• Zai Lab (US) LLC (South San Francisco, CA)
    …a global team of approximately 2000 employees. Job Description The Associate Director , Clinical Operations will provide strategic leadership and oversight for ... the Chinese market but also find a long-term strategic partner for global clinical development. Our unique business model builds on our in-licensed assets and… more
    Upward (07/12/25)
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  • Takeda Pharmaceutical Company Limited (Boston, MA)
    …will inspire you and empower you to shine? Join us as an Associate Director , Research Business Excellence in our Cambridge office. At Takeda, we are transforming the ... excellence and portfolio progression for the Takeda Research pipeline. The Associate Director , Research Business Excellence plays a crucial role in the strategic… more
    Upward (06/25/25)
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  • Blue Shield of California (Oakland, CA)
    …membership Provides clinical leadership and HR oversight for FEP Medical Director team Partner closely with the VP Medical Management and Medical Directors in ... is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based...value-based health care system in California. The Senior Medical Director FEP Prior Authorization and Post Review will report… more
    Upward (07/10/25)
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  • Asklepios BioPharmaceutical, Inc. (Durham, NC)
    …medicines and changing lives. The company maintains a portfolio of clinical programs across a range of neuromuscular, central nervous system, cardiovascular, ... and metabolic disease indications with a clinical -stage pipeline that includes investigational therapeutics for congestive heart failure, limb-girdle muscular… more
    Upward (07/09/25)
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  • Cresco Labs (Chicago, IL)
    …highest level of integrity , strictly adhering to regulations, and promoting the clinical efficacy of cannabis. As Cresco grows, we will operate with the same ... legitimacy to the industry with the highest level of integrity and professionalism. If you're interested in joining our...in Chicago, IL. This individual will report to the Director , Cost Accounting and Analysis and be a key… more
    Upward (07/23/25)
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  • Metropolitan State University of Denver (Denver, CO)
    …and ensuring student safety and well-being through fostering a university community of integrity and respect. The scope of the Student Care Center includes the ... facilitation of non- clinical case management, general support and referrals for students...functions. This position reports to the Assistant Dean of Students/ Director of the Student Care Center and supervises a… more
    Upward (06/26/25)
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  • ALLERGY PARTNERS (Greenwood, IN)
    …the telephone, prepare the office for the day, schedule patient appointments, collect payment at the time of service, and post charges and payments. Employee will ... delivers mail daily as assigned. Assembles files and maintains integrity of patient charts. Runs reports and prepares patient...management system as appropriate. Check out patients and collect payment from patients at the time of their visit… more
    Upward (06/28/25)
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  • Terros Health (Phoenix, AZ)
    …working at our Central Avenue location in Phoenix, AZ. Reporting to the Director of Revenue Cycle, the ideal individual is flexible, compassionate, and professional. ... billing experience, especially in the area of account and payment reconciliation and at least 1+ years' experience with...of caring people, guided by our core values of integrity , compassion, and empowerment. For more than four decades,… more
    Upward (06/30/25)
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  • Blue Shield of California (Oakland, CA)
    …and operations of Blue Shield of California's value based care (VBC) payment models, which includes Accountable Care Organization (ACO) and other innovative, ... alternative payment models. The Actuarial Analyst - Senior will report...memos, external publications, or all of the above. Research clinical and financial outcome from other like value-based care… more
    Upward (07/10/25)
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  • Ally Medical (Dripping Springs, TX)
    …the billing process. Verifies the patient's insurance promptly to help guide the clinical staff decision making. Responsible for collecting payment at time of ... of the PSR, the PSR lead will also provide support to the Nursing Director /Facility Administrator (FA) to ensure that policies and procedures set by the Ally Medical… more
    Upward (07/18/25)
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  • Oura (San Diego, CA)
    …team working on future wearables and accessory devices reporting directly to the Director , Hardware Sensing Technologies. This opportunity will be hybrid out of our ... validation and compliance efforts in collaboration with regulatory, research, and clinical teams Work cross-functionally to ensure end-to-end system performance and… more
    Upward (07/13/25)
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  • Director , Payment Integrity

    BlueCross BlueShield of North Carolina (NC)
    …**What You'll Bring** + Bachelor's degree and 10 years of experience managing multifunctional clinical coding, payment integrity or related teams + In lieu ... manage and lead highly complex functional business area within Clinical Coding Review (CCR) to define and enable strategic...costs as well as budget oversight + Leverages significant Payment Integrity and CCR expertise to support… more
    BlueCross BlueShield of North Carolina (06/21/25)
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  • Director Clinical Documentation…

    Tufts Medicine (Burlington, MA)
    …strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to strategically plan, organize, implement, and evaluate ... Case Management, Quality and Physician advisors and leaders. The Director oversees the manager and clinical documentation...Five (5) years relevant experience in the management of Clinical Documentation Integrity team 4. CCDS certification… more
    Tufts Medicine (07/04/25)
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  • Clinical Director Of Behavioral…

    Villa of Hope (Rochester, NY)
    JOB TITLE: Clinical Director of Behavioral Health Residential & School Programs POSITION GRADE: 86 DEPARTMENT/PROGRAM: Tuckahoe, LHTC, & School Clinicians ... experience) JOB SUMMARY: Under the general direction of the Chief Program Officer, the Clinical Director of Behavioral Health will provide clinical and… more
    Villa of Hope (07/02/25)
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  • Senior Director , Global Clinical

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …the clinical development activities in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a ... clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical...clinical experts and consultants to optimize the scientific integrity of the methodology and ensure the safety of… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Division Director , and Regional…

    SSM Health (St. Louis, MO)
    …is seeking a dynamic and visionary leader to serve as the next Division Director and SSM Saint Louis Regional Clinical Program Leader. **Job Responsibilities and ... Medical Center. The Division is actively engaged in extramurally funded and industry-sponsored clinical trials and is seeking a new Director to further elevate… more
    SSM Health (06/20/25)
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  • Director , RN Home Health Clinical

    BrightSpring Health Services (WA)
    …through oversight of ongoing staff development. Collaborate with Director , HH Clinical Education to monitor integrity of orientation program, and provides ... Health Services Overview Provide oversight, leadership and support relating to clinical practice and care provision. Consult and collaborate with agency leadership… more
    BrightSpring Health Services (07/11/25)
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  • Senior Director Clinical Revenue

    Tufts Medicine (Burlington, MA)
    …MA **Job Overview** This role oversees the functions and personnel in the Clinical Documentation Integrity (CDI), Coding, HIM Operations, and Utilization Review ... collaborates with Tufts Medicine Leadership including but not limited to Clinical operations, Finance, Revenue Integrity , Patient Access; Patient Financial… more
    Tufts Medicine (07/04/25)
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  • Medical Director - SIU (Special…

    CVS Health (Sacramento, CA)
    …healthcare integrity and protect patient well-being. As the Medical Director of Healthcare Fraud Investigations, you'll lead our efforts to detect, prevent, ... it all with heart, each and every day. Medical Director - SIU (Special Investigations Unit) CVS Health -...for making both pre and post- payment claim payment determinations based on Aetna Clinical Policy… more
    CVS Health (05/30/25)
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  • Medical Director , Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Functions as a mentor and resource throughout the workday in training medical director colleagues, as needed. + Conduct clinical appeal case reviews and ... we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of...at first level, appeal and inquiries. + Conducts peer-to-peer clinical reviews with attending physicians or other providers to… more
    Excellus BlueCross BlueShield (07/01/25)
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