utilization review, Appeals and Grievances, and provider claims dispute reviews. The Medical Director, Utilization Management... implementation of transformation initiatives for the membership Support Sr. Medical Director, Concurrent Review in coordinating the...
health care system in California. The Medical Director, Utilization Management will report to the Vice President, Medical... reviews. The Medical Director, Utilization Management facilitates performance management and goals in alignment...
Job Description: Your Role The Utilization Management Concurrent Review team ensures accurate and timely..., Utilization Management Nurse Management will report to the Director, Utilization Management Nurse Management. In this role...
, Medical Director concurrent review, ACO support, BSC Pharmacy and clinical quality improvement, among others. When... data, Medicare revenue and costs related to utilization management, case management, pharmacy management, Medicare Stars...