"Medical Director Utilization Management" Jobs in United States

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 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

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

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

Utilization Management Physician Medical Director

SCAN Group · Los Angeles

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we sti

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