Strategic Leader, Clinical Utilization Management
Healthfirst
Healthfirst is seeking a Senior Manager, Clinical Utilization Management (UM) Operations to lead all UM activities ensuring effective service delivery. You will oversee a team of managers and ensure compliance with state and federal regulations while driving operational excellence. The ideal candidate will have a Bachelor's degree in Nursing or Healthcare Administration, NYS RN certification, and proven leadership experience in managing clinical teams, aiming for high performance and quality outcomes. #J-18808-Ljbffr Healthfirst
- ...Department of Surgery. The role includes oversight of clinical operations, education, and strategic planning, while directly impacting patient care and... ...certification and substantial experience in surgery management. A competitive annual base salary of $480,000 along with...Suggested
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- ...locations Job Description Summary The Clinical Trial Leader -CTLs are accountable for the set-up,... ...basis. The CTL is responsible for managing the planning, implementation, and... ...aim to deliver value to patients. Strategic Mindset: Strategic and visionary thinker...SuggestedLocal areaRemote work
- ...experienced Director of Business Development in New York, NY. In this role, you will drive growth by building a strong pipeline for our clinical data product targeting life sciences organizations. Your responsibilities include executing sales processes, closing deals, and...SuggestedRemote work
- ...enterprise governance, lifecycle planning, and strategic sourcing for the non-revenue fleet. You will oversee contract management, supplier oversight, and performance... ...and advances total cost of ownership, fleet utilization, #J-18808-Ljbffr Metropolitan Transportation...SuggestedContract work
- ...Associates is seeking a dynamic RCM & Compliance Manager to lead revenue operations and ensure... ...Home and Hospitalist divisions. This strategic role directly influences revenue capture... ...RCM workflows, and collaborating with clinical teams to uphold high standards of care....
- ADB Companies, LLC is seeking a Senior Strategic Program Manager to lead large-scale telecommunications and data center projects nationwide. You... ...end-to-end PMO leadership within technology, data center, or utility construction, plus PMP certification and a Bachelor's in...
- ...seeking a Head of Sales to lead wholesale and strategic distribution channels beyond DTC and... ...credibility into consumer value. The leader will build a high-impact sales organization... ...collaborate across Marketing, Brand, Clinical, and Growth teams. Remote with periodic...Remote job
- ...Pediatrics is seeking a Client Success Manager to be the single point of contact for a... ...across populations and states. In this strategic, commercial role, you will ensure clients... ...achieve measurable outcomes like reduced utilization, renewals, and higher satisfaction. #J-...
- ...Director, Internal Audit & Enterprise Risk Management Director, Trustee & Advisory Board... ...Western States Director of Policy and Strategic Initiatives Director of Internal Audit... ...Washington DC or Durham NC) Director - Energy & Utilities Consulting - Mountain Region (Boise)...Remote work
- ...of the Surgery Partners family, is seeking an experienced ASC + Clinic Administrator to lead our Southeast Atlanta Clinic + ASC in... ...Director and Surgery Partners, the Administrator oversees daily and strategic operations to deliver high-quality vascular care. The role...
- ...leading life sciences company is seeking an Associate Director for Clinical Systems to lead data-driven feasibility activities in clinical... ..., with proven expertise in data analysis and stakeholder management. Join a team focused on continuous improvement and innovative...Remote job
- ...compliance, and efficiency across the revenue cycle. The role partners with clinical, financial, and operational leaders to align billing practices with organizational goals. You will drive strategic initiatives to optimize revenue capture, enhance the patient financial...
- The American Heart Association has an excellent opportunity for a Business Development Lead, Clinical Solutions & Licensing at our National Center in Dallas, Texas (home-based work is available). You will define alliance and licensing strategy, negotiate complex commercial...Work from home
- Tendo seeks a senior individual contributor to blend clinical informatics with data science to influence hospital ranking and quality... ...scalable Databricks engineering, with executive visibility and strategic impact. Responsibilities include leading AI/ML and rules-based...
- ...not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange... ..., specialists and participating clinics. For more than 30 years, MetroPlusHealth... ..., following established MetroPlusHealth Utilization Management policies, procedures, and protocols...Shift work
- PurposeCare is seeking a strategic Vice President of Revenue Cycle Management to lead and optimize the organization’s revenue cycle from patient access through... ...collections. The role requires collaborating with clinical, compliance, and IT teams to improve documentation,...Flexible hours
- ...Sunset Park, Brooklyn to lead the clinical finance function and serve as Finance Site Leader across departments. The role partners... ...robust analytics, and guide strategic decisions. The Director will supervise the finance staff, manage the annual budget process, and collaborate...
$132k - $198k
...SummaryThe Ultrasound Solutions Leader serves as a strategic, customer facing leader... ...who can identify, develop, manage, and close complex... ...critical role in aligning clinical, operational, and financial... ...high‑value customer solutions.Utilize Salesforce.com and other sales...Visa sponsorshipWork visaRelocation package$192k - $307k
...entrepreneurial, and progressive leader to drive our... ...-market clients, set strategic direction for GTM practitioners... ...for building and managing strong channel... ...billable roles with a utilization target of 45%.Practice... ...working knowledge of clinical and operational workflows...Temporary workWork at officeLocal areaRemote work- ...content across multiple therapy areas, manage writing teams, and serve as primary... ...contact. You will partner with senior leaders to shape clinical strategy and ensure excellence across... ...coaching, project leadership, and strategic input, with opportunities to advance...
$68.4 - $75.38 per hour
...Care *BSN Required. 3 years of clinical RN experience required*... ...and supplies and effectively manages fiscal responsibilities. Assists... ...with organizational and agency strategic goals. Interprets, implements... ...via computer. Consistently utilizes computer to communicate, document...Hourly payDaily paidFull time$175k - $200k
...An education organization seeks a strategic finance leader with strong foundations in investment banking and corporate development. This remote full-time role involves leading financial planning, conducting M&A analysis, and advising leadership. Candidates should have...Full timeRemote work$150k - $250k
...Strategic Partnerships Lead At Prosper AI, we're pioneering the most advanced conversational... ...empowering hospitals and multispecialty clinics to get paid faster and more efficiently, through streamlined revenue cycle management. Our AI agent, Paige, handles tasks...$110k - $190k
Strategic Change Leader, Offshore Delivery Strategy and AI Testing - Vice PresidentWealth Management PlatformsPurchase, NYWe are seeking a forward-thinking leader who is energized by the opportunity to drive transformative change at scale. The candidate will lead initiatives...Temporary workWork at officeWorldwideShift work- ...A leading real estate firm is seeking an FP&A and Strategic Finance Manager in New York to support financial initiatives aligned with company objectives. The ideal candidate will drive analytical rigor and cross-functional collaboration within a dynamic team. Key responsibilities...
- ...collaborate with design-build divisions, and engage utility programs to maximize revenue and rebates. You will build strategic relationships, lead meetings, and guide... ...opportunities, forecast opportunities, and support incentive project managers in staffing #J-18808-Ljbffr...
- ...Design is seeking a senior consulting leader to guide, grow, and strengthen our Utility Design Engineering (UDE)... ...lead a scalable business, mentor managers and technical staff, drive project... ...years to come. Responsibilities Strategic Leadership and Discipline Growth...Contract workTemporary workFor contractorsWork at officeRelocation
$97.33k - $114.5k
...Spring Health, a global leader in mental health, is seeking a Clinical Manager to lead its remote clinical team delivering EAP mental health services. This full-time role involves overseeing operational health, ensuring quality service delivery, and mentoring team members...Full timeRemote work$200k - $290k
...StrategyJob Description:As Group Director, Strategic Planning - SVP, you'll drive integrated planning... ...business growth through new business wins, utilizing your expertise in pharma compliance, therapeutic areas, and client management to deliver innovative solutions.About the...Full timeWork at officeLocal area3 days per week
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