- Merck & Co. (North Wales, PA)
- …identified growth opportunities supported by vaccine launches and through increased utilization of our inline vaccines. The Contracting and Distribution Strategies ... across the US Vaccines BU (marketing and sales teams), Integrated Account Management , and the many Operational headquarters extended teams to ensure contractual… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …value and helps influence and inform budgeting decisions by the Business and the utilization of suppliers.- Serve as the Project Management Owner for DSI's ... from Request for Proposal (RFP) to final contract. This position has direct oversight and accountability of Category leads to drive and execute sourcing activities… more
- AmeriHealth Caritas (Dublin, OH)
- ** Utilization Management Plan Oversight Manager (Ohio Resident)** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 **Job ... Officer for the Ohio Market, this position is representing Utilization Management (UM) in state interactions/audits, validation... program. + Act as a primary liaison with plan providers including but not limited to physicians, hospital… more
- Commonwealth Care Alliance (Boston, MA)
- …cases. + Member of health plan QI Committee. Co-chair of health plan Utilization Management Committee **Working Conditions:** + Standard office ... in daily operations. Responsible for resolution and communication of utilization management issues and concerns and corrective action plan activities and… more
- Ascension Health (Nashville, TN)
- …Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan . + Ensure ... **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours week. + **Hospital:** Ascension Saint Thomas + **Location:**… more
- Elevance Health (FL)
- …to improve care or lower cost of care. + Candidate will be responsible for the oversight of the utilization management team. + Responsible for a team of ... **JR133557 Manager II Behavioral Health Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health Utilization … more
- Humana (Salem, OR)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
- Scottish Rite for Children (Dallas, TX)
- …for services provided, + Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization ... children back their childhood! Job Posting Title: Director of Case Management and Utilization Management Location: Dallas - Hospital Additional Posting… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive ... oversight of the Utilization Review process for the self-insured Employee Health Plans,...experience in Clinical Utilization Review or Case Management with a large Health Plan +… more
- Henry Ford Health System (Troy, MI)
- …quality of care provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services to optimize ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug use within...+ Monitors, assesses, and improves regional drug use using utilization management reports. + Works collaboratively with… more
