- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 + ... time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Johns Hopkins University (Baltimore, MD)
- …Activities Clinical Activities The group's current clinical activities include: Teaching services , direct care services , consultative activities, co-management ... services , complex care services , , the intermediate medical care and a nocturnist service . While there is dedicated nocturnist support, shifts include nights,… more
- Fresenius Medical Center (Baton Rouge, LA)
- …of company initiatives. Responsible for developing and maintaining strong Medical Director and physician relationships and facilitating Clinical Manager and ... and regulatory guidelines and procedures in order to provide high quality services and outstanding patient care to the community. Actively participates in board… more
- Molina Healthcare (Santa Fe, NM)
- …policies and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state, and local laws ... oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction… more
- Molina Healthcare (Ann Arbor, MI)
- …policies and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state, and local laws ... oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction… more
- AdventHealth (Westchester, IL)
- …for each position may vary based on geographical location. **Category:** Physician Services **Organization:** UChicago Medicine AdventHealth Great Lakes ... Road, Westchester, IL **The role you'll contribute:** This position has administrative responsibility for designated practices yet collaborates within an integrated… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Administrative CoordinatorDepartment: Imaging ServicesLocation: 1415 Portland Avenue, Rochester, NY 14621 Hours Per Week: Per DiemSchedule: Monday - ... Acts as a liaison and collaborates with Patient Financial Services and Patient Access to assure authorization requirements of...process of third party payors with oversight from the Director of Care Management. Provides daily oversight of the… more
- CommonSpirit Health (Lexington, KY)
- …a strong preference for someone in the KY or TN area. The Market Director , Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals ... language and reimbursement, negotiation strategy, and payer relationships. The Director collects and communicates Market-level insight and strategic knowledge… more
- CommonSpirit Health (Rancho Cordova, CA)
- …are only considering CA applicants.** **Job Summary / Purpose** The Market Director , Payer Strategy and Relationships (PSR), is responsible for managed care ... language and reimbursement, negotiation strategy, and payer relationships. The Director collects and communicates Market-level insight and strategic knowledge… more
- Huron Consulting Group (Van Buren, AR)
- …reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more