Medical Director - Utilization & Policy Lead
RXinsider LTD.
UnitedHealth Group is seeking a physician to conduct coverage reviews based on member plan benefits and established policies. You will document findings and engage with providers in peer-to-peer discussions to ensure timely benefit determinations. Required: MD or DO with an active license, ABMS board certification in Internal or Family Medicine preferred, and 3+ years of clinical practice. Strong proficiency in MS Word, Outlook, and Excel is expected. #J-18808-Ljbffr RXinsider LTD.
$206.31k
...achieve that purpose. Job Summary The Medical Director, Utilization Management provides clinical... ...ensures the application of clinical policies are consistent with evidence-based medicine... ...regulatory timeframe requirements. Leads efforts to strengthen Payment Integrity...PolicyFull timeLocal area$168k - $247k
...Job Summary The Advisory Consultant Lead: Water Infrastructure, Asset Mgt/Utilities Management will drive the growth... ...preferred in engineering, public policy, planning, economics, systems engineering... ...benefits may include extensive medical, disability and life insurance...PolicyLocal area- UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on clinical coverage determinations and evidence-based decision-making. You will collaborate with network and non-network physicians and senior clinicians...PolicyRemote job
$100k - $110k
...Job Title: Lead Medical Coordinator Department: Foster Family Services Location: Montebello Reports To : Program Director FLSA Status: Exempt Salary: $100,000 - $110,000... ...information in accord with agency policy, licensing and/or funding requirements...PolicyWork experience placementRelocation packageFlexible hours- Astoria-Healthcare-Center seeks a Director of Rehab to plan, organize, direct and evaluate comprehensive rehabilitation services. The role... ...and Speech Therapy. The position requires strong leadership, policy implementation, budget awareness and collaboration with...Policy
- ...coordinate and supervise clinical nutrition staff, ensuring safe, evidence-based patient care. You will lead dietitians and nutrition technicians, develop policies, monitor outcomes, and contribute to cost control and budget targets. Qualifications include 3 years as a...Policy
- ...Therapy Learning Center seeks a Clinical Director to lead the multidisciplinary clinical team... ...will implement best practices, optimize utilization, and uphold our core values while... ...Reporting to COO and CEO, you will develop policies, supervise staff, monitor programs,...Policy
- ...Clinical Supervisor for the Wraparound (FSP) program. Under the Director’s supervision, you will provide administrative oversight and... ...individual and family therapy, coordinate group training, ensure policy compliance, participate in meetings, and maintain licensing and...Policy
- Kheir Clinic in Los Angeles seeks a Dental Director to lead the dental services program within a Federally Qualified Health Center. The role oversees staff, develops policies, and ensures high-quality patient care across sites. The ideal candidate has a California license...Policy
- ...day-to-day operations, oversee multiple departments, and mentor staff to deliver high-quality patient care. Responsibilities include policy enforcement, budget oversight, and strategic planning to improve outcomes. The role requires a strong background in respiratory...Policy
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness... ...provided to plan members.• Supports plan utilization management program and accompanying... ....• Develops and implements plan medical policies.• Provides implementation support for quality...PolicyWork at officeLocal area
$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...health care costs.The Medical Director provides physician support to... ...knowledge in various utilization management activities with a... ...proprietary coverage review policies, render coverage determinationsDocument...PolicyMinimum wageFull timeWork experience placementLocal areaRemote work$206.31k
...often (in days) to receive an alert: Medical Director, Clinical Policy Job Category: Clinical... ...guide the organization’s medical and utilization management practices. This position... ...leadership presence with the ability to lead, mentor, and motivate a team. Exceptional...PolicyFull timeLocal area- ...Overview Hannah’s Children’s Homes is seeking a dedicated RN Lead Medical Coordinator to oversee the medical department for our foster... ...and compliance reports to the UC Portal in a timely manner. Policy Development: Create and update departmental policies,...PolicyWork at office
$90k
...Job Description Job Description Now Hiring: Bilingual Lead Medical Coordinator (RN) We are currently seeking a Bilingual Lead Medical... ...compliance with State Licensing, Contracting Entity, and all policies and procedures implemented by Trinity Youth Services....PolicyTemporary workLocal areaImmediate start$130k - $143k
...As an experienced Fund Group Lead you will have the ability to... ...calculations for accuracy and policy compliance, supporting investor... ...by creating automation and utilizing globally sourced teams to drive... ...with Engagement Managers (Directors), project team members, and representatives...PolicyLocal area$300k - $380k
...-04-28Arcadis is the world's leading company delivering sustainable... ...including California Public Utilities Commission (CPUC) requirements... .... We are dedicated to a policy of non-discrimination in employment... .... These benefits include medical, dental, and vision, EAP, 401...PolicyFull timeContract workPart timeFor contractorsLocal area- ...Description Position Title: Psychiatric Medical Director Department: Consultants Reports... ...and assist in the development of policies and procedures for the inpatient unit... ....Participate in internal and external utilization review, as necessary 11.Work closely...PolicyFlexible hours
- ...Produce Department Lead Position Summary: As a Produce Department Lead you will drive... ...executing company programs, adhering to policies and being an advocate for the member, the... ...experience, and elevate associate engagement. Utilizes hand held technology to make immediate...PolicyHourly payJob sharingTemporary workImmediate start
- ...Manager responsible for HR operations at Hollywood Presbyterian Hospital. You will partner with the management team on staffing, policies, compliance, and general management topics, delivering exceptional service through influence and execution. The role requires bilingual...Policy
$231.9k
Join to apply for the Remote Medical Director - California role at RemoteWorker US 1 day ago... ...Provides medical leadership of all for utilization management, cost containment, and medical... ...planning and establishing goals and policies to improve quality and cost-...PolicyRemote jobFull timeWork at officeFlexible hoursWeekend work$20 - $22.73 per hour
...direct deposit ~401k plan ~ Medical, dental, and vision benefits... ...experience because you'll: Lead the experience: Check in with... ...into promotions and benefits of utilizing the McDonald's App, Mobile... ..."Company") are committed to a policy of Equal Employment Opportunity...PolicyHourly payLocal areaFlexible hoursShift work$243k - $308k
...report to the Brand Marketing & Operations Lead. You Will Define Vertical Partnership... ...position Waymo as a premium, indispensable utility for travelers, fans, and consumers. Lead... ...capabilities. Understanding of brand safety and policy issues related to emerging technology,...PolicyFull timeRemote work$172.5k - $225k
Circle (NYSE: CRCL) is one of the world’s leading internet financial platform companies,... ...team to define and lead the exploration of utility token opportunities for the Arc ecosystem... ...Engineering, Data, Treasury, Legal, and Policy teams as we explore potential token design...PolicyFlexible hours$98.19k - $166.92k
Title: Lead Clean Transportation ConsultantLocation: This position is based in the United... ...next era of transportation and energy policies that will impact our communities and our... ...and experience working with government and utility on-road electric vehicle programs is essential...PolicyFull timeContract workWork experience placementWork at officeRemote work- ...Shift Lead The Shift Lead serves as the on-shift support leader, responsible for assisting... ...bonus or incentive program in place, utilize bonus tracker Kreation Selection... ...in accordance with Kreation's receiving policies and procedures, reporting any discrepancies...PolicyImmediate startFlexible hoursShift work
$108.01k - $183.61k
Business Title: Lead Program Specialist, Public Sector Energy EfficiencyLocation: Los Angeles... ...Specialist is responsible for leading utility-sponsored energy efficiency,... ...For more information, please read our EEO policy.We will consider for employment qualified...PolicyFull timeContract workFor contractorsWork experience placementFor subcontractorWork at officeLocal areaRemote workFlexible hours$29 - $32 per hour
...license and experience driving large trucks to utilize your experience across the Gardena, CA area. You will be collecting sharps and medical waste containers from our healthcare... ...discrimination law, it is the purpose of this policy to effectuate these principles and...PolicyPermanent employmentFull timeSeasonal workFlexible hoursAfternoon shift$130k - $150k
...Director, Programmatic Media We are searching for our... ...In addition to leading day to day client operations... ...about industry trends Utilize your technical knowledge... ...COVID-19 vaccination policy. We strongly encourage... ...Health benefits to include Medical, Dental and Vision,...PolicyCasual workLocal areaFlexible hours$25.5 per hour
...for career growth Paid time off Medical, Dental, and Vision Wellness... ...enthusiastic and hardworking Alcohol & Drug Lead Counselor, you will be responsible... ...and in accordance with ARC and TSA policies # Recruit, train, and utilize community volunteers appropriately...PolicyFull timeWork at officeLocal areaFlexible hoursShift workNight shiftAfternoon shift
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