Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews... criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Experienced, will report...
Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization... on all aspects of utilization management and care coordination for Commercial membership. The Director, Commercial Utilization...
Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal... membership. The Director, Medicare & Medi-Cal Utilization Management role will also provide direction and leadership...
Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective... recognized clinical criteria across multiple lines of business. The Behavioral Health Utilization Management, Consultant (Lead...
compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization... Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role you will be reviewing...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews... criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Senior, will report to the...
Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC... Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization...
Job Description: PRINCIPAL RESPONSIBILITIES: The Inpatient Utilization Management (UM) RN is responsible... Manager, Inpatient Utilization Management in tracking utilization and operational trends at hospitals and implementing...
Job Description: Ref. 8548 TITLE: Executive Director, Facilities Management and Planning REPORTS TO: Deputy... of the Deputy Chief Facilities, the Executive Director of Facilities Management and Planning plans, organizes, directs...
Job Category: Marketing and Product Management Job Description: Your Role The Director, Product Management... networks and benefit management solutions including benefit design, utilization and medication costs, medication claims...
Requisition ID # 165749 Job Category: Project / Program Management Job Level: Manager/Principal Business Unit... to generate revenue and benefit PG&E customers. The NRD team includes teams focused on program management, program strategy...
Requisition ID # 165749 Job Category: Project / Program Management Job Level: Manager/Principal Business Unit... to generate revenue and benefit PG&E customers. The NRD team includes teams focused on program management, program strategy...
our Medi-Cal line of business. The Senior Manager of Care Management, Medi-Cal will report to the Director of Care Management... collaboration with and guidance from Director of Care Management Responsible for ensuring that the care management department...
to lead through influence in a matrixed organization Experience performing utilization management reviews is preferred...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...
management process (e.g. goal setting, mid-year and annual reviews, development planning) to ensure utilization of tools..., and scientists. The Opportunity The Director, Business HR provides consulting and functional expertise to a defined business unit...
Job Title: Director of Operations Location: Oakland, CA Job Type: Full-time Industry: Marine Terminal Operations... / Logistics / Transportation Job Summary A leading marine terminal in Oakland, CA is seeking a Director of Operations...
Summary/Job Purpose (Basic purpose of the job): The Senior DMPK Director has strong scientific, technical... to development stage and build comprehensive DMPK packages to enable successful drug registration. The senior director is responsible...
SUMMARY/JOB PURPOSE: The Associate Medical Coding Director is responsible for the delivery of timely and quality... Director manages and oversees Exelixis staff, strategic partners, and vendors who conduct coding activities...
care truly means. Clinical Nursing Director - Adult Services Primary Location Oakland, California Worker Location... (may be combined with MCH). Maintains key Relationships with Clinical and Administrative Director peers, Chiefs...
and our ability to impact healthcare overall. The Senior Director, Developer Experience will report to the Vice President of Developer... and accountability across the organization by championing transformational change Lead IT Financial management processes to drive the...
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