- Insight Global (New York, NY)
- Job Description This role determines the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying ... to quality standards. Primary Duties and Responsibilities * Provide timely medical reviews that meet Oscar's stringent quality parameters. * Provide clinical… 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 | ... join us. The Impact You Will Have The Senior Director of Health Services, Utilization Management is...UM/Cost Protection * Accountabilities include the overall value of utilization management (UM) product, medical and reimbursement… more
- University of Colorado (Aurora, CO)
- …Barbara Davis Center for Diabetes** **Job Title:** **Open Rank - Medical Director of the Adult Diabetes Division - Associate Professor - Professor** ... BDC Adult Diabetes Division related to the delivery of medical care and clinical services such as utilization...advertising agency (https://www.jobelephant.com/) Open Rank - Medical Director of the Adult Diabetes Division - Associate… more
- CenterWell (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary ... across interdisciplinary teams **Dyad Partnership:** + Collaborate with operational leaders ( Associate Operations Director and/or Market President) and Shared… more
- CenterWell (Indianapolis, IN)
- …healthcare by putting seniors at the heart of everything we do. As an ** Associate Medical Director (AMD) at CenterWell Senior Primary Care,** you ... patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities...goals. **Use your skills to make an impact** **The Associate Medical Director will be… more
- CenterWell (Kansas City, KS)
- **Become a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary ... partnership to optimize patient care and business outcomes. **Responsibilities** : The Associate Medical Director 's Key Responsibilities include: Leadership… more
- Elevance Health (Seven Fields, PA)
- ** Medical Director Associate - Psychiatrist- Pennsylvania Medicaid** **Location:** This role enables associates to work virtually full-time, with the ... required by law. Alternate locations may be considered. The ** Medical Director Associate ** is responsible...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Novo Nordisk (Denver, CO)
- …The base range of pay for each title in this job family are as follows: * Medical Account Associate Director - $190,000 to $245,000 * Medical Account ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...and priority Managed Markets accounts. Position reports to Field Director /Sr Field Director /Executive Director . Essential… more
- HCA Healthcare (Austin, TX)
- …want to join an organization that invests in you as a Associate IT Director ? At St. David's Medical Center, you come first. HCA Healthcare has committed up ... over the course of three years. **Benefits** St. David's Medical Center offers a total rewards package that supports...part of our team. **Job Summary and Qualifications** The Associate Director of IT&S provides technical and… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... ensure compliance with utilization management policies. This role conducts admission and continued...physicians and clinical teams to obtain necessary documentation for medical necessity, discharge planning, and payer requirements. + Documents… more
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