- Integrated Resources Inc. (Miami, FL)
- …directly tied to our clients' success. Job Description Under general supervision by management , and in collaboration with Medical Directors and other members of the ... policies and evidence-based medical necessity criteria; collects and analyzes utilization information. Assists with program processes for transitions across levels… more
- Deltadentalin (Okemos, MI)
- …including dental reference web page content.* Directs the hiring process for new professional peer reviewers and utilization management staff to manage ... Director, Government Programs Dental Consulting and Utilization Management page is loaded## Director, Government Programs Dental Consulting and Utilization … more
- Humana Inc (Bismarck, ND)
- …managing utilization for patient care. This position offers a competitive salary, benefits package, and opportunities for professional growth. #J-18808-Ljbffr ... The role requires an MD or DO degree, and 5+ years of clinical experience. Responsibilities include providing medical determinations, collaborating with healthcare professionals, and… more
- Premera (Olympia, WA)
- …member contracts. In addition, they will support clinical programs (disease and case management ), as well as the review and adoption of health plan developed review ... explore care options for members enrolled in clinical programs such as disease management , case management , and care transition management .* Participate in… more
- Molina Healthcare (Albuquerque, NM)
- …services in New Mexico. The role includes determining medical necessity, supporting utilization management programs, and ensuring quality care for members. ... Requires MD or DO licensure, board certification, and significant healthcare experience. The position offers a competitive salary range of $186K to $363K annually based on experience and location, alongside comprehensive benefits. #J-18808-Ljbffr more
- Rubrik, Inc. (Palo Alto, CA)
- …Professional Services financial goals, including top‑line revenue targets, utilization rates, and overall profitability across all assigned territories. ... cloud, and SaaS applications, ensuring business continuity. Opportunity: Elevating Professional Services Rubrik is seeking an experienced and visionary Vice… more
- RingCentral (Belmont, CA)
- Sr. FP&A Manager - Professional Services page is loaded## Sr. FP&A Manager - Professional Serviceslocations: Belmont, Californiatime type: Full timeposted on: ... a **Sr. Manager of Financial Planning and Analysis (FP&A)** to help lead our Professional Services business through its next phase of growth and scaling. This role… more
- University of New Mexico - Hospitals (Rio Rancho, NM)
- …promote and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * PATIENT SAFETY - ... delivery of optimal and safe patient care which includes fiscal management , standards compliance, clinical practice, staff development, oversight and active… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …to experience, education, and other business and organizational considerations. Department: Care Management Services Check out the role overview below If you are ... patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease … more
- Aptitude Software (Boston, MA)
- …Own regional Professional Services P+L, including revenue forecasting, margin management , and utilization optimization. Oversee all aspects of client and ... About Professional Services At Aptitude, we help organizations navigate...organizations navigate digital transformation with confidence. Our intelligent financial management solutions empower businesses to make data-driven decisions and… more
