- Elevance Health (Indianapolis, IN)
- ** Utilization Management Medical Director - Indiana Medicaid** **Location:** This role enables associates to work virtually full-time, with the exception of ... Internal Medicine, and Family Medicine specialties preferred. + 3-5 years of Utilization Management experience preferred. + Indiana license or the ability… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is ... and accountability for creating, implementing, and leading an integrated system-wide utilization management program which includes comprehensive denials … more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination ... Utilization Management Admissions Liaison RN II...data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses members for admission… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit ... coverage while working remotely. Primary Responsibilities * Performs clinical utilization reviews using evidenced based guidelines, policies and nationally… more
- Huron Consulting Group (Chicago, IL)
- …regulatory agencies, and hospital contractual payor agreements. This position reports to the Director of Utilization Management and works with hospital ... staff and function for the system, reporting to the Director of Utilization Management within...limited to specific skills or certifications, years of experience, market changes and required travel. This job is also… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of our hospital. Overview To provide leadership to integrated inpatient teams; assists Director in the management of department; including personnel and fiscal ... of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient… more
- ChenMed (Newport News, VA)
- …expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical ... workplace concerns. + Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. Other duties as… more
- Cardinal Health (Providence, RI)
- …global healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial ... access sales strategy into actionable, target-exceeding results. Furthermore, the _National Director of Sales, Market Access_ will directly support the team's… more
- Ascendis Pharma (Princeton, NJ)
- …to grow and develop their skills. We are looking for an experienced Associate Director , Market Access & Patient Support Marketer, to join our team. This ... Legal, external customers and agency partners. This role will report to the Director , Market Access & Patient Support Marketing. The expectation is in-office… more
- Wolters Kluwer (Indianapolis, IN)
- …to empowering individuals and businesses with tools that streamline financial management and enhance compliance. We pride ourselves on delivering exceptional value ... clients through cutting-edge technology and unparalleled customer service. The role of Director , Performance Sales is responsible for the overall sales strategy and… more
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