- Commonwealth Care Alliance (Boston, MA)
- …The Manager, Utilization Management reports to the Director of Utilization Management - Oversees clinical decision review for services requiring prior ... Knowledge, Skills & Abilities (must have): - Expertise in managing utilization review processes including prior authorization, concurrent and retrospective… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …+ Minimum 3 years of experience in Managed Care, Provider Office, or Utilization Review organization required. + Knowledge of Commercial, Medicare, and Medi-Cal ... determinations. + Prepare and present authorization requests with supporting documentation for review with the Medical Director . + Assume responsibility for… more
- Houston Methodist Hospital (Houston, TX)
- …while providing excellent customer/patient service. Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …customers. Relationships This position reports into a Vice President or Sr. Director within the National Account Market Access Teams. Internally, this position has ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …areas centered around rare diseases and immune disorders. Job Summary: The Director of Data Management (DM) Reporting provides leadership in Data Management ... the quality and timely delivery of programming deliverables, including integrated data review plan (IDRP), study data listings and exception reports, sample data… more
- Insmed Incorporated (NJ)
- …A successful candidate will provide knowledge, understanding, interpretation, and utilization of regulatory guidance and regulations from various health authorities, ... of CMC meetings with the regulatory agencies, and draft and review regulatory documents for agency meetings.Provide interpretation of applicable FDA/EMA/ICH/WHO… more
- Florida Atlantic University (Boca Raton, FL)
- …employee account. Position Summary: Florida Atlantic University is seeking a Senior Director , Operations and Infrastructure - Boca Raton, FL. Reporting directly to ... the Assistant Vice President for Facilities Management, the Senior Director of Facilities Operations and Infrastructure is a senior administrative leader responsible… more
- Florida Atlantic University (Boca Raton, FL)
- …account. Position Summary: Florida Atlantic University is seeking an Associate Director of Physical Plant - Boca Raton, FL. Responsibilities: Operational and ... as acting lead in the absence of the Senior Director , when assigned. + Serve as Essential Personnel. Design,...Capital Planning Support + Collaborate in the planning and review of capital construction, renovation, and space modification projects… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... Medical Director , John George Psychiatric Hospital + San Leandro,...FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible for… more
- Alamo Group Inc. (Winn, MI)
- **Position Summary:** The Director of Operations works closely with the President to develop the strategies necessary to achieve the operational objectives of the ... a cross-functional team to implement and successfully execute those strategies. The Director of Operations oversees the day-to-day operations of the company and is… more
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