- Texas Health Resources (Arlington, TX)
- …department leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS : Plans, organizes and ... Director Utilization Management -Clinical Review _Are you looking...of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman certification preferred upon… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be… more
- Mount Sinai Health System (New York, NY)
- …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front... Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by… more
- Walmart (Bentonville, AR)
- …in Business, Human Resources, or related field and 4 years' experience in project management , compliance, operations management , or related area OR 6 years' ... ** Walmart Marketplace is seeking a senior level project manager for its seller events, communication and marketing team....experience in project management , compliance, operations management , or… more
- Nuvance Health (Danbury, CT)
- …experience required with at least 2 years relevant experience in denials, case or utilization management required. * 5 years management experience preferred ... *Description* *Summary:* The Manager , Denials Prevention & Appeals Operations ... is responsible for the direct oversight of daily operations of clinical denial prevention and Utilization … more
- Point32Health (MA)
- …Care. The Clinical Manager will also work closely with the SCO management team to monitor Utilization metrics specifically related to Acute/SNF admission and ... leadership team and oversees the day to day operations of nurse care managers who provide, care coordination...Manager will also work closely with the SCO management team to monitor Utilization metrics specifically… more
- ServiceNow, Inc. (Waltham, MA)
- …with GenAI & CRM leaders, PEx leaders, STEP and CEG resource management leaders to assess resource needs, develop strategic plans, and allocate resources ... resource needs for pipeline and upcoming projects **Resource Allocation, Scheduling, Management ** + Allocate and schedule resources based on project requirements and… more
- RWJBarnabas Health (New Brunswick, NJ)
- Operations Manager (Cardiac Cath Lab)Req #:0000204698 Category:Nursing Manager Status:Full-Time Shift:Day Facility:RWJ New Brunswick Department:Cardiac ... Wood Johnson Place, New Brunswick, NJ 08901 Job Title: Operations Manager Location: Main Hospital - New...in advance for potential conflicts or issues, Patient Care Management Monitors the quality of service and utilization… more
- Houston Methodist (Houston, TX)
- …those projects to bigger picture system ideas.** At Houston Methodist, the Senior Manager Operations position is responsible for the strategic and ongoing ... initiative, effective interpersonal skills and oral/written communication skills. The Senior Manager Operations position is responsible for the efficient and… more
- CACI International (Norfolk, VA)
- Operations Manager Job Category: Project and Program Management Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular ... program supporting NAVSEA 03D3 Digital Program Office as an Operations Manager supporting the Navy Maintenance and...expectations) + At least 10 years of experience in operations management within DoD/Navy programs + At… more