Director of Utilization Management & Care Optimization

Wellpath / Correct Care Solutions

A healthcare organization in Pennsylvania is seeking a Medical Director of Utilization Management to lead utilization review and case management. This role involves improving patient care and collaborating with medical staff to ensure high-quality service delivery. The ideal candidate holds an M.D. or D.O. and has experience in utilization management. Competitive salary, benefits, and a focus on serving vulnerable populations make this an impactful opportunity. #J-18808-Ljbffr Wellpath / Correct Care Solutions

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Director of Utilization Management & Care Optimization in New York, NY vacancy

Director Utilization Mgmt (DO OR MD REQUIRED)
$199.99k - $250k
...Search by Job Family Viewing: Director Utilization Mgmt (DO OR MD REQUIRED)... ...a career that supports: • Caring for overlooked, underserved... ...Medical Director of Utilization Management leads and oversees... ...collaboratively with internal teams to optimize care delivery and achieve...
Suggested
Work at office
Wellpath / Correct Care Solutions
New York, NY
2 days ago
Remote Senior Director, Complex Care & Utilization Mgmt
...A healthcare organization is seeking a Senior Director for Complex Care Management and Utilization Management. This strategic role involves overseeing national programs to improve health outcomes for complex populations. Key responsibilities include implementing member...
Suggested
Remote work
AbsoluteCARE Inc
New York, NY
10 hours ago
Senior Director, Complex Care & Utilization Management
...A healthcare organization is seeking a Senior Director of Complex Care Management and Utilization Management to oversee national programs aimed at healthcare delivery improvements for complex populations. Responsibilities include directing care models, ensuring regulatory...
Suggested
Remote work
Home office
AbsoluteCARE Inc
New York, NY
10 hours ago
DIRECTOR OF THERAPY ADMINISTRATION
$160k - $185k
...Psychologist Category Health Care Description... ...the Role: The Director of Therapy Administration... ...responsible for the overall management, coordination, and... ...such as access, visit utilization, productivity, no-show... ...patient flow, optimize therapy scheduling, and...
Suggested
Full time
Temporary work
Work at office
Flexible hours
Shift work
Afternoon shift
Callen-Lorde Community Health Center
New York, NY
10 hours ago
Senior Director PeriOp
...health system seeks a Senior Director of Perioperative... ...exceptional, patient-centered care through operational... ...Responsibilities: Lead and manage all aspects of... ...staffing models, and resource utilization to ensure fiscal responsibility and optimal performance. Foster a...
Suggested
Noor Staffing Group
New York, NY
3 days ago
Senior Director of Pharmacy - New York, NY
Empower. Unite. Care. MetroPlus Health is committed to empowering... ...do every day. The Senior Director of Pharmacy is a senior... ...programs across the entire managed care plan and ensuring that... ...stakeholders to ensure the optimal utilization of technology and resources,...
Temporary work
MetroPlus
New York, NY
3 days ago
Director, Value-Based Analytics & Actuarial Strategy
Job Description: Director, Value-Based Analytics & Actuarial... ..., more cost-effective care to the communities... ..., and program optimization Collaborate with internal... ...claims, cost, quality, utilization) and proficiency with... ...health plan or large ACO managing value-based...
Contract work
Casual work
SpectraMedix
New York, NY
4 days ago
Senior Director, Professional Delivery
$225k - $285k
...Job Description Senior Director, Professional Delivery Location... ...is a leading AI-based care management company serving healthcare providers... ...Data teams to design and optimize workflows, tools, and AI-... ...performance (e.g., P&L ownership, utilization, margin). Prior success and...
Full time
Work at office
Local area
Phamily
New York, NY
2 days ago
Senior Director/VP, MGU Partnerships
...healthcare expensive isn't medical care. It's the machinery wrapped... ...value Scope, onboard, and manage new program partnerships with... ...loss ratio trends and utilization drivers Partner with underwriting... ...that matters: Instead of optimizing ads or cutting labor costs, you...
Arlo
New York, NY
3 days ago
HR Business Partner, Human Resources
...on providing great clinical care. LogixHealth was founded in the... ...-enabled revenue cycle management services, offering a complete... ...expert revenue cycle services, we utilize proprietary software to provide... ...audit standards Evaluate and optimize payroll systems and processes...
Hourly pay
Local area
Remote work
LogixHealth
New York, NY
10 hours ago
Frontline Technical Services Manager - Bilingual (Spanish/English)
$110k - $135k
...expertise, implementation and managed services to help... ...service delivery and customer care. This role establishes and maintains... ...responsible for attaining maximum utilization of technical resources... ...independent creative thinking, optimism, self-confidence, and a can‑do...
Temporary work
Immediate start
Flexible hours
Net At Work
New York, NY
4 days ago
Healthcare Human Resources Senior Manager
$130k - $170k
...Human Resources Senior Manager to join Facktor and... ...organizations delivering care to those who need it... ...improvement, clinical optimization, business intelligence... ...partnership with the Director of Workforce, create a... ...opportunities across the firm to utilize SMEs. Client Relations...
Full time
Interim role
Summer work
Work at office
Local area
Remote work
Facktor
New York, NY
10 hours ago
Associate Director of Operations
Overview At Essen Health Care, we care for that! As... ...staffing and care management. Founded in 1999, our... ...Summary: The Associate Director of Operations for Outpatient... ...patient satisfaction, optimizing workflows, and... ...operations. Ensure proper utilization of Electronic Health...
Temporary work
Work at office
Essen Medical Associates
New York, NY
3 days ago
Associate Director of Operations, Neuroscience-MSW-FT Days
...Associate Director of Operations for Neurosciences... ...workflows that support optimal patient flow across all... ...# Oversee financial management responsibilities, including... ..., including exam room utilization, ancillary services... ...delivering outstanding patient care. When you join us, you...
Temporary work
Traineeship
Local area
Mount Sinai Hospital
Brooklyn, NY
2 days ago
Director, Paid Social - (Remote MST or PST)
$130k - $150k
...Director, Paid Social – (Remote MST or PST) We are pioneers at heart... ...to cope and small enough to care. Meaning, that with people across... ...responsible for building and managing high-performing, efficient... ...perspective on how/when to utilize various channels and how they...
Work experience placement
Remote work
Flexible hours
Dept Holding B.V.
New York, NY
10 hours ago
Remote Director of Pre-Appeals & Utilization Management
$153.72k - $230.58k
...prominent healthcare institution in New York is seeking a Director of Pre Appeals Management to lead operational oversight for the pre-appeals... ...Candidates must hold a BSN and have extensive experience in utilization management and appeals. Salary ranges from $153,723 to...
Remote work
Mount Sinai Medical Center of Florida
New York, NY
2 days ago
Director, Global Partnerships
$165k - $185k
...Director, Global Partnerships With millions of diners, 60,000+... ...Hospitality is all about taking care of others, and it defines our... ...end-to-end ownership and management of our most strategic global... ...consensus. Develop, oversee, and optimize joint business plans, OKRs,...
Contract work
Work at office
Local area
Flexible hours
2 days per week
OpenTable
New York, NY
7 days ago
Director of MDS
$150k
...Job Description Director of Clinical Documentation & Reimbursement... ...A leading senior care campus in the Bronx is seeking... ...(MDS) and Health Information Management (HIM). The Director will ensure... ...related to the RAI process while optimizing Medicare, Medicaid, and Managed...
Permanent employment
Full time
Immediate start
Pride Health
New York, NY
16 days ago
Director, Care Management
$155k - $175k
...something, you know where to go to get it with care that is a click (or as few clicks as possible!)... ...affordable benefits, join us! We're looking for a Director, Care Management to lead our case management and utilization management functions making sure the care our members...
Contract work
Temporary work
Work at office
Remote work
Home office
Flexible hours
Sana Benefits Inc
New York, NY
10 hours ago
Senior Director of Claims and Vendor Management
...Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a... ...individual to join our team as the Senior Director of Claims and Vendor Management. Compensation will be commensurate... ...and conducting root cause analysis utilizing best practices. Ensure...
Contract work
Amida Care
New York, NY
3 days ago
Director, Smart Grid & Electric Utility Consulting
...Director, Smart Grid & Electric Utility Consulting Department: Corporate Services Employment Type: Full Time Location: Remote Reporting To: Evan Feinman... ...service providers with expert financial, engineering, management, operational, regulatory, and strategic guidance. Our...
Full time
Work at office
Remote work
Shift work
John Staurulakis
New York, NY
10 hours ago
Director, Epic Revenue Cycle
...seeking an Epic Revenue Cycle Director to join our team. You'll have... ...process improvement, manage complex projects, and solve difficult... ...improvements in patient care, operational efficiency, and... ...Cycle engagements, including optimization, implementation support, and...
Full time
Temporary work
Remote work
Work from home
Internetwork Expert Inc
New York, NY
10 hours ago
Director, Smart Grid & Utility Consulting Remote
...A consulting firm is seeking a Director, Smart Grid & Electric Utility Consulting to lead the growth of their Smart Grid practice. This remote position requires at least 10 years of experience in electric utilities and business development. You'll define strategic initiatives...
Remote work
John Staurulakis
New York, NY
10 hours ago
Director, IT Optimization (Idaho, Wyoming or Montana)
$115k - $135k
...Director, IT Optimization (Idaho, Wyoming or Montana) Join to apply for the Director, IT Optimization... ...Partners provides consistent, high-quality care to patients, while delivering enhanced... ...operational efficiency. Implement and manage performance monitoring tools to track,...
Full time
Work experience placement
Local area
Remote work
Night shift
Afternoon shift
Radiology Partners
New York, NY
2 days ago
Director, Revenue Cycle Management
$150k - $170k
...personalized clinical nutrition care, behavior change tools, and... ...and national Medicaid managed care organizations, Medicare... ...planning for the entire family, optimizing ingredients both at home and... ...that engine. We are hiring a Director of Revenue Cycle Management to...
Contract work
Local area
Immediate start
Remote work
Flexible hours
Foodsmart
New York, NY
10 hours ago
Director of Revenue Cycle Optimization
...LLC is seeking a Revenue Cycle Operations Director to oversee all aspects of the revenue... ...Bachelor’s degree, 7+ years in revenue cycle management, and strong leadership abilities. The... ...closely with various departments to optimize revenue processes and ensure regulatory...
Health Business Solutions
New York, NY
10 hours ago
Associate Director of Sales - InterContinental New York Barclay
$120k - $138k
Associate Director of Sales - InterContinental New York... ...the same amount of care and passion to their jobs... ...closely with Revenue Management, Marketing and Events... ...increased business volume, optimized pricing, and hotel... ...skills are utilized a significant amount of...
Daily paid
Contract work
Shift work
Night shift
Weekend work
InterContinental Hotels Group
New York, NY
4 days ago
Technical Account Manager (USA - Remote)
...At Gurobi Optimization, we're on a mission! A mission that focuses on... ...Gurobi. As a Technical Account Manager (TAM) at Gurobi Optimization,... ...heterogeneous team of people who care about our work, our customers... ...is to ensure the efficient utilization of our optimization...
Work experience placement
Remote work
Gurobi Optimization
New York, NY
10 hours ago
Director, Electronic Solder Materials
$145.79k - $218.68k
...metal joining solutions for optimally performing circuits Film & Smart... ..., Collaborate, Choose, and Care. These core values are the... ...Who are we looking for? The Director, Electronic Solder Materials... ...global messaging across product management and marketing channels. Technology...
Local area
Worldwide
Element Solutions Inc
New York, NY
4 days ago
Director - Reimbursement and Contract Analytics
$117k - $208k
Description MSHP seeks a Director of Reimbursement and Contract Analytics to lead the contract... ...analytics function supporting MSHS managed care agreements across hospital/facility, physician... ...Strategy. The Director ensures optimal results through strong team leadership,...
Contract work
Traineeship
Mount Sinai Medical Center
New York, NY
10 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Director of Utilization Management & Care Optimization. Be the first to apply!