- Alameda Health System (Oakland, CA)
- …Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- Tris Pharma (Monmouth Junction, NJ)
- …execution of contracting, pricing governance, government compliance, and vendor management . The Director orchestrates complex cross-functional workflows, manages ... have an opening in our Monmouth Junction, NJ facility for a Director , Market Access, OperationsThis position is responsible for managing the operational… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …areas centered around rare diseases and immune disorders. Summary The Associate Director , Global Oncology Medical Affairs, Medical Analytics will be responsible for ... internal stakeholders, including senior leadership and medical affairs teams. Ensure utilization of advanced analytics techniques to identify HCP sentiment trends,… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …design pull you in? Are you ready to experiment with us? The Position The Director , Key Opinion Leader Strategy & Engagement will lead a team and critically shape ... recommendations for ongoing improvement. Identify and implement actionable improvements Budget Management : Ensure effective management of the marketing budget to… more
- AmeriHealth Caritas (Newtown Square, PA)
- Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ... making determinations based on clinical criteria. Using professional judgment, the Utilization Management Reviewer assesses the appropriateness of services,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... timely engagement of case management of all transplant members. Conduct utilization management reviews for all transplant services by assessing medical… more
- AmeriHealth Caritas (Newtown Square, PA)
- …with providers and appropriate others to facilitate and coordinate the Utilization Management process(es) activities. Utilize technology and resources (systems, ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Saint Francis Health System (Tulsa, OK)
- …not all inclusive nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location Tulsa, Oklahoma 74136 EOE Protected ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal… more
- CVS Health (Columbus, OH)
- …care pharmacy Active, unrestricted pharmacist licensure Demonstrated understanding of utilization management and formulary administration within the managed ... manner to establish a competitive advantage for the health plan. Pharmacy Benefit Management : The Pharmacy Director is responsible for managing the pharmacy… more
- Concentrix (Raleigh, NC)
- Home (https://jobs.concentrix.com/) "Job Details Director , Account Management Account Management (https://jobs.concentrix.com/job-search/?category=Account ... Location United States Of America Language English Apply Now (https://cnx.wd1.myworkdayjobs.com/external_global/job/USA-Work-at-Home/ Director --Account-Management_R1676422-1/apply?1=1) Summary Director , Account Management ,… more
