Director, Utilization Management & Operational Excellence
Medical Mutual
Medical Mutual in Brooklyn, OH is seeking a Director of Managed Care Utilization Management. This hybrid role requires leadership in overseeing operations for acute and post-acute care services, ensuring adherence to regulatory standards while driving quality outcomes. Candidates must possess a Bachelor of Science in Nursing and significant experience in managed care utilization. Responsibilities include the education and training of staff, optimizing processes, and fostering strong relationships with health systems to enhance service efficiency. #J-18808-Ljbffr Medical Mutual
- ...site. Job Summary: Directs operations related to Commercial and Medicare... .... Leads the oversight and management of key performance... ...independently identify over/under utilization patterns and/or deviation... ...Office, including Outlook, Excel, PowerPoint, Word). Demonstrated...SuggestedCasual workWork at officeRemote work
$110k - $120k
Position: Chief Operating Officer - COO Program Location: Cleveland, OH Schedule: Full... ...program. It gives qualified candidates an excellent opportunity to gain practical... ...areas, including: Clinical services Case management Medical staff relations Marketing Regulatory...SuggestedFull timeRelocation$131.03k
...Level: Job Title: Chief Operations Officer School:... ...infrastructure, resource management, and operational excellence through collaboration with... ..., repair, and utilization of district facilities while... ...and support department directors, coordinators, supervisors...SuggestedFull timeTemporary workFor contractorsCasual workWork at officeLocal areaRemote work$86.42k - $116.66k
...is ensuring academic excellence so every CMSD scholar... ...,663.00 The Director, Total Rewards leads... ...leadership with strong operational execution in a large,... ...communications Manage vendor relationships... ...services Monitor benefit utilization, reporting, trends,...SuggestedContract workWork at officeLocal area$85k - $90k
Join us as an Associate Manager, Quality Assurance, Quality Operations! Join Abeona Therapeutics as an Associate Manager, Quality Assurance, Quality Operations... .... Thorough knowledge of batch disposition. Excellent organizational skills, attention to detail, and Good...SuggestedTemporary workCasual workH1bWork at officeLocal areaShift workNight shift- ...Cleveland, Ohio, seeks a Chief Financial & Operating Officer (CFO/COO) to lead financial... ...firm's growth through effective budget management and operational leadership. The ideal candidate... ...data analysis and reporting tools like Excel and QuickBooks. This opportunity is...
$250k
CBRE in Cleveland seeks an experienced Account COO to lead operations for a major client account in Life Sciences/Pharmaceuticals. This... ...involves overseeing a workforce of up to 1,200 employees and managing client delivery strategies to drive growth. Candidates should...- ...OREGON -- Vivo HealthStaff is actively recruiting for a Chief Operating Officer (COO) position in a prominent healthcare facility... ...in assigned departments/service lines. * Optimize resource utilization, including people, capital, and knowledge, to achieve organizational...Permanent employmentTemporary workWork at officeRelocation
- ...seeking a Chief Financial & Operating Officer (CFO/COO) to serve as... ...COO, you will partner with the Managing Partner and Executive... ...revenue, collections, A/R aging, utilization, and profitability—using data... ...along with hands-on fluency in Excel (advanced reporting and pivot...Work at office
- ...than 9,000 employees operating over 700 branches and... ...Human Resources Benefits Director leads the strategy,... ...analysis, vendor management, regulatory compliance... ...service, operational excellence, compliance, and continuous... ...program performance, utilization, risk exposure, and...Contract workTemporary workWork at officeLocal area
- ...Human Resources Benefits Director leads the strategy,... ...oversight of benefits operations including program analysis, vendor management, regulatory compliance... ...program performance, utilization, risk exposure, and cost... ...resource functions. Excellent analytical and problem...Contract workWork at officeLocal area
$56.4k - $71.34k
...package that includes excellent healthcare, retirement... ...OBJECTIVE Reporting to the Director of Education Abroad,... ...making authority, and operational oversight for the... ...Identify, secure, and manage opportunities for external... ...resource allocation. Utilize data to identify...Temporary workWork at officeRemote workAfternoon shift2 days per week- Marine HR Manager Responsible for the management of marine human capital to support operations in a 24-hour-a-day, seven-day-a-week maritime... ...planning to ensure optimum utilization and cost efficiency. Manage... ...Concur travel Word, Excel, PowerPoint and Outlook Must...Contract work
$55k - $68k
Human Resources Manager - Cleveland Botanical Garden... ...support the day‑to‑day operations of our People &... ...Support our standards of excellence and demonstrate the ideals... ...and reporting. Utilize the HRIS to maintain records... ...volunteers, Board of Directors, and visitors. HF&G believes...Full timeTemporary workSeasonal workLocal area$257.94k - $368.49k
...Associate Market Clinical Director will directly supervise, performance manage and train Clinical... ...building a strong clinical‑operations synergy and culture.... ...referral and delegated utilization authorizations. Other duties... ...knowledge and skills – Excellent clinical skills;...Work at officeLocal area$60 - $72 per hour
...Kelly is hiring for a Program Manager II/5S Facilitator for a 6-... ...in a manufacturing or operations environment. Position Summary... ...the companies Operational Excellence framework, working closely with... ...management, and space utilization. Coaching, Capability Building...Contract workTemporary workLocal areaShift work$132.6k
...development, performance management, talent acquisition,... ...leader and Sr. Director Human Resources. Anticipate... ...strong relationships and operate as a trusted business... ...internal customers. Utilize strong business acumen... .... Proficiency in MS Excel ability to manipulate...3 days per week$1,500 per month
...Director Of Annual Giving Saint Ignatius High School, a highly... ...generate annual revenue for the operating budget through direct mail... ...offers a competitive salary, excellent benefits, and an outstanding... ...operating needs and mission. Manage the annual giving program and...Full timeWork at officeLocal areaNight shiftWeekend work- Howmet is seeking a Technical Operations Supervisor to lead and supervise operations in their manufacturing plant in Cleveland, OH. This... ...role involves ensuring safety, meeting production goals, and managing personnel effectively. The ideal candidate will possess strong...
$161k - $215k
...talent? Marvin is seeking a Director of Compensation to lead enterprise... ...the business. Youll excel if you bring deep expertise in... ...skills. ~ Experience managing compensation cycles and working... ...row, in 2024 and 2025. With operations in 19 cities across North America...Temporary workRelocationRelocation package$114k - $132k
...leveraging team member’s unique strengths, and managing performance to deliver on client... ...technology solutions that enable operational excellence and business agility. Our teams apply... ...our Advisory practice, where you will utilize your skills in software development, project...Full timeWork experience placementH1b$96.5k - $207.5k
...Fifth Third Bank. GENERAL FUNCTION The Director, ABL Portfolio Management participates in the execution and... ...positive customer experience. While operating within the Bank's risk appetite,... ...intermediate knowledge of Word and Excel spreadsheet software. Proficient with...Work at office- ...Director, Tax The Director, Tax is responsible for a portion of the day to day operations of the finance department including timely tax reporting for the Federation, the... ...proposed accounting standards and tax law. # Excellent verbal and written communications skills,...Full timeInterim roleWork at officeFlexible hoursAfternoon shift
- ...Associate Center Director Job Category: Operations & Center Mgmt Full-Time Columbus... ...saving patient therapies utilized by thousands of patients... ...initiatives. Manages and oversees Payroll records... ...organizational skills required. ~ Excellent written, verbal, and...Full timeWork at officeWorldwideShift workWeekend workAfternoon shift
- Operationscouncil is seeking a Chief Operating Officer for its Program in Cleveland, OH. This role involves extensive training and mentorship, providing candidates with an understanding of a CEO's responsibilities within a healthcare setting. The ideal candidate will have...
- ...industry in every market that we operate in providing premier service... ..., high‑volume recruiting and manages up to 20-25 requisitions at a... ...knowledge of Microsoft Office (Word, Excel, Outlook, Power Point) Proficient with navigating and utilizing various Applicant Tracking...Full timeWork at officeLocal area
- Overview Inclusion Program Manager, Cleveland and Akron.... ...of the clinic's operations. Provide supervision,... ...Collaborate with the Director of Operations to initiate... ...both verbal and written. Excellent organizational skills... ...or equipment and utilizing physical management techniques...Full timeWeekend work
- Further in Cleveland, OH is seeking a Chief of Staff for their Delivery organization. This role is essential for managing staffing, operational rhythms, and strategic initiatives to enhance workflow and drive organizational growth. Ideal candidates will have 7+ years in...
$47k - $50k
SUMMARY The Associate Manager is responsible for ensuring high levels... ...associates to provide excellent customer service. May perform... ...aptitude with the ability to utilize MS Office (Excel, Word and Outlook... ...decisions that impacts the operational and financial of the site(s);...Hourly payTemporary workWork experience placementAll shiftsShift work- ...The Associate Director is responsible for developing new quality sales... ...reports directly to the Managing Director and is responsible for... ...ensure that the Field Office operates within budget. The incumbent... ...environment preferred. Excellent oral and written communication...Work at officeLocal areaWork from homeHome office
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