Director in Transfer Pricing at PwC leading business development and mentoring teams. Guide tax advisory services with technology while fostering innovation and compliance.
About the role
- Director overseeing utilization management to ensure best member outcomes and compliance in healthcare organization. Leading a team to achieve effective utilization strategies and improve member experiences.
Responsibilities
- Directs the utilization management team to ensure the appropriate application of policy procedures and processes
- Oversees and manages Utilization Operations specific to daily operations of Utilization Management
- Leads utilization management team on performance, improvement, and career growth path considerations
- Reviews, analyzes, and reports on utilization trends, patterns, and impacts
- Develops utilization management strategies and influences decisions
Requirements
- Requires a Bachelor's degree and 7+ years of related experience, including prior management experience
- 4+ years management experience preferred
- Expert knowledge of industry regulations, policies, and standards preferred
- Ohio State RN license is required
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Executive Director leading asset - backed finance and securitization transactions at Fifth Third Bank. Directing teams on complex deals within digital infrastructure and intellectual property.
Lead procurement of utilities for QTS focusing on energy contracting and sustainability initiatives. Collaborate with development teams and manage energy efficiency projects for new infrastructure.
Sr. Director responsible for IT Business Alignment, technology roadmap, and application strategy at Brunswick. Leading enterprise application management and strategic technology planning for Navico Group.
Director overseeing Medicare Stars strategy for Cambia Health Solutions, focusing on quality improvement and performance analytics while leading cross - functional teams.
Government Affairs Director leading company’s strategy in multi - state legislative engagement. Acting as senior representative before state agencies and managing policy initiatives.
Government Affairs Director overseeing advocacy strategies in Northeast states for healthcare access and policies. Leading legislative engagement, stakeholder relationships, and public affairs initiatives.
Government Affairs Director leading advocacy efforts in 10 - 20 states for Modivcare, ensuring alignment with corporate strategies and stakeholder engagement.
System Director overseeing pharmacy clinical practice model in SSM Health's integrated care system. Collaborating with leadership for developing pharmacy services across multiple states and facilities.
Director of Coding overseeing coding operations supporting pediatric specialties at Ensemble, a healthcare technology provider. Responsible for compliance, leadership, and driving operational performance.