Utilization Management Jobs in Tucson, AZ

Reporting to Experian Health the Manager Payer Operations will lead a team of EDI Analysts responsible for optimizing connectivity monitoring and ensuring operational excellence across electronic transaction workflows. The Manager will be an important escalation point guide process i More...

SUMMARYThis position coordinates the day-to-day operations of the preschool programs located at elementary and K-8 schools across the district. Coordinates the activities and functions of designated programs. Analyzes evaluates and ensures that the goals and objective for the program More...

SUMMARYCoordinates the activities and functions of designated programs. Analyzes evaluates and ensures that the goals and objectives for the program are accomplished according to established priorities time and funding limitations or other specifications.A program refers to carrying o More...

Easterseals Blake Foundation started as the Cerebral Palsy Foundation of Southern Arizona. Since then we have expanded our services to better serve our community members. We are now one of Arizonas top providers of comprehensive behavioral health services child welfare and services fo 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...

SUMMARYCoordinates the activities and functions of designated programs. Analyzes evaluates and ensures that the goals and objectives for the program are accomplished according to established priorities time and funding limitations or other specifications.The TSW Senior Coordinator wil More...

Full time Medical Director or Lead Veterinarian New Opportunity $20K SignOn Bonus Great Salary Tucson AZA growing and wellrespected veterinary hospital in Tucson AZ is looking for a fulltime Medical Director to lead their compassionate clinical team. This is a standout opportunity 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...

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...

SUMMARYCoordinates the activities and functions of designated programs. Analyzes evaluates and ensures that the goals and objectives for the program are accomplished according to established priorities time and funding limitations or other specifications.A program refers to carrying o 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...

***This is an on site Position located on the Catalina Hight School Campus ***SUMMARYThrough the implementation of the National Career Development Guidelines with specific attention to restorative practices intentional student equal academic access student advocacy and college and car 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...

At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nations leading health solutions company we reach millions of Americans through our local presence digital c 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...

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...

ESSENTIAL FUNCTIONS:Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay.Evaluate the utilizati More...