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4,908 Director of Utilization Management Jobs

Medical Director

Brown & Toland Physicians San Francisco, CA

Serves as the clinical liaison with B&T’s Health Plan Medical Directors, including participation in design, plan and implementation of new… Brown & Toland Physicians

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Correspondence Consultant - BlueCare Behavioral Health – new

BlueCross BlueShield of Tennessee Chattanooga, TN

• Reviews/Screens medical necessity reviews in an organized, timely manner and ensuring compliance with the Grier Consent Decree, Newberry Court… BlueCross BlueShield of Tennessee

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Director Case Management - Utilization Review

HCA Inc 100+ Reviews Franklin, TN

The Director Case Management will lead and participate on cross-functional teams within and outside from the Case Management department to develop… HealtheCareers

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Director, Medical Management - Utilization Management and Case Management

Centene Corporation 100+ Reviews Lenexa, KS

Develop department objectives and organize activities to achieve objectives. Develop, implement, and oversee training and audit programs. Analyze the… Ivy Exec

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Director, Utilization Management

Dignity Health-California Hospital Medical Center Los Angeles, CA

Past related experience or experience as a department supervisor or manager in an acute health care facility. Solid managerial, administrative… CareerBuilder

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Director of Utilization Management/Physician

Rutgers University 100+ Reviews Piscataway, NJ

Credential Requirement: Licensed by the New Jersey State Board of Medical Examiners. DEA and CDS certified. Qualifications: Board certified in a… Ivy Exec

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Medical Director, Quality & Utilization Management – new

Sutter Health 100+ Reviews San Francisco, CA

_ Quality Assurance_ . In cooperation with Hospitals formal quality assurance program, Physician shall develop and implement appropriate quality… Beyond.com

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Director Utilization & Case Management – new

Marshfield Clinic 45 Reviews Marshfield, WI

The Director Utilization and Case Management is responsible for working with Security Health Plan… Beyond.com

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Director, Pharmacy Utilization Management – new

Progeny Human Resource Solutions Houston, TX

The Director of Pharmacy Utilization Management directs and coordinates all pharmacy plans for a… Glassdoor

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Director, Utilization & Case Management – new

AHF - AIDS Healthcare Foundation Fort Lauderdale, FL

MORE THAN A LIVING. MAKE A DIFFERENCE! Become part of the internationally renowned medical team at AIDS Healthcare Foundation (AHF). AHFs mission is… Glassdoor

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Medical Director - Field Utilization Management

WellCare 100+ Reviews Long Beach, CA

Essential Functions: Supervises, reviews, and approves or denies requests for medical necessity decisions according to medical policy. Interprets… Ivy Exec

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Director Utilization Management - RN (MCC)

Magellan Health Services 91 Reviews Miami, FL

the Director include utilization management and… , and in collaboration with the health plans medical directors, the Director of… Beyond.com

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Medical Senior Director (Physician for Utilization Management) – new

Cigna 100+ Reviews Houston, TX

Directs the medical policy for a single-market health plan. Establishes and implements policies and standards, evaluates new treatments, and… Glassdoor

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Quality Assurance and Utilization Management Director

Clinicas Del Camino Real, Incorporated 6 Reviews Ventura, CA

2. Responsible for monitoring referral patterns and making recommendations to the Medical Director on strategies to contain costs, improv… HealtheCareers

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Utilization Management Director

Welltech Partners Petersburg, VA

Position: Utilization Management Director Location: Petersburg, Virginia Excellent Salary /… Welltech Partners

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Director of Utilization Management

Boston Medical Center HealthNet Plan 14 Reviews Boston, MA

The Director of Utilization Management (UM) is responsible for leadership of strategic medical… Glassdoor

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Director, Utilization Management

California Hospital Med Center Los Angeles, CA

Past related experience or experience as a department supervisor or manager in an acute health care facility. Solid managerial, administrative… Glassdoor

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Director of Risk Management and Insurance

Hertz Corporation Naples, FL

The design, creation and implementation of a robust global risk analysis program to empower management with data and trends to improve profit and… Hertz Corporation

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