Director of Utilization Management

Job SummaryWellSpan Health is seeking a highly skilled and experienced Director-Utilization and Denials Management to join our team. As a key member of our leadership team, you will be responsible for overseeing the utilization management process, ensuring compliance with regulatory requirements, and developing strategies to improve operational...

Job SummaryWe are seeking a highly experienced and skilled Director of Utilization and Denials Management to join our team at WellSpan Health. As a key member of our leadership team, you will be responsible for overseeing the operations of the utilization management department and working closely with hospital, regional, medical group, Population Health,...

Job SummaryMetroPlusHealth is seeking a highly skilled Medical Director to join our team. As a key member of our leadership team, the Medical Director will play a critical role in ensuring appropriate healthcare utilization management and providing expert guidance on clinical policy and medical management issues.Key ResponsibilitiesDevelop and implement...

**Job Summary**MetroPlusHealth is seeking a highly skilled Medical Director to join our team. As a key member of our leadership team, the Medical Director will play a critical role in ensuring the effective management of healthcare utilization and development of clinical policies.**Key Responsibilities**Develop and implement strategies to optimize healthcare...

Job SummaryWe are seeking a highly skilled Utilization Manager to join our team at LESC. The successful candidate will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements.Key ResponsibilitiesCollaborate with CASAC Counselors and supervisory staff to ensure compliance with external and...

Job SummaryWe are seeking a highly skilled Utilization Manager to join our team at LESC. The successful candidate will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements, working closely with CASAC Counselors and supervisory staff.Key ResponsibilitiesCollaborate with external case...

Job SummaryLESC is seeking a highly skilled Utilization Manager to join our team. As a key member of our clinical operations team, you will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements.Key ResponsibilitiesCollaborate with external case managers to collect, interpret, and...

Job SummaryWe are seeking a highly skilled Utilization Manager to join our team at LESC. The successful candidate will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements, working closely with CASAC Counselors and supervisory staff.Key ResponsibilitiesCollaborate with external case...

Job SummaryWe are seeking a highly skilled Utilization Manager to join our team at LESC. The successful candidate will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements, working closely with CASAC Counselors and supervisory staff.Key ResponsibilitiesCollaborate with external case...

Medical Director - Utilization ReviewInnova Solutions is seeking a highly skilled Medical Director to lead our Utilization Review team. As a key member of our organization, you will be responsible for ensuring the highest quality of care for our patients.Key Responsibilities:Develop and implement utilization management strategies to optimize patient care and...

Job SummaryWe are seeking a highly skilled Utilization Manager to join our team at LESC. The successful candidate will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements, working collaboratively with CASAC Counselors and supervisory staff as needed.Key ResponsibilitiesCollaborate with...

Job Title: Utilization ManagerJob Summary:The Utilization Manager will work closely with the agency's mission to provide high-quality care and service delivery to individuals served. This role will assist CASAC Counselors and supervisory staff in ensuring compliance with external and internal utilization review/quality and appropriateness requirements.Key...

Job Title: Medical Director - Utilization ReviewInnova Solutions is seeking a highly skilled Medical Director to lead our Utilization Review team. As a key member of our organization, you will be responsible for ensuring that our clients receive high-quality, cost-effective care.Key Responsibilities:Perform utilization management related to inpatient and...

Job Title: Utilization ManagerPromesa R.H.C.F. is seeking a highly skilled Utilization Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring that our patients receive the highest level of care while also meeting the requirements of managed care organizations.Key Responsibilities:Collaborative Communication:...

Job OpportunityMomentum Resource Solutions is seeking a highly skilled Medical Director to join our team.Job SummaryThe Medical Director will play a crucial role in ensuring appropriate healthcare utilization management. As a physician and policy advisor, you will work closely with our Chief Medical Officer to develop and implement policies that promote...

Job Title: Medical Director - Utilization Review SpecialistInnova Solutions is seeking a highly skilled Medical Director to join our team in a Utilization Review Specialist role. As a key member of our clinical leadership team, you will be responsible for performing utilization management related to inpatient level of care and home care services.Key...

Job SummaryDescription:Key Responsibilities:Collaborate with the agency's mission to ensure high-quality care delivery to individuals served by assisting CASAC Counselors and supervisory staff with compliance requirements.Develop and maintain effective communication with external case managers, managed care organizations, and third-party payers to ensure...

About UsSynergy Management Group is a boutique consulting firm specializing in outsourced corporate finance and growth strategy consulting services to institutional investors and growing businesses across various industries.We partner with clients to evaluate, design, execute, and maximize growth opportunities in sourcing, diligence, operations, value...

Revenue Management DirectorM&R Hotel Management is seeking a seasoned Revenue Management Director to lead our revenue growth initiatives. As a key member of our team, you will be responsible for developing and implementing revenue strategies to maximize revenue opportunities across our portfolio of hotels.Key Responsibilities:Develop and execute revenue...

Job Title: Director, Financial Management Services**Job Summary:**We are seeking a highly skilled and experienced Director, Financial Management Services to join our team at the NYC Department of Buildings. As a key member of our financial management team, you will be responsible for overseeing the execution of accounting programs and projects, ensuring the...