- Parexel (Providence, RI)
- …are expanding our esteemed Medical Sciences Team and seeking an Associate/Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the...include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts on challenges… 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 ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- CenterWell (Providence, RI)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- PagerDuty (Providence, RI)
- …world-all in a flexible, award-winning workplace. PagerDuty is seeking a **Senior Director , Platform Product Management ** to join our diverse, customer-focused ... Inc. (NYSE:PD) is a global leader in digital operations management . Trusted by nearly half of both the Fortune...the merits of an API structure and the business case for integration with a potential platform partner. You… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- Brown University (Providence, RI)
- …Safety, BUDPS immediately needs an outstanding individual to serve as the Director of Inspectional Services to provide oversight and strategic leadership over the ... violation, and/or other special confidential investigation requests; examine personnel and case records to ensure that police personnel conform to prescribed… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...where the analysis of situations or data requires a case -by- case consideration of the Medicare rules, Humana… more
- Highmark Health (Providence, RI)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… 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 ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… 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 the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- Evolent (Providence, RI)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Northeast Family Services (Fall River, MA)
- …providing direct treatment services + Proficient with supervision, service delivery and case management fundamentals + Experience in quality management ... Director of Internship and Training Are you passionate...and families thrive. We're seeking an experienced and compassionate Director of Internship and Training to lead our programs… more
- Datavant (Providence, RI)
- …**You Will:** + Reporting to the Head of Commercial GTM, the Director , Sales Enablement will develop client-facing messaging, design sales training programs, and ... and analyze full-funnel metrics to find insights and assist management in making sound decisions + Set up &...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Providence, RI)
- …life experiences to realize our bold vision for healthcare. **Summary** The Payroll Director will lead and manage all aspects of global payroll operations, ensuring ... a leadership role. + Demonstrated expertise in multi-country payroll management . + Strong working knowledge of Oracle HCM, ADP,...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- CVS Health (Woonsocket, RI)
- …and are looking for an experienced CRM professional to help lead this change. The director will report into the Executive Director of CRM Marketing. The Lead ... and dynamic content roadmap + Assist in building the case for change and championing the need for transformation...experience in CRM, lifecycle, or loyalty marketing or product management + 3+ years of experience managing a team… more
- Lumen (Providence, RI)
- …we digitally connect the world and shape the future. **The Role** The Director of HR Solutions is responsible for leading cross-functional project teams to develop ... lifecycle. + Outline program risks and generate comprehensive reports for management and stakeholders. + Integrate employee engagement and experience strategies,… more
- Edwards Lifesciences (Providence, RI)
- …lives. Join us and be part of our inspiring journey. The ** Director , Commercial Procedure Development** will lead various TMTT commercial strategy development, ... + Create engagement with implanting team physicians through the review of commercial case outcomes data. Meet with physicians onsite and at key industry conferences.… more
