- Mayo Clinic (Rochester, MN)
- …The role involves cross-functional leadership, interfacing with stakeholders across clinical , operational, and administrative teams to proactively identify denial ... ensuring effective modeling, governance, and insight generation. + Collaborate across clinical and non- clinical departments to lead denial prevention workgroups… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …performing utilization management activities. The goal is to achieve clinical , financial, and utilization goals through effective management, communication, and ... fiscal, legal, compliance, coding, and billing staff to answer clinical questions related to medical necessity and patient status...to UR Committees, as appropriate * Partners with Physician Advisor to engage in second level review and working… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …This position is for an Infectious Disease Physician who will be a member and advisor of the Infection Control Program at Mountain Home VAMC. The position is 80% ... clinical , 20% administrative. This specialist will provide both inpatient...Hepatitis B and C. Provide treatment in an outpatient clinical setting and provide consultation services in an inpatient… more
- Beth Israel Lahey Health (Plymouth, MA)
- …performance regarding UR and the analysis, resolution, monitoring & reporting of clinical denials. + Maintains current knowledge of payer contract changes as they ... denials. + Responsible for appeals and follow up on clinical denials escalated through a work queue, providing appropriate...of denials for discussion with the internal team, physician advisor and the Utilization Review Committee as appropriate. +… more
- Dartmouth Health (Lebanon, NH)
- …transparent, high-performance culture that attracts and retains top-tier talent across clinical , research, and educational missions. The position reports to the ... Dartmouth Health’s unique strengths and to advance skills in teaching, research, clinical practice, and leadership skills. * In collaboration with section chiefs,… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Baltimore, MD. Responsibilities would include participation in the academic and clinical workload with time specifically allotted for administrative duties. The ... leadership in developing and delivering diagnostic imaging services tailored to the clinical needs of the UMMC-MTC. The candidate would function as a strategic… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and cost optimization. + The Senior Director partners closely with HR, Benefits, Clinical , and Finance leaders across Emory to ensure the health plan aligns with ... support sustainability and value. + Serves as a key advisor to health plan and institutional leadership on financial...matters, including plan design, cost containment and investment in clinical programs. + Develops and manages the health plan's… more
- City of New York (New York, NY)
- …level of functioning and self-sufficiency by providing comprehensive, integrated, individualized clinical and support services. CAS works with other components of ... for the daily operations of these offices. - Provide administrative and clinical supervision to the Deputy Director of Reasonable Accommodations, and Substance Use… more
- Xybion Corporation (Boston, MA)
- …Sales Executive with significant experience in software and services sales for non- clinical functions. In this role you'll generate revenue opportunities with new ... business unit. This includes working with the life sciences toxicologits, pathologists, non- clinical IT teams, CDO/CIOs for end to end trial management, protocol… more
- Corewell Health (Grand Rapids, MI)
- …Supervising and teaching residents and medical students. + Participating in clinical research and quality improvement initiatives. + Collaborating with a ... with medical advancements. Corewell Health Medical Group Offers: + Pre-fixed clinical professor of medicine appointment with Michigan State University College of… more