- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will ... our rapidly growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent… more
- Ascension Health (Milwaukee, WI)
- …initiatives. + Develop systems and process for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, Partially Remote...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for ... utilization /cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations for updating current...teams. + Co-Chairs with the CMO CPTAC and Peer Review Committees. + Partners with Senior Management… more
- EAB (Washington, DC)
- …our recent awards. For more information, visit our Careers page. The Role in Brief: Senior Director , Forage Partner Success and Operations The Senior ... of Forage's Talent products, with the goal of driving utilization and impact to help secure the renewal and...and team at each partner institution. In addition, the Senior Director will oversee the Forage production… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Senior Director Clinical Resource Analysis with HealthTrust you can be ... you need to succeed in our organization. We are looking for an enthusiastic Senior Director Clinical Resource Analysis to help us reach our goals. Unlock… more
- CBRE (Boston, MA)
- Business Development Senior Director , Enterprise Occupier Solutions Job ID 208590 Posted 28-Feb-2025 Service line GWS Segment Role type Full-time Areas of ... Director , Business Development** We are seeking a Senior Director , Business Development & Client Solutions...same for direct reports to next level management for review and approval. Monitors appropriate staffing levels and reports… more
- McLaren Health Care (Indianapolis, IN)
- …for utilization management functions. This includes but is not limited to review and authorization of services, utilization of medical policy, utilization ... We are looking for a Utilization Management RN, to join us in leading...and under and overuse of services. Collaborates with Medical Director and senior management on complex cases… more
- Texas Tech University (Lubbock, TX)
- **41646BR** **Extended Job Title:** Senior Director , Engineering Research Facilities **Position Description:** Manages and directs the day to day operations of a ... space utilization & faculty collaboration. Participate in periodic space review analysis & research productivity reviews for WCOE facilities. Work with other… more
- Comunilife (New York, NY)
- …assessment review for each client, submitting report and recommendations to utilization review committee. + Responsible for maintaining contact with other ... Senior Program Director -HRA Chelsea Buildings Job...services + Design and implement a comprehensive program evaluation. Evaluate/ review employees' annual job performance. + Prepare any and… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Perform medical review activities pertaining to utilization review , quality ... physician education with respect to clinical issues and policies. + Identify utilization review studies and evaluates adverse trends in utilization of… more