- The County of Los Angeles (Los Angeles, CA)
- …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... and prevention services including but not limited to forecasting utilization and cost, cost/finance analyses, cost-effectiveness analyses, and predictive/prescriptive… more
- CVS Health (Sacramento, CA)
- …and consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of… more
- AmeriHealth Caritas (Southfield, MI)
- …and Systems (CAHPS), National Committee for Quality Assurance (NCQA), and Utilization Review Accreditation Commission (URAC) + Negotiates contract terms ... **Role Overview:** The Provider Network Management Contractor is responsible for developing, contracting, and...provider satisfaction. + Works with CPNM (Clinical Provider Network Management ) to manage the annual contracting schedule and expand… more
- American Electric Power (Shreveport, LA)
- …end date. **Job Summary** Assist with the leasing, maintenance, inspection and utilization of Company owned property realizing the maximum return for the ... is the company for you! **Real Estate Associate (Property Management & Transactions)** **Real Estate Agent Associate (Salary Grade...on Company owned real estate. + Assist in the review and analysis of real estate documents, including oil… more
- Synectic Solutions Inc (Norfolk, VA)
- The Management Analyst II provides mid-level analytical support to help the Government identify, assess, and improve organizational performance, operational ... the ability to work independently with limited supervision. General Duties: * Collect, review , and analyze data to support recommendations. * Define the nature and… more
- Bassett Healthcare (Cooperstown, NY)
- …consistent with ethical standards of practice in the field + Participates in the Utilization Review Process + Collaborates with outside agencies, such as CPS/DSS ... and elder abuse and neglect, domestic violence and complex care management (when appropriate). Adherence to established Psychiatry Department protocols and (OMH)… more
- Elevance Health (Denver, CO)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... Possibilities. Make an Extraordinary Impact.** **Title** : Population Health Management Pharmacist (Clinical Pharmacist) **Location(s):** Denver, CO, Las Vegas, NV… more
- L3Harris (Londonderry, NH)
- …domains in the interest of national security. Job Title: Supervisor, Operations Management Job Code: 31436 Job Location: Londonderry, NH Job Schedule: 4/10: ... Consult manufacturing engineers on any questions of proper handling. + Continually review and enforce the use and maintenance of work instructions, routers, logs,… more
- Sevita (Hayward, CA)
- …today, and experience a career well lived. **$90,000 yearly** **Regional Director Operations Management ** Have you been looking for a fantastic role to continue your ... quality. + Execute regional core growth strategy to increase census, maximize utilization and occupancy percentages; respond to local requests for proposals to… more
- Medtronic (Greenville, SC)
- …relevant experience in healthcare access (ie., prior authorization, patient support, case management , practice operations, and utilization review ) + ... following and other duties may be assigned: + **Pipeline Management & Tracking** + Monitor patient candidates as they...journey + Prepare regular reports on key metrics for review with sales teams and customers, as appropriate +… more