Role Overview: The Medical Director, Utilization Management, provides organizational leadership in the operational... with the Corporate Medical Directors, Utilization Management and the Vice President, Medical Affairs. Work Arrangement...
medicine (EBM) and managed care principles Preferred Qualifications: Hands-on utilization and/or quality management... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...
medicine (EBM) and managed care principles Preferred Qualifications: Hands-on utilization and/or quality management... Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily...
of population health, quality management, patient safety and health insurance. The Medical Director will be expected to effectively... Medical Director serves as a physician leader responsible for promoting the delivery of safe and effective medical care in the...
or opportunities effectively. What is the purpose of this role? The Medical Director provides cross-market clinical leadership... and serving as a key member of the clinical leadership team, the Medical Director partners with pod leaders and contracted...
services. Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual.... Prior discharge planning and/or utilization management experience is desirable. Medical management/precertification...
unit, customer service and utilization management to ensure an integrated approach between behavioral and physical health... and Medical situations requiring higher level management intervention Assured compliance with all legislative and accreditation...
members BH condition to the Medical Director for their further review and evaluation. The BH Care Management Coordinator...: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria...
Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when... Coordinator provides relevant information regarding members BH condition to the Medical Director for their further review...
Description & Requirements We are seeking a Strategic and Visionary Learning & Development Director to lead the... the learning management system (LMS), instructional development for federal projects and special initiatives...
: 3777 Role Description Your Role: The Associate Director, Payer Accounts primary responsibilities are to secure..., and New York. Your Responsibilities: Leverage strong account management experience and strategic account planning...
with stakeholders in medical, regulatory, quality, data management, and executive leadership. Job Details: This position requires...Temple University's Lewis Katz School of Medicine is searching for a Sr. Director of Clinical Operations! Salary...
, contracting, and reimbursement challenges. As Senior Director Market Access, you will lead high-impact engagements across the... industry expertise. The Senior Director, Market Access, will be focused on the following: Lead strategic market access...
to utilization management, analytics, contracting, policy, and provider communications · Deep understanding of healthcare data..., and implement strategic initiatives aimed at bending the medical cost curve, mitigating/avoiding emerging cost drivers...
, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status. The Director... Director ensures delivery of a best-in-class experience for museum visitors, clients, and event guests. The Director...
leadership in the design, implementation and utilization of client management/outcomes measurement system in the prevention... and compassionate service. CORA’s Community Services Division is currently seeking a Director of Prevention to ensure that the...
of Director level experience in Project Management, Construction Management or Construction Inspection within gas... management for various infrastructure projects. Will support PennDOT District 6 and other clients. Obtain high level of client...
and utilization of portfolio management systems and software Our Benefits CSL employees that work at least 30 hours...Position Description Summary Lead the Project Management Office for R&D Main Responsibilities & Accountabilities...
direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing... for addressing and acting on adverse events and action thresholds in collaboration with facility management. Maintains integrity...
Manager, Director of Logistics and any other staff or management as necessary Financial Oversight & Cost Management... in ensuring critical medical supplies are always available when patients need them most. You’ll use data and business intelligence...