• Daiichi Sankyo, Inc. (Bernards, NJ)
    …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... oversight groups for case processing activities and reports to the Director of PV Case Management.Responsibilities:ICSR Processing: Oversees QC activities, supports… more
    HireLifeScience (07/09/25)
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  • Kaiser Permanente (Baltimore, MD)
    …Risk Adjustment and will manage 3-4 direct reports in the Medicare risk adjustment coding of medical records utilizing Epic EMR with application of RA standards. ... development and maintenance of key risk adjustment policies and procedure ( coding guidance, chart review, deletes, QA). PowerPoint presentation and execution of… more
    Upward (07/27/25)
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  • LifeStance Health (Paramus, NJ)
    …potential when we work together towards our shared purpose. Job Summary: The Clinical Director will provide oversight and support for psychotherapy clinicians, ... and tenured clinicians and enhancing ongoing clinician professional growth and development. The Clinical Director will work in a dyad partnership with the… more
    Upward (07/26/25)
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  • Hickory House Nursing Home (Honey Brook, PA)
    …Perform proficiently in all competency areas including but not limited to: medical coding , auditing, clinical records, privacy official responsibilities, ... the Mission Position Summary The Medical Records Director (Non-Nurse) maintains the patients' clinical records,... Records Director (Non-Nurse) maintains the patients' clinical records, including coding , auditing, and providing… more
    Upward (07/25/25)
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  • The Denver Hospice (Aurora, CO)
    The Care Synergy Medical Group has an immediate opening for a Medical Director Colorado PACE. Location : Aurora, CO Status: Full-time Schedule: ... Robust Leadership Development Training Programs REWARDING WORK YOU WILL DO: This PACE Medical Director position is responsible for the delivery of participant… more
    Upward (07/27/25)
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  • NORTH EAST MEDICAL SERVICES (Burlingame, CA)
    …Job Location Burlingame, CA Salary Range $341464.54 - $398103.69 Salary Description The Medical Director will play a pivotal role in leading and overseeing ... Case Management, Quality Improvement, Risk Adjustment, and provider engagement. The Medical Director will collaborate with multidisciplinary teams, payers, and… more
    Upward (07/09/25)
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  • Halifax Health (Port Orange, FL)
    Day (United States of America) Director of Quality - Hospice The Director of Quality is responsible for managing, directing, planning and organizing operations ... responsible services that add value to hospice supporting its mission. The Director of Quality is expected to support administration through collaboration and… more
    Upward (07/11/25)
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  • Kyowa Kirin North America (Princeton, NJ)
    …analysis plans, monitoring guidelines and Clinical Study Reports; Work closely with Medical Monitor(s) to review CRF coding for logic, consistency and ... medical appropriateness. *Assure all clinical data is properly collected, cleaned and formatted, to...understanding of Risk Based Quality Management. *Good understanding of Medical coding (MedDRA and WHO Drug dictionaries)… more
    Upward (07/24/25)
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  • Tal Healthcare (Bronx, NY)
    …healthcare delivery platform providing the highest level of quality care, is hiring a Medical Director , Internal Medicine or Family Medicine Physician . The ... Medical Director , Internal Medicine or Family Medicine...traditional healthcare. In this role you will leverage your clinical skills, empathy, and independence to provide top-tier care… more
    Upward (06/26/25)
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  • Carbon Health (Irvine, CA)
    …of 8-12 Carbon Health clinics within an area. A successful Area Medical Director is intrinsically motivated, challenge-driven, rethinks traditions and genuinely ... cares about employees and patients. The Area Medical Director acts with an owner's mindset,...tool, DynaMedex Hippo Education subscription, internal education resources and clinical rounds to support continuing medical education… more
    Upward (06/28/25)
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  • Northern Valley Indian Health (Woodland, CA)
    …and ensure team effectiveness; previous supervisory experience desired Knowledge of healthcare clinical operations, billing & coding , audits and other compliance ... : Under general supervision from the Chief Executive Officer, the Compliance Director is responsible for Compliance Officer and overall Compliance Program for the… more
    Upward (07/20/25)
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  • Eventus WholeHealth (Staunton, VA)
    Physician/ Medical Director Position Summary: No Call! Please join our team at Eventus WholeHealth as a physician at an innovative state-of-the-art practice where ... to $400,000 in a private practice setting. Benefits include: Have your own in-field Medical Assistant, Scheduling support Use of an AI Scribe to reduce time for… more
    Upward (06/29/25)
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  • UnitedHealth Group (Bangor, ME)
    …knowledge in all Professional coding of outpatient E & M's Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the ... Whether you are looking for a role in a clinical setting or supporting those who provide care, we...reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of … more
    Upward (07/14/25)
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  • Cano Health (Jupiter, FL)
    …of these changes is required. Education & Experience Two (2) years prior medical coding experience Proficient in Microsoft Word and Excel Strong organization ... coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify… more
    Upward (07/25/25)
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  • The Centers for Advanced Orthopaedics (Waldorf, MD)
    …satisfaction. Trains newly hired therapists in Site operations, patient scheduling, clinical coding , and compliance, and TheraOffice documentation. Ensures all ... a written agenda and attendance log each meeting, in collaboration with Therapy Director . Monitors inventory of office supplies and medical supplies and orders… more
    Upward (07/01/25)
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  • Surgical Affiliates Management Group, Inc. (Corpus Christi, TX)
    …Mentorship: Represent the Trauma/ACS team at hospital meetings and assist the Trauma Medical Director (TMD) in mentoring junior trauma surgeons and Advanced ... Level II Trauma Center in Corpus Christi, Texas. Position Highlights: Leadership and Clinical Excellence: As the Surgical ICU Director , you will oversee Trauma… more
    Upward (07/04/25)
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  • Baptist Health Care (Pensacola, FL)
    …collaboration with on-call psychiatrists as well as under the supervision of the Medical Director . This position maintains health records in accordance with ... medical records systems and document preparation. Knowledge of insurance and medical terminology, coding , collections, and federal / state laws governing … more
    Upward (07/17/25)
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  • AtlantiCare (Manahawkin, NJ)
    …insurance, CPT4 and ICD-10 coding experience preferred. Knowledge of medical terminology preferred. Proficiency in Clinical Applications preferred at time ... experience required, preferably in a medical setting. Minimum 1 year...Tool. REPORTING RELATIONSHIP This position reports to the Department Director , Manager or Nursing Leadership in other departments within… more
    Upward (07/22/25)
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  • Baylor Scott & White Healthcare (Round Rock, TX)
    …in the Austin Region. Will work closely and partner with the Urgent Care Medical Director . Develop standardization for Urgent Care. Scale growth for the Greater ... cycle, billing, patient experience, human resources, budgeting, financial analysis, clinical workflows, and recruitment. Essential Functions of the Role Responsible… more
    Upward (07/25/25)
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  • US Tech Solutions (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... Good foundation of Microsoft software skills Responsibilities: Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria… more
    Upward (07/27/25)
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