- CVS Health (New York, NY)
- …Analytics organization. The team partners with Aetna's Government lines of business ( Medicare , Duals, Medicaid, ACA) to consult with business leaders to define and ... product solutions. The team is organized by business-aligned verticals - Medicare STARS, Revenue Integrity, Duals, Rewards & Product Engagement, Foundational… more
- Somatus (Mclean, VA)
- Overview The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to ... optimize the programs' clinical benefit, financial accuracy and ensure program compliance with...compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with… more
- Elevance Health (Columbus, OH)
- …check, or ask you for payment as part of consideration for employment. **Managing Medical Director , UM Clinical Operations ** + Job Family: MED > Licensed ... and determination reviews for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing… more
- WellSense (Boston, MA)
- Senior Director of BH Clinical Programs WellSense...director also works in collaboration with the Senior Director of Strategy and Operations , the BH ... the Senior Vice President of Behavioral Health, the Senior Director of BH Clinical Programs oversees the...BH care management program, BH UM program and BH Clinical Support Program to include processes, operations … more
- University of Washington (Seattle, WA)
- …pursuits and natural beauty. **UW Medicine has an outstanding opportunity for a Director of Clinical Regulatory Affairs and Associate General Counsel to join ... their team.** **GENERAL DESCRIPTION AND PURPOSE** The Director of Clinical Regulatory Affairs ( Director...This position will advise on all aspects of specific operations , including legal issues related to hospital and medical… more
- Aveanna (Mount Laurel, NJ)
- …Clinical Director is responsible and accountable for managing all clinical operations . Responsibilities include, but are not limited to, planning, ... Clinical Director ApplyRefer a FriendBack Job...or without notice. Vaccine Requirement As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- The Cigna Group (Birmingham, AL)
- …member of the Provider Contracting Team and reports to the Provider Contracting Director . This role assists in developing the strategic direction and management of ... with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and… more
- University of Pennsylvania (Philadelphia, PA)
- …of health and wellness programs and resources, and much more. Posted Job Title Director , Clinical Research Finance (Abramson Cancer Center) Job Profile Title ... Director D, Research, Clinical Job Description Summary...start-up and budgeting, ensuring billing compliance, and aligning financial operations to support and strengthen collaborations among Penn entities.… more
- AmeriHealth Caritas (Newtown Square, PA)
- ** Director Clinical Programs Excellence** Location: Newtown Square, PA Primary Job Function: Medical Management ID**: 34162 Your career starts now. We're looking ... the general direction of the VP Population Health Program Excellence, the Corporate Director of Population Health Clinical Program Excellence is responsible for… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Medicare Advantage, Medicare Supplement, and individual plans. The Clinical Operational Excellence Director Serves as a consultant providing strategic ... Serves as a trusted advisor to the EVP closely involved in day-to-day operations and ensuring alignment with strategic initiatives. Refines complex data and insights… more
- University of Oregon (Eugene, OR)
- Associate Director , Chief Clinical Applications and Informatics Officer Apply now ... in collaboration with other University departments. Position Summary The Associate Director , Chief Clinical Applications and Health Informatics Officer supports… more
- Brookdale Senior Living (Brentwood, TN)
- …a visit report to the regional team, operations , rehab, and the VP, Clinical Operations and Regulatory Compliance. + Partners with Operations , ... associates who have been with us for at least a year. Responsibilities The Director of Clinical Reimbursement is responsible for the oversight of Medicare… more
- Mindoula Health (TN)
- …The Program Director of the Substance Use Disorders Program is the clinical lead responsible for clinical operations , performance, and outcomes across ... multiple states. The Program Director will be directing a multidisciplinary team of Program...work from home while leading the team and providing clinical services in office, home, and community settings. While… more
- BrightSpring Health Services (Louisville, KY)
- … resource in EMR/EHR systems as necessary + Works with local clinical and operations leadership on survey preparation/chart reviews/staffing concerns/ED ... practice and/or process to drive improvement + Collaborate with operations on acquisitions, integration and clinical needs...may be required post hire) + Extensive knowledge of Medicare home health requirements, clinical service delivery,… more
- Fallon Health (Springfield, MA)
- …quality and management committees as assigned. + Works closely with the SE Senior Director of Operations in the development and ongoing monitoring of contracted ... nation's top health plans for member experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program...concerns in a timely manner to the SE Senior Director of Operations . + Participates in marketing… more
- Fallon Health (Dartmouth, MA)
- …quality and management committees as assigned. + Works closely with the SE Senior Director of Operations in the development and ongoing monitoring of contracted ... Purpose:** Responsible for the coordination and supervision of all clinical and business aspects of a PACE site serving...concerns in a timely manner to the SE Senior Director of Operations . + Participates in marketing… more
- Access: Supports For Living (Middletown, NY)
- Clinical Director Location: Middletown, NY, United StatesDate Posted: Apr 19, 2024 Share: share to e-mail Apply Now Save JobSaved Description Location: ... $7,500 Pay Rate: $90,000 Summary of Professional Functions : The Behavioral Health Clinical Director partners in the leadership of a fully care-integrated clinic… more
- Indian Health Service (Winterhaven, CA)
- Summary This position serves as the Clinical Director /Chief of Medical Staff for the Fort Yuma Service Unit. The facility is a AAAHC accredited community ... the Phoenix Area Chief Medical Officer. Responsibilities Serves as Clinical Director /Chief of Medical Staff is a...schedules for subordinate staff, and coordinating the day-to -day clinical operations of ambulatory care medical services.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …preeminent programs in patient care, education, and research. **Organization:** VICC - Clinical Trials 40 **Job Summary:** The Assistant Director supervises a ... personnel actions, eg, hiring, promotion and termination. Preferred Qualifications: * Clinical trial budgeting experience * Oncology experience * Understanding of … more
- VIP Care (Oklahoma City, OK)
- …as well as traditional Medicare and commercial payor environments. The Director of Healthcare Operations will partner with our VIPcare Regional Practice ... patients and achieve: Better Care. Better Outcomes. Better Health. THE OPPORTUNITY The Director of Healthcare Operations will possess a high level of… more