- Commonwealth Care Alliance (Boston, MA)
- …The Manager, Utilization Management reports to the Director of Utilization Management - Oversees clinical decision review for services requiring prior ... staff, including nurse reviewers and support personnel. - Act as liaison with medical director , provider relations, case management and quality teams to support… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …determinations. + Prepare and present authorization requests with supporting documentation for review with the Medical Director . + Assume responsibility ... years of experience in Managed Care, Provider Office, or Utilization Review organization required. + Knowledge of...and Medi-Cal HMO lines of business + Knowledge of medical coding practices. + Working knowledge of medical… 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 ... (Pricing, Contracting, Operations and Reimbursement), HEOR, Marketing, Commercial Sales, Medical Affairs, and Legal & Compliance. External relationships include… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders. Job Summary: The Director of Data Management (DM) Reporting provides leadership in Data Management… more
- Alameda Health System (San Leandro, CA)
- Medical Director , John George Psychiatric Hospital + San Leandro, CA + John George Psychiatric Hospital + Physicians JGP ER + Full Time - Day + Management + ... + FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital...volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of… 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
- CSL Behring (King Of Prussia, PA)
- …collection and submit all reports needed for compliance. 4. Work with Senior Director , Policy Advocacy & Government Affairs, & Legal to interpret and implement ... to CMS guidance, federal regulations, and industry standards. Assist with review and understanding the financial impacts of new/proposed government programs and… more
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