- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning, ... and procedures, processes, and measurement tools. The System Executive Director - Managed Care is...building initiatives and business opportunity assessment with administrative and clinical leadership. Ensures managed care … more
- City and County of San Francisco (San Francisco, CA)
- …(CalAIM) and their impacts on clinical care + Collaborates with the Director of Managed Care and with OCC, Utilization Management (UM), and Quality ... psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides...after 10/1/2023 The role will be 10-30% dedicated to clinical responsibilities with the remaining 70-90% dedicated to Deputy… more
- Omnicell, Inc. (Grapevine, TX)
- …Capacity. 1. Since 1992, Omnicell has been committed to **transforming pharmacy care ** through **outcomes-centric innovation** designed to optimize clinical and ... Client Solutions, Information Technology, Accounting, and Finance Teams to ensure all managed pharmacies are performing at the highest level. Essential functions +… more
- Rady Children's Hospital San Diego (Murrieta, CA)
- …funded position with an end date of 06/30/26** JOB SUMMARY: The Enhanced Care Management (ECM) Supervisor manages the daily operations of the satellite ECM Program ... to the main ECM Program staff. Participates in interdisciplinary case conferencing care planning. Facilitates and ensures that all ECM members receive all ECM… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...the MMCP's service area or provider network Interact with clinical and billing staff Refer children for needed services… more
- Sharp HealthCare (San Diego, CA)
- …and maintaining spreadsheets and databases. **What You Will Do** Under the direction of the Director of Managed Care Finance and Supervisor of Managed ... + Bachelor's Degree or equivalent work experience. + Previous experience in a managed care setting. + Working knowledge of hospital, physician and health… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,… more
- CenterWell (Columbus, OH)
- …to the national clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), ... community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy...Experience working in a value-based care , senior care , and/or Medicare managed care … more
- Prime Therapeutics (Columbus, OH)
- …meetings and for publication acceptance. **Responsibilities** + 7+ years of pharmacy, managed care and pharmaceutical industry experience. + At least 1-2 ... Strong interpersonal, consultation, organizational, tracking and follow-up skills. + Pharmacy, Managed Care , Pharmaceutical Industry experience. + Ability to… more
- Boston University (Boston, MA)
- …candidate will work within the division of Laboratory Medicine as an Assistant Director of the Clinical Chemistry laboratory, reporting to the Medical ... Director of Clinical Chemistry. Applicants will assist in clinical ...care providers. Applicants will be expected to provide clinical , technical, and regulatory experience in general chemistry, … more
- Brookdale Senior Living (Brentwood, TN)
- … of Clinical Reimbursement is responsible for the oversight of Medicare/Medicaid/ Managed Care reimbursement and regulatory issues. This will role will ... Overview Brookdale seeks experienced Director of Clinical Reimbursement to support...skilled nursing communities. + Ensures that reimbursement structures are managed , evaluated, and capture accurate resource utilization at the… more
- Actalent (Paramus, NJ)
- MUST BE ON-SITE IN PARAMUS, NJ 5 DAYS/WEEK The Associate Director , Clinical Operations is responsible for oversight of US clinical development providing ... trial implementation, execution, and outcome, building consensus within the global clinical operations team. The Associate Director is also responsible for… more
- Sevita (Chambersburg, PA)
- …day. Join us today, and experience a career well lived. Operations Management State Clinical Director Looking for rewarding work in an organization dedicated to ... team-based workplace that puts people first. As the State Clinical Director , you will be responsible for...authorities and referral agencies such as counties, regional centers, managed care contractors, and government administrators. +… more
- FLACRA (Clifton Springs, NY)
- …modeling through maintaining a rotation of MDT participation, supervision, and covering gaps in clinical care as needed to help provide in the moment coaching to ... Senior Director of Clinical Operations Clifton Springs,...goals. This includes a strong emphasis on strengthening integrated care and care collaboration across the system.… more
- CVS Health (Tallahassee, FL)
- …healthcare related services. Preferred Qualifications: + Prefer extensive managed care experience + Psychiatric experience using clinical expertise in ... care more personal, convenient and affordable. Senior Clinical Solutions Medical Director - Behavioral Health... clinical quality and effective use of health care resources. The Senior Medical Director -… more
- Actalent (Philadelphia, PA)
- Description: The Clinical Trials Office (CTO) Assistant Director is responsible for assisting in all aspects of the CTO alongside the Sr. Director to ... Assists in the management of day-to-day operations of the Clinical Trials Office including interaction with Sr. Director...safety and performance as it relates to the protocols managed within the CRO as well as with other… 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: ... Bonus: $7,500 Pay Rate: $90,000 Summary of Professional Functions : The Behavioral Health Clinical Director partners in the leadership of a fully care… more
- Avera Marshall (Worthington, MN)
- …of clinical department leaders within the agency. (ie Unity House Clinical Director , ACT Team Lead, Housing Coordinator, etc.) EDUCATION, EXPERIENCE AND ... SOUTHWESTERN MENTAL HEALTH CENTER, INC. POSITION DESCRIPTION POSITION TITLE: Director of Clinical Services DEPARTMENT: Administrative Services GENERAL HOURS OF… more
- Gateway Hudson Valley (Kingston, NY)
- LCSW Director of Clinical Services PROS Job Details...and agency. + Provide continued education on changes to managed care + Provide an array of group ... experienced, Licensed Clinical Social Worker to fill key management position, Director of Clinical Services. This position is an essential member of… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Director , Clinical Account Services - Remote Nevada **Job Description Summary** Plays ... and improve care . Serves as facilitator and mentor to the clinical liaisons for assigned contract(s). Assists Account Managers with managing overall client… more