- Elevance Health (Atlanta, GA)
- …an accommodation is granted as required by law_ The Med Mgmt Clinician Sr is responsible for ensuring appropriate, consistent administration of plan benefits by ... reviewing clinical information and assessing medical necessity under relevant guidelines...a medical necessity denial determination made by a Medical Director . + Develops and fosters ongoing relationships with physicians,… more
- Elevance Health (Las Vegas, NV)
- …weekends and holidays. Location: Las Vegas, NV The Med Mgmt Clinician Sr is responsible for ensuring appropriate, consistent administration of plan benefits by ... reviewing clinical information and assessing medical necessity under relevant guidelines...a medical necessity denial determination made by a Medical Director . + Develops and fosters ongoing relationships with physicians,… more
- American Academy of Pediatrics (Itasca, IL)
- …other applicable medical/child advocacy organizational partners and coalitions. Reporting to the Sr Director , Pediatric Practice and Health Care Delivery, this ... Senior Manager Neonatal and Perinatal Initiatives The American...provide a high level of administrative support and customer service to members and partners. + Manage all essential… more
- Rush University Medical Center (Chicago, IL)
- …care and operation. Works in close partnership with Supply Chain AVP, Supply Chain Director , Director OR Supply Chain, Director Purchasing, OR Managers, ... Process Improvement Manager, Accounts Payable personnel and additional managers, buyers, and clinical staff to share information and collaborate on a wide range of… more
- Omaha Children's Hospital (Omaha, NE)
- **Schedule: FT, Mon - Fri** At Children's, the region's only full- service pediatric healthcare center, our people make us the very best for kids. Come cultivate your ... Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for...veterans and people with disabilities. **A Brief Overview** The Sr . Managed Care Contract and Revenue Analyst will conduct… more
- Henry Ford Health System (Detroit, MI)
- …leaders, the Board of Trustees, system leadership, transformation consulting, clinical /non- clinical services , Markets, Community, Service Lines, Revenue ... STATE OF MICHIGAN. GENERAL SUMMARY: Under the direction of a Manager, Director or Lead/Experienced developer, implements a comprehensive program to extract data… more
- UPMC (York, PA)
- **L&D experience is required.** The Senior Professional Staff Nurse is a Registered Nurse and a member of the care delivery team. The Senior Professional Staff ... to set the standards for the level and quality of care. The Senior Professional Staff Nurse has responsibility, authority and accountability for the provision of… more
- AristaCare (Plymouth Meeting, PA)
- …guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services , to ensure that the highest degree of quality ... function of the position. Duties and Responsibilities Administrative Functions + Assist the Director of Nursing Services in directing the day-to-day functions of… more
- Magellan Health Services (Boise, ID)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement ... and will require Idaho license. This position supports the clinical vision for the health plan(s) for all lines...various committees or project teams as directed by the senior medical director or vice-president. + Supports… more
- PCI Pharma Services (Rockford, IL)
- …network to pioneer and shape the future of PCI. **Job Title: Senior Validation Engineer - Medical Device Assembly (CDMO)** **Location:** [Rockford] **Department:** ... Quality **Reports To:** Director of Quality **Position Summary:** We are seeking a...Quality **Position Summary:** We are seeking a highly skilled ** Senior Validation Engineer** to support the validation activities associated… more