibilities Conduct utilization management reviews by assessing medical… more
- Eisai, Inc (New York, NY)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... effectively implement those plans at local level. Keep senior management updated on all key issues at account(s) in...marketplace within which they operate. Work closely with Medicaid Director and other cross-functional teams to review and analyze… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Overview Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient ... policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer...case management of all transplant members. Conduct utilization management reviews for all transplant services… more
- AmeriHealth Caritas (Newtown Square, PA)
- …as needed. The Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer ... requests to the Medical Director when guidelines are unmet. The...providers and appropriate others to facilitate and coordinate the Utilization Management process(es) activities. Utilize technology and… more
- Saint Francis Health System (Tulsa, OK)
- …not all inclusive nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location Tulsa, Oklahoma 74136 EOE Protected ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal… more
- One Medical (San Mateo, CA)
- …people, processes and technology that make One Medical unique. As an Office Medical Director , you'll have the chance to lead your local team in demonstrating ... practicing sustainability. In collaboration with your manager, the District Medical Director and your operations partner, the...Medical to the local community Owning specific office management and HR functions Managing a patient panel with… more
- CVS Health (Columbus, OH)
- …care pharmacy Active, unrestricted pharmacist licensure Demonstrated understanding of utilization management and formulary administration within the managed ... manner to establish a competitive advantage for the health plan. Pharmacy Benefit Management : The Pharmacy Director is responsible for managing the pharmacy… more
- Select Medical (Tucson, AZ)
- …- Tucson In partnership with Select Medical $10,000 Sign-On Bonus Position: Director of Quality Management Location: 355 North Wilmot Road, Tucson, AZ 85711 ... significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators.… more
- Select Medical (Hummelstown, PA)
- …Hospital A joint venture with Select Medical & Penn State Health Director of Quality Management (DQM) Bonus incentives Extensive onboarding and training ... significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators.… more
- Humana (Phoenix, AZ)
- …Integrated Delivery Systems, health insurance, or clinical group practice management Utilization management experience in a medical management ... caring community and help us put health first The Medical Director relies on broad clinical expertise...with prior experience participating in teams focusing on quality management , utilization management , or similar… more
- University of Pennsylvania (Philadelphia, PA)
- …of health and wellness programs and resources, and much more. Posted Job Title Assistant Medical Director , Gender & Sexual Health Job Profile Title Director ... C, Healthcare Job Description Summary Reporting to the Medical Director , the Assistant Medical ...performance evaluations of assigned staff. Collect data on program utilization , outcomes, and satisfaction to evaluate effectiveness and make… more
- Concentrix (Raleigh, NC)
- Home (https://jobs.concentrix.com/) "Job Details Director , Account Management Account Management (https://jobs.concentrix.com/job-search/?category=Account ... Location United States Of America Language English Apply Now (https://cnx.wd1.myworkdayjobs.com/external_global/job/USA-Work-at-Home/ Director --Account-Management_R1676422-1/apply?1=1) Summary Director , Account Management ,… more
- Cardinal Health (Tewksbury, MA)
- …to meet ET goals Utilizes DCOA as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication ... JOB OBJECTIVE Reporting to the Health System Director of Pharmacy (HSD), Director of Pharmacy Operations and Account Management , and Cardinal Health Clinical… more
- Organon & Co. (Raleigh, NC)
- Job Description The Position The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD will ... generating potential solutions that enhance partnership. Collaborating with the National Account Director , the RPAD participates in the development of, as well as… more
