- Everglades Equipment Group (Wellington, FL)
- …financial information, and provides accurate and timely reporting to support management decision-making. The Accounting Manager serves as the primary point of ... external accounting standards Communication & Collaboration * Communicate effectively with management and staff to resolve accounting issues and answer financial… more
- Ventura County (Ventura, CA)
- Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply Senior Medical Management ... safer, more efficient, and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review,… more
- Point32Health (Canton, MA)
- …are at Point32Health (https://www.point32health.org/) . **Job Summary** The Vice President of Medical Management , reporting to the Senior Vice President, Health ... Care Services is responsible for leading and transforming the medical management of in-patient, ambulatory and post-acute settings. This leader analyzes market… more
- Highmark Health (Tallahassee, FL)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Elevance Health (Miami, FL)
- ** Medical Management Clinician Sr.** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management...administrator (TPA) of medical benefits, also providing medical management , human resource consulting and retirement… more
- Corewell Health (Grand Rapids, MI)
- Registered Nurse OR Social Worker Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, ... Utilization Management with matrix reporting to other areas in Medical Management . + Develops/implements the educational plan for Behavioral Health, Care … more
- Elevance Health (Tampa, FL)
- ** Medical Management Specialist I** - Medical Ops & Support (Non-Licensed) **Locations:** Tampa, FL **Hybrid 1** : This role requires associates to be ... **Schedule** : Monday - Friday, 8:00AM - 5:00PM Eastern Time The ** Medical Management Specialist I** is responsible for providing non-clinical support to the … more
- Elevance Health (Seattle, WA)
- ** Medical Management Clinician Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute ... , **rotating weekends and holidays as needed by the business.** The ** Medical Management Clinician Associate** is responsible for ensuring appropriate,… more
- Elevance Health (Miami, FL)
- …**Schedule** : Monday - Friday, 8:00AM - 5:00PM Eastern Time The ** Medical Management Clinician Senior** is responsible for ensuring appropriate, consistent ... improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies medical policies and… more
- Elevance Health (Columbus, OH)
- ** Medical Management Clinician** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... health, long term services and supports, and psychosocial needs._ The ** Medical Management Clinician** responsible for ensuring appropriate, consistent… more
- Elevance Health (Tampa, FL)
- ** Medical Management Clinician** - Licensed Nurse **Locations:** Tampa, FL **Hybrid 1** : This role requires associates to be in-office 1-2 days a month, ... **Schedule** : Monday - Friday, 8:00AM - 5:00PM Eastern Time The ** Medical Management Clinician** is responsible for ensuring appropriate, consistent… more
- Elevance Health (Walnut Creek, CA)
- **Manager II Medical Management ** **Location:** This role requires associates to be in-office **3** days per week, fostering collaboration and connectivity, ... Pulse Point locations in California, Colorado, or Nevada.** The **Manager II Medical Management ** will be responsible for managing a team of clinicians charged… more
- CareFirst (Baltimore, MD)
- …care setting or previous customer facing experience, especially in a medical management related department. **Knowledge, Skills and Abilities (KSAs)** ... organizational and customer service skills. + Knowledge of basic medical terminology and concepts used in care management... medical terminology and concepts used in care management . + Knowledge of standardized processes and procedures for… more
- Apicha Community Health Center (New York, NY)
- …vulnerable populations. Position Summary: We're looking for an organized professional full-time Medical Case Management Manager for our Manhattan location. The ... to: People Management : + Provide day-to-day operation oversight of the medical case management staff. + Provide clinical supervision to medical case … more
- LA Care Health Plan (Los Angeles, CA)
- Medical Document Management Specialist II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, ... the safety net required to achieve that purpose. Job Summary The Medical Document Management Specialist II is responsible for the secure, accurate and efficient … more
- Pfizer (Collegeville, PA)
- …by an extensive pipeline of over 50 programs in clinical development. + The Medical Strategy Management Senior Project Manager will report to the Medical ... Lead. + The Senior Project Manager (PM) is part of the Pfizer Oncology Medical Strategy Management Group and will support a Medical Strategy or Affairs team… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Medical Assistant - Pain Management **Location** US:IL:Chicago **Req ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: University Anes Pain… more
- Humana (Raleigh, NC)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health ... providers, clinical group practice management . + Utilization management experience in a medical management.... + Utilization management experience in a medical management review organization, such as Medicare… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting comprehensive medical ... position as necessary as defined in SOPs or as work evolves. A Case Management Medical Review Scientist is expected to meet the criteria as outlined in the… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. Purpose: The Case Management Medical Review Physician is responsible for conducting comprehensive medical ... regulatory guidance to cross-functional teams to enable completion of case management and medical review work. + Provide training, coaching and mentorship to GPS… more
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