- Elevance Health (Tampa, FL)
- …case management for these markets. May be responsible for developing and implementing programs to improve quality , cost, and outcomes. May provide clinical ... **Medical Director - Florida Medicare Plans** Location: This role enables...+ Provides guidance for clinical operational aspects of a program . + Perform utilization management reviews to determine medical… more
- CVS Health (Tallahassee, FL)
- …as needed. * Develop and guide the implementation of Medical Management programs to ensure providers deliver appropriate, high- quality , cost-effective Health ... DSNP/FIDE populations, including the development and implementation of clinical initiatives and programs to address the needs of the populations managed to improve… more
- University of Michigan (Ann Arbor, MI)
- …concurrent and retrospective evaluation of patient care consistent with the hospital quality assurance program . Through this review process, evaluate and ... the American Nurses Credentialing Center (ANCC). See full listhere (https://www.nursingworld.org/organizational- programs /magnet/ program -tools/accepted-certifications/) NOTE: In order to be considered… more
- University of Miami (Coral Gables, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Responsible to the Director of Employer Engagement, for strengthening ... between employers, alumni, and the University of Miami. The Assistant Director leads proactive employer outreach efforts, coordinates external engagement activities,… more
- University of Michigan (Ann Arbor, MI)
- Director of Financial Operations Apply Now **How to Apply** + A cover letter and resume are required for consideration for this position. The cover letter should be ... seeking a dynamic, strategic, and enthusiastic leader to serve as our next Director of Financial Operations. This is an exciting opportunity for an experienced… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and ... to build a learning health system for improving the quality of life and longevity of the citizens of...to win extramural funding and new public-private partnerships involving UM -IHC, respectively. UMGCCC: The role of*Assistant Director … more
- Molina Healthcare (Augusta, GA)
- …ability to learn new programs . Preferred Qualifications * Experience with utilization/ quality program management. * Managed care experience. * Peer review ... the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness… more
- Integra Partners (Troy, MI)
- …call center and other internal & external sources + Other duties as assigned by UM Director + Strong organizational skills, ability to adapt quickly to change ... UM Coordinator assists and supports the clinical team ( UM Nurses/Medical Director ) with administrative and non-clinical...plus Benefits Offered + Competitive compensation and annual bonus program + 401(k) retirement program with company… more
- Centene Corporation (Richmond, VA)
- …to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider interactions and experience and associated ... procedures to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards + Reviews, analyzes, and reports on utilization… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Maryland School of Medicine seeks a mid-career or senior level Neonatologist to join UM -SJMC as the level III NICU Medical Director . This position requires ... *Medical Director , Level III Neonatal Intensive Care Unit* *University...and post-cardiac surgery care * Vermont-Oxford Network. Reporting on Quality Metrics UM SJMC is a 263-bed… more