Utilization Management

Utilization Management

AllMed Healthcare Management Logo
Industry
Hospital & Health Care
Category
Business Description

AllMed Healthcare Management is a utilization management and independent review organization providing comprehensive nurse and physician review solutions to payers and plan designated organizations nationwide. Their clients include leading health plans, managed care organizations, coordinated care organizations, third party administrators (TPAs) and pharmacy benefit managers (PBMs). Their services are deployed through PeerPoint, AllMed's state-of-the-art proprietary medical review portal. AllMed seek physician reviewers to join their network.

 

See also: IMEDECS

Company Headquarters
111 SW 5th Avenue, Suite 1400, Portland, Oregon 97205 USA
Phone
(800) 400-9916 Toll Free
Fax
(503) 223-6244
Contact
https://www.allmedmd.com/about/contact-us/
Hiring Location(s)
US
CareCentrix Logo
Industry
Hospital & Health Care
Business Description

CareCentrix is a leader in managing care to the home. They connect patients with the care they need at home, through a national network of over 8,000 credentialed provider locations, with customer care centers located across the United States. CareCentrix provides optimal access to quality home care for more than 19 million lives by connecting providers with patients and helping them navigate the complex home care system.

CareCentrix’s extensive range of services provides support and coordination for patients and their families in every step of the healing process, including home health, durable medical equipment (DME), home infusion, sleep management and care management services, which ultimately improve care transitions and reduce unnecessary readmissions and emergency room visits.

 

"CareCentrix empowers health at home through whole-person care coordination and value-based benefit management. Our home-centered approach starts with the members we support, leveraging data and insights to deliver the right care at the right time from hospital to home."

 

See also: Carewell

Company Headquarters
20 Church Street, 12th Floor, Hartford, Connecticut 06103, USA
Phone
(800) 808-1902 Toll Free
Contact
https://www.carecentrix.com/contact-us
Hiring Location(s)
US
Clarify Health Solutions Logo
Industry
Information Technology & Services
Business Description

Clarify Health Solutions provides the breakthrough technology and analytics platform to personalize and optimize patient care journeys. Our purpose-built solutions - developed by a world-class team of data scientists and engineers from the financial services industry, top clinical operations experts, and logistics specialists - are transforming healthcare processes and workflows. Clarify delivers actionable insights that enable physicians, health systems, payers, and life sciences organizations to deliver better care today and evolve for a value-based world.

Company Headquarters
75 Hawthorne Street, San Francisco, California 94105, USA
Phone
(415) 343 4655
Hiring Location(s)
US
HMS Healthcare Logo
Industry
Hospital & Health Care
Business Description

HMS® advances healthcare by helping organizations reduce costs and improve health outcomes. Through our industry-leading technology and analytics, we save billions of healthcare dollars annually while helping consumers lead healthier lives. HMS provides a broad range of payment accuracy solutions that help move the healthcare system forward.

Company Headquarters
5615 High Point Drive, Irving, Texas 75038, USA
Phone
(972) 550-0323
Contact
https://www.hms.com/contact/
Hiring Location(s)
US
Olive Logo
Industry
Information Technology & Services
Business Description

Olive is the automation company creating the Internet of Healthcare. Addressing healthcare's most burdensome issues with intelligent automation, Olive shines a bright light that drives connections between siloed technology. It increases revenue, reduces costs and improves efficiency for hospitals, health systems and payers, so everyone can benefit from a healthier industry tomorrow. Remote positions are location-specific.

Company Headquarters
HQ: 99 East Main Street, Columbus, Ohio 43215, USA
Contact
https://oliveai.com/contact-us
Hiring Location(s)
US
VirtualHealth Logo
Industry
Hospital & Health Care
Business Description

HELIOS® by VirtualHealth is the first comprehensive care management platform purpose-built to power the entire ecosystem of care. Utilized by some of the most innovative health plans in the country to manage millions of members, HELIOS® streamlines value-based and person-centered care with intelligent case, disease, and utilization management workflows, standard and custom data integrations, broad-spectrum collaboration, patient engagement, real-time telehealth, and configurable analytics and reporting.

Company Headquarters
115 Fifth Avenue, 2nd Floor, New York, New York 10003, USA
Phone
(646) 690-8207
Contact
https://www.virtualhealth.com/connect-with-us.html
Hiring Location(s)
US