- Evolent (Phoenix, AZ)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a ... meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your… more
- HonorHealth (AZ)
- …case cart deficiencies on daily case cart needs list, Fills case cart needs list prior to case cart utilization , Orders sterile supplies from logistics as needed ... to maintain inventory. Picks cases, stocks the sterile storage area, and returns sterile supplies to inventory, Collaborates with perioperative sterile core personnel to determine priorities and maintain flow within sterile storage area.Education… more
- HonorHealth (AZ)
- …case cart deficiencies on daily case cart needs list, Fills case cart needs list prior to case cart utilization , Orders sterile supplies from logistics as needed ... to maintain inventory. Picks cases, stocks the sterile storage area, and returns sterile supplies to inventory, Collaborates with perioperative sterile core personnel to determine priorities and maintain flow within sterile storage area. Qualifications… more
- CVS Health (Phoenix, AZ)
- …level. The Associate Manager is also responsible for oversight of utilization management nurses including the organization and development of high performing ... team maintains compliance and privacy practices. + Oversees the implementation of utilization management services for assigned area + Implements clinical policies &… more
- Highmark Health (Phoenix, AZ)
- …of utilization management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling ... RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to… more
- Evolent (Phoenix, AZ)
- …informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with ... Management plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to… more
- Molina Healthcare (Mesa, AZ)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... + Performs initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests additional information… more
- Planate Management Group LLC (Phoenix, AZ)
- …involves developing strategies, plans, and policies that promote efficient space utilization across the base's infrastructure, ensuring compliance with Air Force ... Optimization Plan (FSOP) and related studies. + Analyze and implement space utilization strategies to support current and future mission needs. + Interpret space… more
- CVS Health (Phoenix, AZ)
- …the direction of the Lead Clinical Psychologist, this position will focus on utilization , quality, and review of fraud, waste, and abuse for individual Aetna member ... clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and treatment protocols. + Serve as a… more
- Humana (Phoenix, AZ)
- …communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more