- Novo Nordisk Inc. (Boston, MA)
- …drives the long-term strategic direction of Novo Nordisk Inc. (NNI)/North America Operations (NAO) and leads all US commercial efforts for Novo Nordisk's Rare ... thought-leaders in an assigned territory. The Rare Renal Clinical Account Manager will be principally responsible for driving disease awareness, overall market… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …is seeking Senior Project Manager , PMO as part of the Technical Operations team based in Raritan, NJ. Role OverviewThis position will be responsible for ... operations in the biopharmaceutical industry.Excellent knowledge of project management discipline and its application to drug development required to deliver… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …calls. As part of the managed care insurance process the Manager of Utilization Management Operations is responsible for oversight of teams that process ... JOB SUMMARY: Under the supervision of the Director, UM Operations , the Manager , UM Operations oversees and coordinates operations across multiple health… more
- VNS Health (Manhattan, NY)
- …regarding interventions and outcomes. + Monitors and ensures that utilization management processes are followed by the service operations staff, ... OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This… more
- VNS Health (Manhattan, NY)
- …and updates through on-going training, coaching and educational materials. + For Utilization Management Only: + Issues Determinations, Notices of Action, and ... communications required by state or federal regulations are saved in the Utilization Management System. + Reviews, evaluates and determines the appropriateness… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Elevance Health (Washington, DC)
- Manager ll HCMS - Utilization and Case Management (JR142403) **Location:** This position requires travel to our Washington, DC office 4 days each week. The ... with varying degrees of medical complexity and acuity. + Participates in Case Management **and** Utilization Management execution/decision making for managed… more
- Humana (Jefferson City, MO)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Sharp HealthCare (San Diego, CA)
- …Functions** + Collaboration and teamwork Provides consultation and direction for Case Manager Utilization Management , and non-clinical support team members ... team. This position supervises, provides oversight and coordination of the day-to-day operations of utilization management . Coordinates the daily… more
