- UM FDSP Associates PA (Baltimore, MD)
- …dental assistants, hygienists, centralmaterial sterilization and administrative personnel. The Executive Director - Clinical Administration is a critical role for ... for managing the day-to-day financial and human resourcesmanagement for clinical operations. The operations include the following:Accounting, Billing/ Payment … more
- Crossover Health (Annandale, VA)
- …trusted relationships, an interdisciplinary care team approach, and outcomes-based payment . Crossover's Primary Health model integrates primary care, physical ... part of their lifestyle. Job Summary The Divisional Medical Director is a critical member of the Leadership Triad... and Account Manager), engaged in defining the overall clinical strategy and direction of care, as well as… more
- CERiS (Fort Worth, TX)
- …of progressive experience in DRG coding, clinical validation, medical auditing, or payment integrity , with a strong focus on inpatient DRGs (MS-DRG, APR-DRG, ... years of leadership or management experience in a healthcare audit or payment integrity setting. Extensive experience with ICD-9/10-CM/PCS coding guidelines,… more
- Resurgens Orthopaedics (Suwanee, GA)
- …fiscal responsibility, with assistance of Director as required Oversees daily payment and petty cash balance activities, ensuring integrity of processes ... a clinician and complete the responsibilities required of their respective clinical job description MANAGERIAL: Responsible for ensuring that all regulatory… more
- Samaritan Healthcare (Moses Lake, WA)
- …understanding patient bills and charges in order to accurately process the payment . Collect co-pays and maintain cash drawer to complete daily deposits alerting ... Director of Operations in the event of any discrepancy...with State and Federal regulations. Responsible for routing all clinical scope of practice questions, faxes, and requests to… more
- Iconma LLC (Syracuse, NY)
- …coverage under the member's benefit. Routes cases directly to the pharmacist/medical director for final determination, as directed. Issues verbal and written member ... to increase efficiency in the review process for the clinical staff. Works with requesting providers, clinical ...management system interfaces to claim processing system for claim payment . Manual manipulation of auth may be required upon… more
- 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
- Beacon Health System (South Bend, IN)
- …agreement, Beacon Health System offers a competitive hourly rate Offering Student Loan Payment Assistance JOB SUMMARY Reports to the Director or Manager. ... and evaluates individualized plans of care. Collaborates with other professional, clinical and ancillary staff in providing compassionate and quality care to… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Huron Consulting Group (Van Buren, AR)
- …cross-functional teams, and ensuring timely execution in partnership with IT, Revenue Integrity , and clinical departments. * Develop and enforce policies and ... Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity . The leader will be responsible for providing a ... Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team....Integrity :** Ensure the accuracy, consistency, and reliability of clinical and PV data through robust Quality processes. +… more
- Catalent Pharma Solutions (Harmans, MD)
- **Associate Director , Validation & Engineering** Catalent Pharma Solutions is looking to hire a **Associate Director , Validation & Engineering** to lead our ... house 8 CGMP manufacturing suites and cold storage warehousing. The **Associate Director , Validation & Engineering** is responsible for the strategic leadership and… more
