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Our client is seeking a highly experienced business development and commercial manager to take their small, but already successful and rapidly growing business into new sectors within the medical devices sector. Their product is an advanced and innovative technology that is creating great interest amongst orthopaedics, cardiac surgery and neurosurgery implant companies.
They are looking to recruit an experienced hands-on PROJECT MANAGER with emphasis on delivering projects to customers throughout the UK. (preferably located in the South) The focus will be on their supply chain management solution expanding to other solutions in their portfolio. They will have a direct reporting line to head of EMEA & APAC.
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POSITION SUMMARY Provides medical professional judgment for and oversight of the Utilization Management Program to ensure that the healthcare and services provided to Plan members are medically necessary, appropriate, meets contractual compliance and community medical practice standards.
POSITION SUMMARY: Responsible for eligibility and benefit verification and collection of medical data needed for utilization management. Coordinates the review and approval process, outpatient hospital services, ambulatory medical imaging, diagnostic testing, durable medical equipment, home health care, and high cost injectable drugs.
Medical Full Time CMA This individual is responsible for performing all clinical functions in a busy Internal Medicine/Rheumatology Office. Prior medical office experience and use of computers are required. Send resume to ; fax to.
Molina Healthcare has an immediate career opportunity for a Healthcare Business Analyst II for our St. Louis, MO location. This position provides healthcare and financial analysis, including quantifying and analyzing membership, utilization, contracting and financial elements of health care for Medicaid and Medicare, utilizing decision support tools, standard reports and developing ad hoc analyses.
MOLINA HEALTHCARE - DIRECTOR HEALTHCARE SERVICES (McAllen, TX) POSITION SUMMARY The Director Healthcare Services is responsible for the following: · Oversight and management of the Healthcare Services (Clinical Operations) Departments. · Work collaboratively with the VP Medical Affairs/CMO to develop and implement processes to effectively manage clinical policies set by the Medical Affairs Department to meet healthcare cost and quality targets.
HEALTHCARE ANALYST II Responsible for managing Plan Healthcare Analysis staff. Includes management of or performing the duties of the Healthcare Analysts.
SUMMARY The Value Added Services Representative will Interface with Members in the delivery of VAS benefits. Interface with Community Outreach, Government Relations, Medical Affairs and other functional areas to deliver the appropriate benefits for Molina members.
Molina Healthcare manages the three safety net clinics in Fairfax County’s Community Health Care Network (CHCN). This network is a partnership of local government, hospitals, local organizations and a private company who come together to care for the low income uninsured patients of Fairfax County.
POSITION SUMMARY (Temporary position) Performs medical record abstraction supporting Molina Healthcare of Washington’s annual HEDIS activities. Primary duties consist of reviewing records for designated clinical services and determining if applicable services occurred per supplied specifications.
Molina Healthcare manages the three safety net clinics in Fairfax County’s Community Health Care Network (CHCN). This network is a partnership of local government, hospitals, local organizations and a private company who come together to care for the low income uninsured patients of Fairfax County.
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