Utilization Management Jobs in Jackson, WI

The Operational Excellence (OpEx) Coach is responsible for leading major Lean and cultural transformations across their customers in the Food & Beverage CPG and General Manufacturing industries through the implementation of QAD Redzone software and expert level coaching. Coaches w More...

DescriptionThe Case Management Representative (CMR) coordinates the day-to-day operations of Utilization Management by providing all insurance companies with the information required to obtain approved days. Directing all denials and appeals to the appropriate person or team. The CMR More...

Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts.  This role will serve as a scientific and clinical expe More...

Join Ecolabs industry-leading Pest Elimination team as a Field Operations Manager in the Jackson MS area.As a Field Operations Manager you will develop and lead a team of Service Specialists who provide pest detection elimination and prevention solutions to restaurants hospitals hotel More...

DescriptionUnder broad direction from the Centralized Utilization Management Manager is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant pediatric adolescent young adult adult and geriatric patients. Incumbent of th More...

DescriptionUnder broad direction from the Sr. Director of Utilization Management is responsible for the daily operations of the Centralized Utilization Management Programs for FMOLHS which serves infant pediatric adolescent young adult adult and geriatric patients. This position colla More...

DescriptionThe Case Manager directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining sp More...

DescriptionThe Certification Nurse functions as a clinical and utilization analyst for the assigned patient population. He/she functions as a member of the coordinated care team. The team consists of Social Workers Case Managers Nurse Managers Ancillary departments and Staff Nurses. H More...

Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts.  This role will serve as a scientific and clinical expe More...

About This Role:As the Senior Director of Medical Affairs Statistics you will play a pivotal role in leading a dynamic team focused on evidence generation and health technology assessment. This position is critical to ensuring the development and dissemination of scientific evidence o More...

OverviewCritical Illness Recovery HospitalCase ManagerRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).AndPrevious experience in critical care required.Previous di More...

As the Field Medical Strategy & Insights Lead within the Global Medical Affairs (GMA) organization you will spearhead the development of an overarching strategy for the Global Field Medical Team (MSLs) to support clinical trials site engagement scientific exchange and insights gat More...

About This RoleThe Medical Director Lupus role is a part of Immunology Specialty Care North America (US) Medical 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 t More...

About This Role:As a Medical Director Clinical Development Immunology you will be an integral member of the Immunology Therapeutic Area within the Clinical Development Organization. In this dynamic role you will play a critical part in shaping and advancing clinical programs particula More...

About This Role:As a Senior Medical Director for Alzheimers disease & Dementia (ADD) Clinical Development you will be at the helm of pioneering programs that have the potential to transform lives. Youll lead and oversee clinical development activities across both early and latesta More...

The Director of Medical Engagement Excellence Oncology reports to the Senior Director of Medical Affairs Operations.  The Director of Medical Engagement Excellence is responsible for leading all aspects of medical training for field teams to uphold the highest standards of medic 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...

Plasma OperationsProvides operational initiatives with the goal of aligning center processes improving operational efficiencies to ensure center development and ultimately to reduce process variation for consistencies within fleet.Plasma Multi DisciplineManages two or more subfamilies 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...

Now Hiring: Field Managers at JMI ReportsJMI Reports is expanding and were seeking two experienced Field Managers to lead our team of Field Reporting Specialists. If you have strong leadership skills and a passion for property reporting wed like to meet you!Position Overview:As a Fiel More...