- BAYADA Home Health Care (Towson, MD)
- …of Regional Director or Division Director to advance into the Director of Clinical Operations (DCO) role. + Exceptional external candidates with ... + Three (3) to five (5) years of BAYADA Home Health Care Clinical Leadership (CM/RM) experience...write and effectively communicate in English. **ADDITIONAL QUALIFICATIONS FOR DIRECTOR OF CLINICAL OPERATIONS :** +… more
- Humana (Annapolis, MD)
- …caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid builds strategies for ... engagement, best clinical practices and processes for clinical community within the enterprise. The Director ,...of UM processes for existing Medicaid markets. + Oversee operations of existing market centralization. + Establish and maintain… more
- Evolent (Annapolis, MD)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Director , Clinical Quality is a pivotal role, spearheading continuous clinical ... data analysis, and the execution of actionable improvement strategies to enhance clinical outcomes and operational efficiency. Additionally, the Director , … more
- Option Care Health (Columbia, MD)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Director , Operations is responsible for delivering safe, efficient and effective ... nursing. Ensures error proofing for pick, pack and ship operations . + Partners with Regional Director , Sales...Healthcare of Business Administration + Experience leading sales and/or operations in Home Health Care or Infusion.… more
- Genesis Healthcare (Mitchellville, MD)
- …staff. 10. Assumes responsibility for hiring therapy staff (in conjunction with the Clinical Operations Area Director ). 11. Assumes responsibility for daily ... and thrive while providing essential therapy for children at home and in school. With over 38 years of...reports on a weekly and monthly basis. 14. Assists Clinical Operations Area Director in… more
- CenterWell (Annapolis, MD)
- …**Branch Director ** is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, ... achievement of key performance indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of… more
- CenterWell (Annapolis, MD)
- …such as drug pipeline updates and market event notifications + Partners with clinical and business professionals, actuaries and operations in a team environment ... caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the...are required to practice + Eight (8) years of clinical experience in managed care or equivalent experience +… more
- Humana (Annapolis, MD)
- …the overall experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be ... accountable for the day-to-day operations and performance of various complaint types handled by...+ Collaborates with upstream business partners such as Claims, Clinical Guidance, and the Provider Network to identify opportunities… more
- Evolent (Annapolis, MD)
- …as well as broad cross-functional collaboration with our teams in Product, Technology, Clinical , Operations , and Growth. This position will report to the VP, ... tech, working in areas such as health care strategy, product, research, growth, clinical and operations . (Required) + Experience driving innovative solutions in… more
- Genesis Healthcare (Columbia, MD)
- …In addition to serving as a DOR in assigned accounts the Sr. DOR assists the Clinical Operations Area Director (COAD) and provides support and mentoring to ... and thrive while providing essential therapy for children at home and in school. With over 38 years of...Part-Time team members. + **Support for New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program… more
- Evolent (Annapolis, MD)
- …of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal teams (EAS, ... Specialty Operations ) and external partners, delivering analyses that drive Evolent's...advanced analyses of healthcare authorization, claims, membership data, and clinical outcomes to uncover cost drivers, utilization trends, and… more
- Genesis Healthcare (Mitchellville, MD)
- …of clinical programs, and staff development in collaboration with licensed therapists, the Clinical Operations Area Director , and Regional Clinical ... and thrive while providing essential therapy for children at home and in school. With over 38 years of...with the Director of Rehab and Regional Clinical Director . 12. Assists the Director… more
- Cardinal Health (Annapolis, MD)
- **_What Specialty Networks (UroGPO) contributes to Cardinal Health_** _UroGPO_ creates clinical , operational & economic value for independent Community based Urology ... IOD lead generation and contract reviews in collaboration with our Director , Member Development. This person will assist in presenting _Specialty Networks_… more
- Zurich NA (Annapolis, MD)
- …Review & Pharmacy. This is a fully remote position, offering the flexibility of a home -based office. As the AVP of Utilization Review & Pharmacy, you will lead and ... Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and...oversight and accountability for the utilization review and pharmacy operations by ensuring the delivery of high quality and… more