- Alameda Health System (Oakland, CA)
- …Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, ... to ensuring clean claims, identifying trends, and optimizing resource utilization . This role supports patient care coordination, fosters physician collaboration,… more
- Tris Pharma (Monmouth Junction, NJ)
- …contact for IntegriChain (BPO partner), managing data file submissions, utilization reporting, rebate validation processes, and issue escalation to ensure ... timely contract payment processingOversees IntegriChain's rebate validation activities; reviews utilization data to ensure appropriate contracting coverage and manages… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …more than 580 participants. We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health offers an excellent, comprehensive ... to the Senior Director of Health Plan Operations, the Director of Utilization Management and Quality Programs is responsible for the day-to-day support, direction… more
- Cipla (Fall River, MA)
- …coordinating materials, equipment, and workforce allocation for optimal resource utilization . Identify areas for operational improvements, focusing on reducing waste ... Monitor operational metrics such as efficiency, compliance rates, and resource utilization . Identify areas for improvement in packaging activities and contribute to… more
- Buckeye Community Health Plan (Thornville, OH)
- …for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical ... review activities pertaining to utilization review, quality assurance, and medical review of complex,...expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Novo Nordisk Inc. (Minneapolis, MN)
- …providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in ... answering questions from health care providers and IHNs Combines account management skills, business acumen, and scientific expertise to enhance value and develop collaborative relationships Establishes the medical account strategy/plan through the… more
- Merck & Co. (Rahway, NJ)
- …senior level executives and provide training to global stakeholders on utilization of compensation planning tools; conduct training sessions for end-usersCyclical ... ActivityOversee end-to-end delivery of all aspects of the annual compensation process with a cross-functional year-end network, including the implementation of compensation strategy changes within Workday's Advanced Compensation environmentLead progression… more
- Aequor (Indianapolis, IN)
- …of new information technology systems and legacy systems; Ensures maximum utilization of computer hardware and software features to secure automated systems ... and associated data; Develops and implements procedures for use of information security management software; Proposes information security software enhancements; Performs periodic audits to assure security policies and standards are being followed and are… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …internal stakeholders, including senior leadership and medical affairs teams. Ensure utilization of advanced analytics techniques to identify HCP sentiment trends, ... unknown/actionable insights, data gaps and potential actions- Impact Measurement (Internal External): Partner with internal stakeholders to identify the data and design the visualization to measure and report medical affairs impact including execution, leading… more
- Novo Nordisk Inc. (Lubbock, TX)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved ... clinical and scientific information and insights with target physicians Recognizes opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds value by sharing new information and offering… more
