Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization... and collaborating on all aspects of utilization management and care coordination for Commercial membership. The Director, Commercial...
years of Health Plan experience in commercial, Medicare Advantage and Medi-Cal utilization management, case review... utilization management and fraud waste and abuse case evaluations Participate with the quality management function in the...
Director, Behavioral Health will report to the Vice President, Medical Management. In this role you will provide leadership... concurrent review, pre and post service utilization review, and collaboration with RN Care Managers. The Senior Medical Director...
Director, Commercial Utilization Management role will also provide direction and leadership in compliance to regulatory...Job Description: Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director...
years of Health Plan experience in commercial, Medicare Advantage and Medi-Cal utilization management, case review... utilization management and fraud waste and abuse case evaluations Participate with the quality management function in the...
A minimum of 3 years of Health Plan experience in commercial, Medicare Advantage and Medi-Cal utilization management, case review... California. The Senior Medical Director, Behavioral Health will report to the Vice President, Medical Management. In this role...