- 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 ... leadership team, the System Vice President of Utilization management will...10 years of experience working with health care delivery systems , required. + Minimum 5 years experience in physician… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Manager, Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support ... Responsibilities + Coordinate day to day operations of the Utilization Management team. + Serve as the...for UM team members including Nurses and Coordinators on systems , departmental processes, and policies. + Facilitate ongoing quality… more
- AmeriHealth Caritas (Philadelphia, PA)
- …and practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President , Medical Affairs. ; **Work ... **Role Overview:** The Medical Director, Utilization Management , provides organizational leadership in...in the member's medical record in the electronic case management documentation system .; **Education/Experience:** + Doctor of… more
- University of Michigan (Ann Arbor, MI)
- …withRHIT certificationOR Associate degree RN + At least 2-5 years of experience in Utilization Management , Appeals Management or Case Management + ... self-directed and work independently **Desired Qualifications + Experience with a case management / utilization management software program and EPIC (MiChart)… more
- Texas Health Resources (Plano, TX)
- The Assistant Vice President /Associate Chief Medical Officer will provide administrative oversight and assistance with hospital's medical staff, physician ... also providing quality medical care. 5. Support effective patient throughput, utilization management , and compliant documentation. MEDICAL STAFF GOVERNANCE: 1.… more
- Sutter Health (Sacramento, CA)
- …to care for our patients first-and our people always. About this opportunity: The Vice President , Pharmacy, Value Based Care is an executive leader responsible ... Deep understanding of pharmaceutical care within managed care, including benefit design, utilization management , formulary management , and PBM relationships.… more
- RWJBarnabas Health (Jersey City, NJ)
- …Office and VP of Oncology Services- Northern Region. The Assistant Vice President provides overall leadership for the administrative functions for the ... Assistant Vice President (AVP) Cancer CenterReq #:47365...for all clinical service line metrics, physician performance, volume, utilization reports etc. Quality Management + Monitors… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Assistant Vice President Facility Management ? At HealthTrust, you come first. HCA Healthcare ... and you have the opportunity to make a difference. We are looking for a dedicated Assistant Vice President Facility Management like you to be a part of our… more
- Centene Corporation (Queens, NY)
- …areas. + Oversee day-to-day operations including claims processing, provider network management , member services, utilization management , and quality ... the development and implementation of operational work processes and systems within product lines to senior management ....and systems within product lines to senior management . + Act as lead on new product implementations.… more
- HCA Healthcare (Corpus Christi, TX)
- …across complex organizations (multi-site campus, service lines). The Vice President ensures the facilitation and utilization of diverse strategies and ... **Description** This position is incentive eligible. **Introduction** We are seeking a Vice President of Quality with Corpus Christi Medical Center Bay Area to… more