POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible... with hospital policies, regulatory requirements, and payer guidelines while supporting efficient and effective utilization review...
Reporting to the Director of Engagement & Development, the Benefits Operations & Compliance Manager is responsible.... Develop and review standard reports and information for benefit programs for internal purposes and external reporting...
. 4. Experience in drug utilization review and analysis. 5. Experience with Electronic Medical Records. Duties...Pharmacy Manager, Ambulatory Clinics Job Profile Summary This role focuses on providing pharmacy related services...
Utilization Review, Performance Improvement, Risk Assessment, Infection Surveillance, and the coordination of discharge planning... and not all inclusive): Oversee case coordination, utilization review, discharge planning, and resource allocation across assigned units...
Description : Salary Range: $130,000-$150,000 Manager of Crew Deployment The Manager of Crew Deployment leads the... budget to meet financial targets. Analyze utilization of department workforce and facilities to continuously identify...
Job Description The Manager of Chargeback Operations is a critical role, reporting to the Associate Director... with DTE to manage enhancement backlog, trouble shoot issues. Research, review, and interpret complex data to evaluate...
Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH inpatient admissions. Inpatient... Case Manager performance is evaluated using the Inpatient Case Manager Guidelines and audit tool. Reports to Inpatient Case...
.us and www.socomec.com About This Role The Customer Success Manager role is based in Watertown, MA and will be responsible... would be useful but not essential Utilization of Socomec Group Business Systems (ERP LN, Salesforce) - training provided Microsoft Office knowledge...
for demonstrating ROI to the partner account, ensuring both regular interaction and utilization review. Secure contracts... where infectious disease is no longer a major threat to human health. The Clinical Sales Manager is responsible for the sales efforts...
& development Position Overview The Fitness Manager oversees all aspects of the Personal Training (PT) department, ensuring... and maintain professional standards. Conduct monthly 1-on-1 meetings with each trainer to review performance, goals, client...
, and software/tool utilization (Procore/Templates/Guides). Field Checks: Review of project documents and specifications to aid... to: Regional Quality Manager Supervisory Duties: No The Quality Manager (QM) will collaborate with several project teams...
Job Description Job Description: Vertex Pharmaceuticals Inc. is seeking a Senior Manager reporting to the Director... with US and Global teams. The Senior Manager will play a meaningful role in supporting the day to day operations of the Managed Markets...
Utilization:** Leverage insights from Senior Vice President, General Manager, Team Leaders, and Senior Business Managers...**DESCRIPTION** As a **Business Manager,** you will play a pivotal role in driving our company's success by achieving...
Job Description: #LI-DE1 #LI-Onsite Responsibilities: The Business Operations Manager is responsible for the... and advise management on office space capacity and utilization, support office initiatives, maintain internal trackers...
Overview: The Long-Term Care (LTC) Sales Account Manager is responsible for establishing access and generating demand..., consultant pharmacists, and pharmacy directors to educate on clinical profile, access process, and appropriate utilization...
or arrange for the delivery of health care services through networks of providers, or that employ utilization review systems... utilization review, quality assurance, contracts with pharmacies and prescription drug manufacturers, and of their disclosure...
, and collections. Track profitability, utilization, bill rates, and cost exposure across all assigned work. Prepare and review...Mechanical Construction Project Manager GENERAL PURPOSE: The Mechanical Construction Project Manager leads full-cycle...
The Senior Manager, Account Management is a strategic leader responsible for overseeing a team of 3–5 Account Managers... Monitor and report on team performance, revenue forecasting, and utilization for CS leadership Own a Portfolio of Key...
What We're Looking For The timing couldn’t be better! Join HNTB as Traffic Department Manager in our Massachusetts... and mentoring and efficient, productive utilization of staff in providing high-quality service. While this is a leadership...
The Project Manager I, Project Delivery (PM) will oversee aspects of the implementation of the Contract for a Delivery... Maintain a safe and secure work environment through active participation in site planning, Safety Plan review, JHA approvals...