- Humana (St. Paul, MN)
- …other healthcare providers, clinical group practice management . + Utilization management experience in a medical management review organization, such ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health… more
- Commonwealth Care Alliance (Boston, MA)
- …Serve as the lead for CCA's Utilization Review functions working closely with other medical management team members. + Support the development of utilization ... MD or DO required. + Must be licensed to practice in MA. + Board-certified in their medical...(nice to have):** + 5 or more years of medical management and general management … more
- Sharp HealthCare (San Diego, CA)
- … functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and ... departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality … more
- The Cigna Group (Bloomfield, CT)
- …+ Participates in coverage guideline development, development and maintenance of medical management projects, initiatives and committees. + Participates in ... not be included in CMS' Preclusion List** **Preferred Skill Sets:** + Experience in medical management , utilization review and case management in a managed… more
- Takeda Pharmaceuticals (Lexington, MA)
- …Medical ** **Lexington, MA** **Hybrid** **_OBJECTIVES/PURPOSE:_** Provides clinical project management and leadership to ensure successful operational execution of ... status to appropriate TA project manager; and execute communication and change management plans. + Represents and supports US Medical Clinical Research… more
- Beth Israel Lahey Health (Woburn, MA)
- …support of credentialing, privileging, governance, regulatory readiness, and professional practice evaluation. The Director oversees personnel management , ... + Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) required. + Equivalent experience… more
- Sanofi Group (Austin, TX)
- …pharmaceutical industry experience preferred. + Clear understanding of Hematology/Oncology medical practice , clinical decision making and healthcare systems ... **Job Title:** Medical Science Liaison - Hematologic Oncology **Location:** Remote/Field,...and regulatory requirements + Demonstrate operational understanding and risk management by ensuring excellence in execution of all governance… more
- University of Miami (Miami, FL)
- …Location: UHealth TowerSchedule: 8 hours per day, Monday through Friday The Medical Assistant 2 (U) performs multi-skilled tasks to assist with patients' healthcare ... management and clinical procedures in a culturally competent manner...utilizing evidence-based standards of quality, safety, and service. The Medical Assistant 1 (U) provides hands-on care to patients… more
- Houston Methodist (Houston, TX)
- …the delivery of health care and patient care management for the physician practice under the guidance of a Sr. Medical Assistant or Clinical Coordinator. ... medical and social history. + Educates patients about self- management tasks they can undertake to gain greater control...and application of positive language principles + Knowledge of medical practice and care of patients and… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional ... Summary A full-time permanent position is available for Medical Director of the Primary Care - Mental...VANTHCS and mental health policies, regulations, executive orders, and management directives. He/She will collaborate with other teams and… more