Medical Director- Utilization Management

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, Utilization Management - will report to the Sr. Medical Director, Utilization Management. In this role you will deliver and...

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, Utilization Management - will report to the Sr. Medical Director, Utilization Management. In this role you will deliver and...

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, Utilization Management - will report to the Sr. Medical Director, Utilization Management. In this role you will deliver and...

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, Utilization Management will report to the Sr. Medical Director, Utilization Management. In this role, you will deliver and...

Newfound Associates is a Massachusetts based executive search firm that specializes in Wealth Management recruitment. We are presently conducting a Wealth Management Director search for a well-established Northern New England Registered Investment Advisory firm with relationships throughout VT, NH, Western MA and Upstate NY. This is a planning-oriented RIA...

Pioneer Management Consulting - Director, Energy and Utilities Location: Denver, Colorado As the Director of Energy & Utilities, you will be responsible for planning, directing, and coordinating the Energy Portfolio within the business. Responsibilities include: Provide comprehensive oversight and leadership for cross-practice delivery activities, including...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Utilities Director at Sugarbush Resort summary: The Utilities Director at Sugarbush Resort oversees all aspects of utility operations including financial management, safety compliance, and infrastructure maintenance. This role involves coordinating the operations of water and wastewater systems, ensuring regulatory compliance, and managing budgets for...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Please note, this position is located at Sugarbush Resort in Warren, VT Year RoundRESORT OVERVIEW:Sugarbush Resort is a year-round destination offering some of the best skiing and riding in the east, an award-winning ski school, mountain biking, golf, disc golf, an array of dining venues, and a fully appointed Health and Recreation Center. Do you want to...

Please note, this position is located at Sugarbush Resort in Warren, VT Year RoundRESORT OVERVIEW:Sugarbush Resort is a year-round destination offering some of the best skiing and riding in the east, an award-winning ski school, mountain biking, golf, disc golf, an array of dining venues, and a fully appointed Health and Recreation Center. Do you want to...

Job Requirements 1. M.D / D.O. degree required. 2. A minimum of two years' experience in hospital based medicine with exposure to utilization management and documentation initiatives. 3. Demonstrated teamwork, performance analysis, presentation, interpersonal, facilitation, planning, and communication skills. 4. Ability to build and maintain positive...

Please note, this position is located at Sugarbush Resort in Warren, VT Year RoundRESORT OVERVIEW:Sugarbush Resort is a year-round destination offering some of the best skiing and riding in the east, an award-winning ski school, mountain biking, golf, disc golf, an array of dining venues, and a fully appointed Health and Recreation Center. Do you want to...

Please note, this position is located at Sugarbush Resort in Warren, VT Year RoundRESORT OVERVIEW:Sugarbush Resort is a year-round destination offering some of the best skiing and riding in the east, an award-winning ski school, mountain biking, golf, disc golf, an array of dining venues, and a fully appointed Health and Recreation Center. Do you want to...

Please note, this position is located at Sugarbush Resort in Warren, VT Year RoundRESORT OVERVIEW:Sugarbush Resort is a year-round destination offering some of the best skiing and riding in the east, an award-winning ski school, mountain biking, golf, disc golf, an array of dining venues, and a fully appointed Health and Recreation Center. Do you want to...

Please note, this position is located at Sugarbush Resort in Warren, VT Year RoundRESORT OVERVIEW:Sugarbush Resort is a year-round destination offering some of the best skiing and riding in the east, an award-winning ski school, mountain biking, golf, disc golf, an array of dining venues, and a fully appointed Health and Recreation Center. Do you want to...

POSITION SUMMARY The Johns Hopkins Health Plans Medical Director is responsible for utilization management (UM) activities within JHHP’s four lines of business. The Medical Director renders medical necessity decisions on pre-service, concurrent, post-service, and appeals requests for the full range of healthcare services according to JHHP Medical Policy,...

Please note, this position is located at Sugarbush Resort in Warren, VT Year RoundRESORT OVERVIEW:Sugarbush Resort is a year-round destination offering some of the best skiing and riding in the east, an award-winning ski school, mountain biking, golf, disc golf, an array of dining venues, and a fully appointed Health and Recreation Center. Do you want to...