- Centene Corporation (Jefferson City, MO)
- …hearings, STARS metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical review quality ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Jefferson City, MO)
- …the delivery of high-quality, cost-effective care to our members. This role further assists the Senior Medical Director or Chief Medical Officer in ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Supervisory Medical Director at Centene plays a critical role in… more
- Integra Partners (Troy, MI)
- The Senior Medical Director (...day-to-day clinical leadership and oversight to the Utilization Review Medical Director (s) and clinical UM ... Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director 's...+ Experience as a health plan medical director + Experience with DMEPOS UM programs,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid ... difference, join us. The Impact You Will Have The Senior Director of Health Services, Utilization Management...* Accountabilities include the overall value of utilization management ( UM ) product, medical and reimbursement policies, and… more
- Fallon Health (Worcester, MA)
- …monthly meeting, and TruCare Insights/upgrade meetings. + Represents the Vice President and Senior Medical Director of Clinical Management at internal and ... purpose:** With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief ...Utilization Management. + Works with VP/ Medical Director to set agenda related to UM … more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- CVS Health (Tallahassee, FL)
- …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... as needed. * Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community, state regulatory… more
- CareFirst (Baltimore, MD)
- …alignment with direction established through thought partnership with the Director of UM and the VP/CMO of Medical Management.Ability to use proper change ... Senor Business Consultant acts as a liaison between the UM clinical teams, the technical support teams, and the...multiple business areas, collaborate with peers, clinical, clinical support, medical director , and other levels while ensuring… more
- CareFirst (Baltimore, MD)
- …alignment with direction established through thought partnership with the Director of UM and the VP/CMO of Medical Management.Ability to use proper change ... that results in automation and driving efficiencies for the UM teams. + Interfaces with all areas affected by...multiple business areas, collaborate with peers, clinical, clinical support, medical director , and other levels while ensuring… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and ... and innovation to win extramural funding and new public-private partnerships involving UM -IHC, respectively. UMGCCC: The role of*Assistant Director for Learning… more
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