• Pharmacy Director - Aetna Better Health…

    CVS Health (Columbus, OH)
    …care pharmacy Active, unrestricted pharmacist licensure Demonstrated understanding of utilization management and formulary administration within the managed ... to establish a competitive advantage for the health plan. + **Pharmacy Benefit Management :** The Pharmacy Director is responsible for managing the pharmacy… more
    CVS Health (12/06/25)
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  • Director Case Management

    HCA Healthcare (Atlantis, FL)
    …charitable organizations. Apply Today! **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and ... We care like family! Jump-start your career as a Director Case Management today with HCA Florida...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (12/14/25)
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  • Director Case Management

    HCA Healthcare (Fort Pierce, FL)
    …a part of our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and coordinating ... join an organization that invests in you as a Director Case Management ? At HCA Florida Lawnwood...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (12/14/25)
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  • Director Care Management

    Providence (Olympia, WA)
    …admissions. + **Physician Relations:** Build strong cooperative relationships with physicians. + ** Utilization Management Oversight:** Lead the Utilization ... opportunity for you! **The Role:** Under the supervision of the North Division Executive Director of Care Management , the Director of Care Management more
    Providence (10/07/25)
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  • Medical Director

    Centene Corporation (Salem, OR)
    …+ Must be licensed in Oregon + American Board Certification + Utilization Management experience and knowledge of quality accreditation standards highly ... preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management...business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality… more
    Centene Corporation (11/19/25)
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  • Assistant Director - Management

    City of New York (New York, NY)
    …TASK FORCE: Management & Operations JOB TITLE: One (1) Assistant Director of Management and Operations CONTROL CODE: MOT-24-01 Summary: The Mayor's ... a more streamlined and responsive city government. Job Description: The Assistant Director of Management and Operations will provide leadership, strategic… more
    City of New York (11/01/25)
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  • Director of Clinical Services, Faculty…

    UCLA Health (Los Angeles, CA)
    …of multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation,...the delivery of program functionalities in all aspects of Utilization Management and its integration with other… more
    UCLA Health (09/20/25)
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  • Director Care Management - RN

    Community Health Systems (Hattiesburg, MS)
    …+ Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + Identifies avoidable ... Life and disability insurance and more **Job Summary** The Director , Care Management is responsible for overseeing...experience required + 3-5 years of experience in care management or utilization review required + 1-3… more
    Community Health Systems (12/10/25)
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  • Director of Project Management -HSO…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Position Title:** ** Director of Project Management -HSO Marketing-Mount Sinai Hospital-Full Time-Days** **Positions Summary:** The ... Director of Project Management serves as a senior operational leader within the...Increase transparency into project status, timelines, risks, and resource utilization for all stakeholders. **Operational Excellence** + Develop and… more
    Mount Sinai Health System (12/06/25)
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  • PRN Director Clinical Resource…

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a PRN Director Clinical Resource Management ? At HealthTrust, a division of HCA, you come first. ... a difference. We are looking for a dedicated PRN Director Clinical Resource Management like you to...supply chain operations. ii) Value Analysis iii) Clinical Resource Management Program iv) Product standardization and utilization more
    HCA Healthcare (12/03/25)
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