Director OF Utilization Management
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
$184.87k - $324.19k
...consider a career in Advisory. KPMG is currently seeking a Director, SAP IS-U -Power & Utilities for our Consulting practice. Responsibilities: •... ...processes, and print workbench configurations, manages the structuring of rates, billing schemas, and variant programs...SuggestedContract workH1bLocal area- ...successful quality outcomes and benefit maximization. Leads the oversight and management of key performance indicators and monitors and tracks to independently identify over/under utilization patterns and/or deviation from expected results. Develops and implements...SuggestedCasual workWork at officeRemote work
- ...strategy, leadership development, employee experience, change management and beyond. Visit us here to find out more about Talent and Organization... ...transformationMinimum of 1 year of experience serving utilities clients (electric, gas, or water) or in a utilities finance,...SuggestedFull timeLive inWork at officeLocal areaShift work
$134k - $269k
...nowhere like RSM.The ServiceNow Consulting Director is a member of the ServiceNow practice... ...leaders, architects, and delivery managers.Support talent planning, hiring, onboarding... ...financial performance through forecasting, utilization awareness, and margin management.Support...SuggestedFull timeWork experience placementInternshipLocal area- ...Architects is excited to recruit for a Director of Conservation for our client. This position... ...of Conservation will oversee land management and stewardship programs while strengthening... ...the regional conservation community. Utilize current and develop partnerships with...Suggested
- ...models.What You Would Do in This RoleAs an Agentic Commerce & AI Manager, you will lead the design, implementation, and scaling of... ...DeliveryLead deployment across AWS, Azure, or GCP environments.Utilize FastAPI for modular services and Databricks for scalable AI workflows...Full timeLive inWork at officeLocal area
$71.04k - $89.87k
...and a winter recess.POSITION OBJECTIVEThe Director provides senior leadership,... ..., and approximately 6 student staff) by managing employee performance evaluations, and where... ...implement responsible civic engagement. (18%) Utilize institutional resources effectively and...Full timeWork at officeLocal area$60k - $65k
Director of Jewish Learning & Engagement Cleveland Hillel Role Overview Cleveland Hillel... ...portfolio of meaningful student relationships, utilizing one‑on‑one engagement, mentoring, and... ...goal setting, coaching, and performance management. Support, supervise, and manage student...Work experience placementSummer internshipNight shiftWeekend work- ...service of our patients and our Mission. Director, Care Delivery Innovation - Work at Home... ...primary accountability is execution, utilizing tactical and operational expertise for implementing... ...behavior change and new ways of working Manages tech-enabled innovation project/...Temporary work
- Interwell Health is a kidney care management company that partners with physicians on its... ...our mission speaks to you, join us! The Director, Provider Enablement is a newly created... ...customer engagement, and self-service utilization. Partner with Implementations to ensure...
- ...through year on year business expansion. You develop relationships with key buyers and decision makers at new and existing clients by utilizing a differentiated roadmap and framework leveraging the latest cloud based technologies.Individuals in this role will collaborate...Full timeWork experience placementLive inWork at officeLocal area
- ...Marine HR ManagerResponsible for the management of marine human capital to support operations in a 24-hour-a-day, seven-day-a-week maritime... ...with a focus on long-term planning to ensure optimum utilization and cost efficiency. Manage vacation and illness relief for marine...Contract work
- ...Achieve revenue goals, cost objectives, and market share targets in assigned departments/service lines. * Optimize resource utilization, including people, capital, and knowledge, to achieve organizational objectives while scaling and standardizing services. * Demonstrate...Permanent employmentTemporary workWork at officeRelocation
- ...and talent analytics to inform business and talent decisions.• Utilize Generative AI tools and Large Language Models (e.g., ChatGPT,... ...develop actionable recommendations for workforce planning, talent management, organizational design, and skills-based transformation...Full timeLive inWork at officeLocal area
$120.6k - $171.8k
...our website to learn more!Who will you be working with?The Plant Manager role for the Cleveland, OH facility will have full business... ...employee health and safety, regulatory compliance, and sustainability.Utilize lean and continuous improvement methods to drive improvements...Hourly payWork experience placementWorldwideRelocation packageFlexible hours$114k - $132k
...responsible for coaching, leveraging team member’s unique strengths, and managing performance to deliver on client expectations. With your... ...work within our Advisory practice, where you will utilize your skills in software development, project planning, and engagement...Full timeWork experience placementH1b- ...commensurate with qualifications and primary board certification. Compensation is highly competitive.A Brief OverviewProvides and manages direct medical evaluation, diagnosis, procedures, and care for patients within a recognized area of practice or for a specified patient...Work experience placementRelocation
- The Sr. Director, Cybersecurity Architecture is the senior leader responsible for enterprise cybersecurity architecture, solution design... ...leadership of the function. Reporting to the CISO, this leader manages and develops a team of security architects and engineers and...Contract workFor contractorsWork experience placementLocal areaRemote work
- ...consider candidates anywhere in the U.S. The Legislative Affairs Director will assist the Principals and Advocacy Services Practice with... ...individuals who are ready for a promotion and currently at the Manager or Senior Manager level. If this is you or someone you know, we...Full timeLocal areaWeekend workAfternoon shift
$266.25k - $286k
Director, Pediatric Palliative CareCleveland Clinic, one of the world's most distinguished academic medical centers, is seeking a Pediatric Palliative Care physician to serve as Director of its growing Pediatric Palliative Care program. The Director will have the resources...Full timeLive in- ...we encourage you to apply.Job DescriptionPosition SummaryThe Director of Process Improvement and Controls is accountable for establishing... ...with Operations, Legal/Compliance, Finance, Technology, Asset Management and other stakeholders to support improvements that enhance...Full timeLive inWork at office
$55k - $68k
Human Resources Manager - Cleveland Botanical Garden Holden Forests & Gardens is seeking... ...compensation processes and reporting. Utilize the HRIS to maintain records, run reports... ..., including staff, volunteers, Board of Directors, and visitors. HF&G believes that working...Full timeTemporary workSeasonal workLocal area$200k - $250k
...Associate Medical Director, Psychiatry Ridge - Cleveland, OH 44102 Overview Salary... ...of this position): Leadership and Management: Direct and oversee the psychiatric... ...Assurance: Oversee quality assurance and utilization reviews specific to psychiatric services...Full timeWork experience placementLocal areaNight shift- ...our stakeholders. Visit us at accenture.com. Within Accenture's Utilities Practice, we use our deep industry expertise in digital... ...resilient. Underpinned by technology, data, analytics, AI, change management, talent and sustainability capabilities, our Strategy & Consulting...Full timeWork experience placementLive inWork at officeLocal area
- ...as we are, join our team.KPMG is currently seeking an Associate Director, Oracle Applications to join our Digital Nexus technology... ...delivery partners and department leaders to set tactical plans and manage strategic objectives, budgets, and risksAct with integrity, professionalism...H1bLocal area
- Job Title: CAS Senior Manager / DirectorLocation: Cleveland, OH (Hybrid or 100% Fully Remote)Position Type: Full-timeIndustry: Public... ...FirmPosition OverviewWe are seeking a high-level CAS Senior Manager or Director to drive strategic growth, lead large-scale client engagements,...Temporary workWork at officeRemote workFlexible hours
$169.01k - $370.53k
...inspiration and expand your capabilities, then consider a career in Advisory. KPMG is currently seeking a Specialist Director, Threat Management to join our Managed Services practice. Responsibilities: Set the strategy and roadmap for Threat Management and MDR...H1bLocal area- ...Talent Acquisition Manager Mayfield Heights, Ohio Who we are: Supply Technologies, a subsidiary of ParkOhio (NASDAQ:PKOH), specializes... ..., professional associations, and external networks. Utilize job boards, social media, networking, and strategic partnerships...Local area
$190k - $220k
...facilities, workplace safety, business continuity, company risk management, supply procurement, vendor management and operational... ...multiple functional areas ~ Experience partnering with Boards of Directors and executive leadership teams and using influence to drive results...Full timeWork at officeLocal area$325k - $425k
...of operations, including manufacturing, fleet, field service, maintenance, supply chain, logistics, safety, and asset lifecycle management. The COO will partner closely with the CEO and Board to translate corporate strategy into disciplined execution, ensuring operational...Temporary workWork experience placementRelocation packageMonday to Friday
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