"Director, Utilization Management" Jobs in United States

Your Role The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in Cali

Medical Director, Utilization Management - Appeals & Grievances

Blue Shield of California · Rancho Cordova

Your Role The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in Cali

Director, Utilization Management

Alameda Health System · Oakland

Location: Oakland, CA Facility: Highland General Hospital Department: SYS Utilization Management Schedule: Full Time - Day Job Category: Nursing Summary 100% employer health plan for employees and their eligible depende

Director, Utilization Management

Independent Living Systems · Miami

We are seeking a Director, Utilization Management to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed

Medical Director, Utilization Management (Home Health, Acute & Post-Acute)

Clover Health ·

The Utilization Management (UM) team is made up of experienced physicians and clinicians who work together to ensure Clover members receive medically appropriate, evidence-based care while optimizing quality and resource

Provide clinical expertise across the enterprise for various functions. Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibility. Advise and collab

Medical Director Utilization Management

Blue Cross Blue Shield of Michigan · Detroit

Provide clinical expertise across the enterprise for various functions. Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibility. Advise and collab

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical

Medical Director, Arbitrations and Utilization Management (Part Time)

Blue Shield of California · Long Beach

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical

Director of Utility Operations - Facilities Management

Careers at Texas Woman’s University | TWU · Denton

TITLE Director of Utility Operations JOB SUMMARY This position is responsible for the production, purchase and distribution of utilities for Denton, Dallas, and Houston Texas Woman's University campuses. This position ov

Assistant Director Affordability Utilization Management and Appeals

Cambia Health Solutions · Salt Lake City

Assistant Director Affordability Utilization Management and Appeals Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Little Rock and Spr

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE

Cambia Health Solutions · Salt Lake City

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside

TITLE Director of Utility Operations JOB SUMMARY This position is responsible for the production, purchase and distribution of utilities for Denton, Dallas, and Houston Texas Woman's University campuses. This position ov

Senior Leader (Managing Director or Partner), Technology, Data and AI Advisory – Energy & Infrastructure (Power, Utilities & Renewables)

Leo Berwick ·

About the Role: Leo Berwick is hiring a Senior Leader (Managing Director or Partner) to build and scale our power, utilities, and renewables practice, one of our core sectors. This is a senior, client-facing leadership

Utilization Management Medical Director Contractor

Devoted Health ·

Job Description Job Type: Part-time Contractor Required Skills and Experience: Broad state licensure coverage Medicare Utilization Management experience Comfort with learning and adapting to new technologies Willingness