- Option Care Health (Charleston, WV)
- …the nursing department. Coordinates all patient care and services in cooperation with the Director of Pharmacy . Facilitates a clinical networking system for ... and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health...guidelines for disciplines. Serves as office administrator with the pharmacy manager in the absence of the Sr./ Director… more
- Zurich NA (Charleston, WV)
- …for UR and pharmacy operation's culture of continuous improvement of the clinical expertise across the organization. + Motivate and lead a high performance team ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP,... nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
- Genesis Healthcare (Hurricane, WV)
- …Care Center, located in Hurricane, WV. This is a Dual Role Attending Physician/Medical Director . It is clinical in nature. There is flexibility with the ... Medical Director partners with the Regional Medical Director to promote the delivery of clinical ...which provides reimbursement for many out-of-pocket medical, wellness, and pharmacy expenses, with an eight thousand max reimbursement for… more
- Humana (Charleston, WV)
- …but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for ... 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 … more
- Merck (Charleston, WV)
- …We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating Priorities. + Invent | ... reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) oncology expert who… more
- Norstella (Charleston, WV)
- Director , HEOR Company: MMIT Location: Remote, United States Date Posted: May 7, 2025 Employment Type: Full Time Job ID: R-1163 **Description** Why Norstella? ... you can act on. **About The Role:** Norstella is seeking an experienced Director , HEOR to design and deliver HEOR/RWE studies for clients in the pharmaceutical,… more
- CenterWell (Charleston, WV)
- **Become a part of our caring community and help us put health first** As an **Area Director of Sales** , you will: . Manage, develop and train sales staff in all to ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Travelers Insurance Company (Charleston, WV)
- …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training...a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the… more
- Genesis Healthcare (Hurricane, WV)
- …Care Center, located in Hurricane, WV. This is a Dual Role Attending Physician/Medical Director . It is clinical in nature. There is flexibility with the ... day-to-day operations. Responsibilities The Attending Physician works with the Center Medical Director to ensure that delivery of clinical services achieves the… more
- BrightSpring Health Services (Dunbar, WV)
- …are completed within five days of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at ... all assigned service sites. Provides oversight and direction for clinical services, and health & wellness for all clients...behavioral and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable… more
- Genesis Healthcare (Sissonville, WV)
- …our day-to-day operations. Responsibilities The Advanced Practice Provider reports directly to the Director of Clinical Practice and/or the Area Clinical ... nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute… more
- United Therapeutics (Charleston, WV)
- …Who you are You are well experienced in Trade, Biotech, and/or Specialty Pharmacy with a great understanding and appreciation of essential things like account ... foster Trade Relations between United Therapeutics Corporation ("UTC") and Specialty Pharmacy Distribution entities. This role will contribute to UT interaction with… more
- CenterWell (South Charleston, WV)
- …calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client ... Services Coordinator, LPN/LVN acts as a vital link between clinical staff and patients, along with their families and...productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +… more