- AmeriHealth Caritas (Newark, DE)
- …for decision making or example, internal committee/panel, independent review organization, internal medical director - as process dictates + Provide support ... needed to ensure proper handling of the appeal eg UM team, medical directors, claims, contact center,...a facilitator or moderator /similar + Experience organizing and managing meetings. + Excellent verbal and written communication skills… more
- Evolent (Dover, DE)
- …and financial scope within Evolent Specialty Services. Reporting to the Director , Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... and maintain the definitive source of truth for specialty Utilization Management ( UM ) agreements. This important work is achieved through collaboration across the… more