patients with the resources needed to eliminate barriers to care such as; pain management, financial counselors, access... reviewer for review and action. Referring information regarding variance trends to the Director or the appropriate Physician...
in implementation science, research methodologies, and project management. You will have advanced knowledge and experience... and execute research projects, ensuring alignment with organizational goals and industry best practices. Serve as a reviewer...
utilization management team. We can offer you a meaningful way to make a difference in patients’ lives, in a non-clinical... Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines...
as an Independent Reviewer Mentor and train program SV level Power Engineers Hold monthly working group meetings across program SV... such as processor and memory utilization, data sizing and flows, etc. Integrated Space Vehicle Power CSCIs for end-to-end mission...
order adherence, budget management, pricing update communication, utilization of preferred suppliers and manufacturers... as overseer of all food & beverage procurement needs, warehouse management of receiving, distribution, and storage processes...
necessity and utilization review/management expertise Expanded credentials as an expert in Independent Medical Exams...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...
necessity and utilization review/management expertise Expanded credentials as an expert in Independent Medical Exams...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...
necessity and utilization review/management expertise Expanded credentials as an expert in Independent Medical Exams...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews...
Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical... expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide...
operations of a department including staff training, development, and performance review, utilization of equipment and facilities... Certification: Certification or licensure in field of expertise. Terracon Authorized Project Reviewer status preferred...
The UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director, Utilization Management role.... The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery...
annual budget, oversees all accounting services, financial management, and reporting functions, including clinical and grant... Care departments to identify cost-management opportunities. The role also leads projects related to new reimbursement...
operations of a department including staff training, development, and performance review, utilization of equipment and facilities... in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 32007BR...
reviewer or lead for proposals, protocols, analysis plans, and deliverables, ensuring methodological rigor, consistency... project profitability, utilization and sustained growth. Monitor and interpret project KPIs, proactively identifying risks...
practice with medical necessity and utilization review/management expertise Expanded credentials as an expert in Independent.... We are searching for providers throughout the state of Washington. Requirements: As Physician Reviewer/Advisor, you will utilize...
the daily operations of a department including staff training, development, and performance review, utilization... in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34532BR...
the daily operations of a department including staff training, development, and performance review, utilization... in field of expertise. Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34530BR...
operations of a department including staff training, development, and performance review, utilization of equipment and facilities.... Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34508BR Employment...
Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review..., DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality...
for the medical staff regarding federal and state utilization and quality regulations. Acts as second-level reviewer through..., Administration as needed. Chairs or serves on the Utilization Management Committee. Participates in the peer review process; makes...