- Cedars-Sinai (Beverly Hills, CA)
- …eligibility before processing authorizations. + Contacts facilities identified by the UM Nurses/Manager/ Director /Medical Director to research any issues ... Requests support documentation from IPAs / Medical Groups as requested by the UM Nurses, Medical Directors or Management. + Processes Extensions and Denial Letters,… more
- Cedars-Sinai (Beverly Hills, CA)
- …eligibility before processing authorizations. + Contacts facilities identified by the UM Nurses/Manager/ Director /Medical Director to research any issues ... Requests support documentation from IPAs / Medical Groups as requested by the UM Nurses, Medical Directors, or Management. + Processes Extensions and Denial Letters,… more
- Wellpath (Lemoyne, PA)
- …point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, case management, quality ... patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) ... practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA -REQUIRED… more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director , CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This role ... resource utilization, and length of stay (LOS) strategic oversight. The Medical Director will report to the Vice President of Care Coordination, Discharge Planning,… more
- CVS Health (Springfield, IL)
- …each and every day. **Position Summary:** The ABHIL Chief Psychiatrist (Senior Medical Director ) will serve as a strategic and operational partner to the State, CEO, ... and analyze data and trends at State level in: UM , CM, Pop Health, LTSS and Health Equity in...targets. Collaborating with the Medical Management stakeholders both internally ( UM /CM, Pharmacy, Quality, network, compliance, LTSS, VBS team) and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services area ... appeal case reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases,… more
- University of Michigan (Ann Arbor, MI)
- Director , Life Sciences Institute Apply Now **How to Apply** Johanna Neuman and Lionel Anderson of JM Search have been retained to assist in this recruitment. ... intent may be sent to: [email protected] . **Who We Are** In its next Director , the Life Sciences Institute (LSI/the Institute) of the University of Michigan ( UM… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Center (UMGCCC), located in Baltimore, MD are recruiting for a*full-time Medical Director of the University of Maryland St. Joseph Cancer Institute, located in ... Towson, MD.**_ Administrative duties and responsibilities of the Medical Director role will include, but not limited to the following:_* * In conjunction with the… more
- University of Miami (Coral Gables, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Executive Director of the Office of Research Administration ... for Pre-award, Post-award, and the Strategic Initiatives divisions. The Executive Director is responsible for supervision of all personnel under the pre-award… more