. Growing together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication.../Department of Managed Healthcare, and CMS regulatory responses Communicate with UnitedHealthcare medical directors regarding...
organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). The Medical Director... Medical Director is a key member of the Optum Enterprise Clinical Services Team. On the Focused Pharmacy Review team...
Job Description: MedicalReview and Appeals – RN Lead II - BPM Who We Are: UST HealthProof is a trusted partner... all, equitably and effectively. You Are: Perform prospective, concurrent and retrospective review of inpatient, outpatient...
sales of an organization's products and/or services. Responsibilities: Responsible for prospecting and developing new... weekly client meetings virtually or in-person. Complete sales activities via CRM tool set. Review weekly with management...
Manager to review work, receive direction and discuss customers' concerns and problems. · Requires daily external contact... individuals to work smarter from any location and harness the power of information-how it is collected, stored, managed...
and consulting organization that began in 1978 with a commitment to providing high quality service in the affordable housing sector... property management and resident services department to assist in the review of NOI on all properties to assure effective...
-term potential and is located in Fort Worth, TX (Onsite). Please review the job description below and contact me ASAP... (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Support the...
best practices. Coordinate MOC workflow to ensure compliance and changes are being managed proficiently. Review all start up... responsible to all affected personnel. Review all Process Safety Events and associated incident investigations. Participate...
Welcome to Adelante Mujeres, where we are more than just an organization;we are a movement. Our mission is to uplift... into your activities, fostering a well-managed, high-quality program that resonates with our youth. At the heart of it...
, and Regulatory (MLR) review process Help organize training resources for the Medical Affairs team Assist in the cross-functional... of the Biotechnology Industry. The rotations will include medical monitoring, clinical operations, pharmacovigilance...