- Pfizer (New York, NY)
- …focus on programmatic, search and social media. The Senior Manager will lead the development and implementation of enterprise-wide budget frameworks, drive strategic ... support business objectives. The Senior Manager will serve as a key advisor to leadership, championing financial stewardship and operational rigor across the… more
- Access Dubuque (Dubuque, IA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... work with or without job accommodations via the claimants physician and employer. + Refers cases as appropriate to...and employer. + Refers cases as appropriate to team lead and clinical case management. + Maintains professional client… more
- Sedgwick (Dublin, OH)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... work with or without job accommodations via the claimants physician and employer. + Refers cases as appropriate to...and employer. + Refers cases as appropriate to team lead and clinical case management. + Maintains professional client… more
- Providence (Irvine, CA)
- …of contract performance issues. + Payor Dispute and Litigation Support: + Lead or support payor disputes involving underpayment, nonpayment, recoupments, audits, and ... delivery models. + Advise on regulatory and contractual issues affecting physician groups, clinically integrated networks, and value-based arrangements. + Regulatory… more
- Texas Health Resources (Arlington, TX)
- …management principles. Escalates issues to Chief Quality Medical Officer (CQMO), Physician Advisor , and/or Senior Director as appropriate. Fiscal Responsibility ... investigations of complaints requiring the Directors direct involvement. Facilitates as lead staff at various organizational level meetings?? often represents the… more
- Texas Health Resources (Frisco, TX)
- …Orients medical staff on care transition management principles. Escalates issues to Physician Advisor as appropriate. Fiscal Responsibility - Develops annual ... investigations of complaints requiring the Director's direct involvement. Facilitates as lead staff at various organizational level meetings?? often represents the… more
- HCA Healthcare (Nashville, TN)
- …Counsel is a strategic partner to the enterprise, serving as a legal advisor on technology, data, information security, and intellectual property matters. This role ... help embed protection into business operations and innovation. + Lead negotiations on complex legal and risk allocation issues...accredited law school We are comprised of affiliated hospitals, physician practices and other sites of care across the… more
- Grifols Shared Services North America, Inc (New York, NY)
- …insights aligned with the product's label to relevant customers. + Lead in-depth discussions requiring an advanced comprehension of product knowledge, disease ... relevant and specific to each influencer in the decision process ( Physician , Office Decision Maker, Clinical Pharmacists, DOP, therapeutic departments, ADR/SP… more
- Sharp HealthCare (La Mesa, CA)
- …utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, ... a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the… more
- Tenet Healthcare (Detroit, MI)
- …payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff ... based on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication and...patients, families or staff. Organizational skills and ability to lead and coordinate activities of a diverse group of… more