- Evolent (Providence, RI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Director , Clinical Quality is a pivotal role, spearheading continuous ... to enhance clinical outcomes and operational efficiency. Additionally, the Director , Clinical Quality will support a portfolio of performance initiatives… more
- Athena Health Care Systems (Providence, RI)
- …Athena's continuous quality management program. In conjunction with other operational director , revise the clinical quality improvement program, as ... Care Systems is hiring a Director of Clinical Services to support the quality of...role with weekly pay. The Director of Clinical Services is directly responsible for the quality… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be responsible for the design and oversight of clinical ... global health-care market. The specific duties assigned to the Director , Global Clinical Development include the following:...quality . + ≥ 5 years of involvement in clinical research or drug development in an academic or… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …the clinical development activities in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a ... clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical...lock) are achieved on time and with the highest quality . + Developing and leading formal presentations of results… more
- Gentiva (Warwick, RI)
- **Overview** We are looking for an **Area Director Clinical Operations (covering New England Region)** to join our team. This position will directly report to ... and procedures + Develop and implement annual education requirements for all clinical staff + Coordinate patient records and quality assurance activities… more
- Bausch + Lomb (Providence, RI)
- …global team members, other B&L departments (eg, R&D/Project Management, Clinical /Medical Affairs, Biometrics, Regulatory Affairs, Quality Assurance, ... Summary** **:** Is responsible for the implementation and oversight of clinical study operations by organizing and coordinating with other relevant parties… more
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions- REMOTE **Job Description** ... The Senior Director Clinical Strategy and Oncology Specialty Solutions...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Providence, RI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Highmark Health (Providence, RI)
- **Company :** enGen **Job Description :** **JOB SUMMARY** This job will have director level accountability for the Clinical Services product engineering team and ... create market differentiated solutions. Ensures outcomes are compliant, high quality , available, reliable, effective, and secure. **ESSENTIAL RESPONSIBILITIES** +… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Evolent (Providence, RI)
- …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Evolent (Providence, RI)
- …+ Responsible to assist with all types of audits including Interrater, Customer, Clinical quality , and/or confirmation of process changes. + Holds Field Medical ... a physician`s input is needed or required. Responsible for clinical audits for quality and education regarding...+ In conjunction with other leaders, measures Field Medical Director productivity, quality , and telephone statistics +… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …kept in mind while providing quality health care. Medical Director Responsibilities: + Provides clinical and administrative oversight including productivity, ... to ensure that every member of our community has access to high- quality , affordable healthcare, regardless of their socio-economic status. As a non-profit… more
- United Therapeutics (Providence, RI)
- …difference. The Regional Field Director , RNS Program Management serves as a director of all clinical field activities on the commercial non-promotional team. ... PAH disease state, disease progression, risk stratification, therapies, and clinical considerations. You are ultimately looking to work for...In addition, the Regional Field Director , RNS Program Management will: + Serve as the… more
- Evolent (Providence, RI)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... offer you a meaningful way to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values… more
- Evolent (Providence, RI)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine Surgery cases. ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program for ... include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills and outcomes,… more