Anthem, Inc. - Norfolk, VA 3.8

Medical Management Operations Manager. Serves as project lead for implementing medical management systems and related technologies and interfaces;...

Estimated: $95,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

BlueCross BlueShield of Tennessee - Chattanooga, TN 3.9

Lead and serve on various committees appropriate to accomplishing the medical management, cost and quality objectives of BCBST....

Estimated: $120,000 - $170,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Sharp Healthcare - San Diego, CA 4.1

2-3 years Medical Management experience; Managing medical management activities to include tracking, trending and analyzing UM data;...

Estimated: $94,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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UM Baltimore Washington Medical Center - Glen Burnie, MD 3.9

University of Maryland Medical System at Baltimore Washington Medical Center is seeking a Manager-M&B/OB, Registered Nurse (RN) to lead the Mother & Baby...

Estimated: $68,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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EXL - Remote 3.8

Reviews cases for medical necessity. Managed care experience to include utilization management, case management and/or disease management preferred and/or a...

Estimated: $140,000 - $200,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Aetna - Doral, FL 3.8

Functional - Medical Management/Medical Management - Administration/Management/1-3 Years. Functional - Medical Management/Medical Management - Concurrent Review...

Estimated: $170,000 - $220,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

BlueCross BlueShield of Tennessee - Chattanooga, TN 3.9

Lead and serve on various committees appropriate to accomplishing the medical management, cost and quality objectives of BCBST....

Estimated: $120,000 - $170,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Florida Blue - Jacksonville, FL 4

Perform as lead Medical Director consultant for one sub-category of utilization management, such as commercial or Medicare medical policy....

Estimated: $170,000 - $230,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Magellan Health - Glen Allen, VA 3.6

Provides day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and...

Estimated: $93,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Cross Blue Shield of Minnesota - Eagan, MN 3.8

E.g. case management, disease management, utilization management. Proficient in PC applications required to support medical management....

Estimated: $68,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

naviHealth - Field 3.3

NaviHealth’s Medical Director will partner with cross-functional teams and senior leaders to ensure naviHealth leads the industry in innovative health...

Estimated: $170,000 - $230,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Anthem, Inc. - Georgia 3.8

Utilization Management Representative Lead. Medical terminology training preferred. Motivates and encourages UM Reps while providing technical guidance....

Estimated: $34,000 - $48,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Conviva Care Solutions, LLC - Miami, FL 

The Regional Medical Director is accountable for orientation, training, coaching and mentoring the Medical Directors....

Estimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

University of Miami - Coral Gables, FL 4.1

Leads the development of risk management and compliance programs. Oversees all aspects of medical risk management, risk prevention, and patient safety...

$120,000 - $220,000 a year

Prime Therapeutics - Hoover, AL 3.4

This role’s responsibilities may include the management of drug formulary, Utilization Management (UM) programs, benefit design strategies, and other drug...

Estimated: $110,000 - $160,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Shield of California - Rancho Cordova, CA 3.6

Utilization & Medical Review Management:. Utilization and Medical Review:. Responsible for program execution and drives medical program management for specific...

Estimated: $80,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Aetna - Richmond, VA 3.8

Functional - Medical Management/Medical Management - Clinical coverage and policies/1-3 Years. Will collaborate with other medical management supervisors...

Estimated: $67,000 - $88,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

University of Miami - Coral Gables, FL 4.1

Medical Development is seeking a Vice President (VP), Medical Development. Lead a Medical Development staff of over 80, including Central Medical Development,...

Estimated: $120,000 - $170,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Piedmont Healthcare - Atlanta, GA 3.7

Utilization Management team and Care Management team. The purpose of the Utilization Management Team Lead is to provide hands-on leadership of a specific care...

Estimated: $80,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Health Integrated - Florida 

Participation in hospital managed care or medical practice UM committees is desirable. This position is responsible for the supervision of the Medical Directors...

Estimated: $98,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Brown Medicine - East Providence, RI 

Certification in disease management and/or case management preferred. Experience in public health, chronic disease management, community nursing, disease...

Estimated: $120,000 - $170,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Magellan Health - Newtown, PA +2 locations3.6

Provides day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and...

Estimated: $140,000 - $190,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

UnitedHealth Group - Atlanta, GA +1 location3.6

6+ months of Claim UM (Utilization Management) experience. Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical...

Aetna - New Albany, OH 3.8

Will collaborate with other medical management supervisors/managers to ensure consistency in clinical interventions supporting our members;...

Estimated: $66,000 - $86,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Fallon Health - Worcester, MA 3.5

Working with Medical Economics, develop reports to meet project and account management needs. Oversee Medication Therapy Management Program....

Estimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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CompHealth - California 3.9

Will oversee 8 UM Medical Directors. Experience with UM - Utilization Management, CM - Case Management, MLTSS - Medicaid Managed Long Term Services and Supports...

Estimated: $160,000 - $220,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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