• National Utilization…

    Humana (Olympia, WA)
    **Become a part of our caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director , Clinical Strategy and Practice… more
    Humana (06/06/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Olympia, WA)
    …+ Experience in development and implementation of cost containment programs + Case management , utilization review, catastrophic or disability experience + 5 or ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… more
    Zurich NA (05/22/25)
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  • Director , Pharmacy Operations & PBM…

    Premera Blue Cross (Mountlake Terrace, WA)
    …Pharmacy leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management , and other pharmacy programs and lead the ... including business performance, clinical pharmacy operations, PBM and vendor oversight, utilization management , and formulary. + Ensure operational excellence,… more
    Premera Blue Cross (03/14/25)
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  • Director Of Facilities

    University of Washington (Seattle, WA)
    …contact for campus units on all matters related to facilities planning, space management , and capital projects. Additionally, the Director represents the College ... Engineering is developing a new generation of innovators. A national leader in educating engineers, each year the College...and operational objectives + Direct the collection, analysis, and management of data related to space utilization … more
    University of Washington (05/31/25)
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  • Medical Director - Medicaid N. Central

    Humana (Olympia, WA)
    …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (05/14/25)
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  • Remote Child & Adolescent Behavioral Medical…

    Centene Corporation (Olympia, WA)
    …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
    Centene Corporation (04/26/25)
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  • Medical Director , MSK Surgery

    Evolent (Olympia, WA)
    …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
    Evolent (05/20/25)
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  • Medical Director - Care Plus - Florida

    Humana (Olympia, WA)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (04/24/25)
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  • Field Medical Director , Interventional…

    Evolent (Olympia, WA)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (04/30/25)
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  • Grid Storage Launchpad Operations Director

    Pacific Northwest National Laboratory (Richland, WA)
    …Division (EP&MD) within the Energy and Environment Directorate (EED) at Pacific Northwest National Laboratory (PNNL) is seeking an Operations Director for the ... team and dedicated budget. Our Science & Technology directorates include National Security, Earth and Biological Sciences, Physical and Computational Sciences, and… more
    Pacific Northwest National Laboratory (06/03/25)
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