Come join our dedicated team at Senior Community Care of Florida – PACE as Medical Director and make a meaningful... which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization. About the job: Schedule...
experience in the pharmaceutical or biotech industry, at least 3 years leading medical strategy in a for a rare asset Managed... and Head of Movement Disorders within US Medical Affairs will play a pivotal role reporting to the Vice President, Rare...
Management in large or midsized global organization. Successfully managed an operating budget for Managed Print and or Hardware...-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices...
the state. How you'll make an impact Manage Bill Review and Managed Care units. Review and report on monthly... for the development, integration and operation of all aspects of our medical cost containment program. The essential functions...
. Qualifications Targeting individuals who bring leadership experience at a managed services organization (within healthcare space..., accountability, and ethical decision-making across the organization. Our team partners with business leaders and employees...
to 25% throughout the state. How you'll make an impact Manage Bill Review and Managed Care units. Review and report.... Review of medical management impact reports to all Mangers and Account Executives. Maintain competitive intelligence...
a Senior Medical Director to join our Medical Claims Review team. The Senior Medical Director (SMD) serves as the clinical... leader for the Medical Claims Review team within Enterprise Clinical Services (ECS) and is responsible for the management...
Job Description: Medical Review and Appeals RN Lead II - BPM Who We Are: UST HealthProof is a trusted partner.... #Healthproof #CB #LI-MM5 #LI-Remote Skills: appeals and grievances,medical review,care plans,utilization review,clinical...
The Medical Review Supervisor is responsible for overseeing activities and personnel involved in the day to day... operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
. Growing together. The Chief Medical Officer of United Clinical Services (UCS) Clinical Assessment Review Expert (CAREs) team... Authorization, and Medical Claims Review as distinct examples Work in partnership with enterprise operational, LOB partners...
recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long... required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. Maintain...
. Growing together. The Chief Medical Officer of United Clinical Services (UCS) Clinical Assessment Review Expert (CAREs) team... Authorization, and Medical Claims Review as distinct examples Work in partnership with enterprise operational, LOB partners...
The Medical Review Supervisor is responsible for overseeing activities and personnel involved in the day to day... operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
Optum is seeking a Medical Director for utilization management review to join our team. Optum is a clinician-led care... quality and promote evidence-based medicine through outpatient utilization management review Work with medical director teams...
Optum is seeking a Medical Director for utilization management review to join our team. Optum is a clinician-led care... with medical director teams focusing on outpatient and inpatient care management, clinical coverage review, member appeals clinical...
. What you will do: We are looking for a SENIOR DIRECTOR OF MEDICAL REVIEW who can help shape our vision and support our mission. Here is what the position will look... through medical review and prior authorization, behavioral health management, clinical intake, and inpatient and outpatient...
coverage review, member appeals clinical review, medical claim review and provider appeals clinical review Success... Management experience for an insurance or managed care organization (both inpatient and post acute reviews) OR 2+ years...
coverage review, member appeals clinical review, medical claim review and provider appeals clinical review Success... Management experience for an insurance or managed care organization (both inpatient and post acute reviews) OR 2+ years...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...