- Pfizer (Olympia, WA)
- …are not limited to, portfolio utilization , internal teamwork/collaboration, project management , and administration . **Must-Haves** + BS/BA Degree Required OR ... Pituitary Specialists, Pediatric and Adult Endocrinologist to drive Pfizer's Rare Disease portfolio of Somavert, Ngenla and Genotropin. The territory will require… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …at the GS-11 (full-performance) grade level include but are not limited to: Administration of Treatment: Serves as a member of a multi-disciplinary treatment team ... Student Education Programs, Sports Athletic Program, Whole Health/Wellness, and Quality Management . Work Schedule: Monday - Thursday, 7:30am - 5:00pm, Every other… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …The Physician Advisor will conduct clinical reviews on cases referred by case/ utilization management and/or other healthcare professionals in accordance with ... related to quality care of patients, regulatory compliance, and utilization management (including LOS). 4. The Physician...of health care services, from routine wellness to complex disease management , all grounded in rigorous research… more
- Molina Healthcare (Vancouver, WA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and...resource management . + Develops and implements a Utilization Management program and action plan, which… more
- Highmark Health (Olympia, WA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Evolent (Olympia, WA)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Providence (WA)
- …to Providence Health Plans(PHP) members + Care coordination services include: disease management programs, including educating, motivating and empowering members ... to manage their disease + Case management services include: triage...Care Planning, Discharge Planning, Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... disease patho-physiology and current treatment modalities. Knowledge of chemotherapy administration and management of Central Venous Access Devices (Hickman,… more
- CVS Health (Olympia, WA)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... Summary and Responsibilities** This position is responsible for managing the risk management function for the Northwest Region to strengthen risk profiles by… more