review of results. This position reports to the National Medical Director of Specialty Content and Care Pathways... with managed care functions of utilization management, clinical decision support, post service review, and/or care management...
Plans, Inc. is a proud member of the Elevance Health family of companies. We are a health maintenance organization... in a managed care setting preferred. RN, LSW, LPC, or LPN/LVN license preferred. Experience in Excel preferred. Bilingual...
applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering...Anticipated End Date: 2026-04-01 Position Title: Manager I Medical Management Job Description: JR186273 Manager...
, and the broader Operations organization to deliver high-quality, scalable training and technology solutions that directly..., managed services, or B2B SaaS. Familiarity with adult learning and instructional design principles. Background in sales...
Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report... of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320...
you as a permanent employee at any time during or after the end of the contract. You may participate in the company group medical..., Quality, PGS sites and R&D) and will lead virtual cross functional teams. Initiate, review and approve regulatory changes...
customer relationships with Caterpillar and major suppliers to ensure organization is meeting Customer and Employee..., and competitors. Build, enhance and maintain key customer relationships with Caterpillar and major suppliers to ensure organization...
Technology & Cybersecurity will provide strategic legal support to the global IT organization. This role will guide major... management, readiness, and incident response activities. Draft, review, and negotiate IT agreements, including software...
organization. This includes leading a team through complex Requests for Information, Quotes, Bids, Proposals, (RFX) processes... organization and in a manner that adheres to CORE policies and regulations. Essential Duties and Responsibilities Leads the...
.E.D. 3-4 years experience in a managed care organization, hospital or physician’s office with 1 year referral experience... of the Referral Process Collects all referrals from medical staff daily and obtains any necessary approvals from attendings...