- Merck & Co. (North Wales, PA)
- Job DescriptionThe Associate Director , Business Insights & Analytics, US Oncology, HHDDA (Human Health Digital, Data, and Analytics) will be responsible for ... pharmaceutical/biotech industry using market research and/or large patient or physician databasesStrong understanding of Oncology health care landscape and… more
- MEDSTAR HEALTH (Washington, DC)
- …review, QI data analysis and reporting, conducting clinical audits and tracers, Physician Advisor interaction, and special projects.Participates in the design ... findings, and collaborate on cases with the MedStar Health Plans Medical Director . Report quality of care activities to the QIC quarterly meetings. Functions… more
- Catholic Health Services (Melville, NY)
- …and standardize the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs).… more
- Magellan Health Services (Albuquerque, NM)
- … advisors. Ensures adequate physician resources. Develops and manages medical director and physician advisor budgets, travel budgets, and continuing ... manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by...and oversees the work of the Medical Directors and Physician Advisors in providing cost-effective and quality care management… more
- UPMC (Lititz, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... LOC requirements and that chart documentation supports LOC determination. Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
- UPMC (Pittsburgh, PA)
- …+ Takes leadership role in concurrent denial process. Works with Care Management Director , Physician Advisor , Attending Physicians and clinical team to ... requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation… more
- Swedish Health Services (Seattle, WA)
- …appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . *Resource Management; Assures prudent ... the patient's health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that… more
- Swedish Health Services (Seattle, WA)
- …appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor . **Resource Management:** Assures ... the patient's health, safety and rights. * Advocates for the patient, family, physician , and facility to obtain benefits from insurance carriers and others that… more
- Hartford HealthCare (Wethersfield, CT)
- …any issues that may arise during the appeals process 4. Partner with the Medical Director and Physician Advisor staff to compose factually sound appeal ... the system. *_Department Description:_* Integrated Care Partners (ICP) is a physician -led, clinically integrated health care network whose mission is to assist… more
- Ochsner Health (New Orleans, LA)
- …Come make a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management) serves as the physician leader ... Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American Board of Quality… more
