Utilization Management Jobs in Baltimore, MD

Under limited supervision plans coordinates leads and monitors quality improvement and patient safety initiatives for ambulatory transplant services. Accountable for the overall quality of ambulatory transplant care provided at UMMC as well as compliance with UNOS OPTN CMS and Joint C More...

OverviewAbout Kennedy Krieger InstituteKennedy Krieger Institute leads the way in translating scientific advances into new therapies and educational interventions while providing an inspirational environment for training tomorrows leaders in the field. These successes benefit millions More...

We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role you will be responsible for overseeing medication utilization formulary management and ensuring costeffective pharmacy services. The i More...

General SummaryUnder the general supervision provides care coordination clinical utilization management and discharge planning for an assigned case load. This role is patient focused outcome oriented and based on general and specialty professional standards and functions within an int More...

Johns Hopkins Community Physicians(JHCP) is looking for anOffice Medical Director to join our Remingtonpractice. Johns Hopkins Community Physicians serves Maryland and Washington DC with over 40 locations. Benefits:Fulltime 32 hours clinical and 8 hours adminAdditional protected time More...

Johns Hopkins Community Physicians(JHCP) is looking for anOffice Medical Director to join our Greater Dundalkpractice. Johns Hopkins Community Physicians serves Maryland and Washington DC with over 40 locations. Benefits:Fulltime 32 hours clinical and 8 hours adminAdditional protecte More...

The Johns Hopkins Medicine Office of Population Health (OPH)is a Johns Hopkins Health System department comprised of management and patientfacing clinical these teams support enterprisewide efforts to improve quality and patient outcomes by implementing timely and siteappropriate car More...

Elevate your possibilitiesJohns Hopkins Childrens Center is seeking an experienced and dedicated Fetal Program Nurse Coordinator to join our specialized team. In this vital role you will provide comprehensive support and coordination for pregnant patients diagnosed with fetal anomalie More...

Actuarial and Financial Modeling: Develop and maintain actuarial and financial models to support business needs and strategic goals. Design and develop financial models to quantify the impact of proposed costsaving initiatives and forecast potential outcomes. Assist in More...

Industry: Healthcare Services/Medical Waste ManagementAre you an experienced Business Unit Director or General Manager ready to lead the continued growth of a medical waste facility Were seeking a motivated people leader to take ownership and drive operational and business unit excell More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

Actuarial and Financial Modeling: Develop and maintain actuarial and financial models to support business needs and strategic goals. Design and develop financial models to quantify the impact of proposed costsaving initiatives and forecast potential outcomes. Assist in More...

About This Role The Associate Medical Director Rare Disease role is a part of US Medical Affairs a strategic partner within Biogen that helps inform medical practice across our therapeutic areas and pipeline to improve meaningful patient outcomes. As a key member of the US Rare Disea More...

Date Posted:Country: United States of AmericaLocation: OT300: NPB LINTHICUM (BALT) MD 1705 Twin Springs Road Suite 110 Baltimore MD 21227 USAWould you like to join a truly international talent driven company that values Safety Ethics Quality Innovation and Employee OpportunityOtis is More...

What Does A Director Medical Writing DoThe role of a Director Medical Writing involves leading the creation of highquality medical content and ensuring compliance with regulatory standards. Here are some key responsibilities and qualifications for this position: Key Responsibilit More...

Assesses the needs of individual patients within an assigned case load for care coordination discharge planning and utilization management services Facilitates early referral to high risk case management physical therapy occupational therapy social work risk management patient advocac More...

Assesses the needs of individual patients within an assigned case load for care coordination discharge planning and utilization management services Facilitates early referral to high risk case management physical therapy occupational therapy social work risk management patient advocac More...

I. General SummaryUnder general supervision provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patients need for outpatient or inpatient care as well as the appropriate l More...

What Does the Director Medical Strategy DoConsult with Creative Account and Planning teams to develop compelling medical content across all digital and print media Identify new medical advances and opportunities and implement disease state knowledge to drive promot More...

This position is located within the Psychiatric Admissions and Referral Center (PARC). PARC is the administrative hub for referrals to inpatient and partial hospitalization/intensive outpatient psychiatry programs at University of Maryland Medical Center and University of Maryland Med More...