• Area Director Clinical Operations

    Gentiva (Carson City, NV)
    …difference in people's lives every day. **Overview** We are looking for an **Area Director Clinical Operations** to join our team. This position will directly ... VP of Clinical Operations. This position will assume responsibility of clinical services and assures compliance with federal and state regulations as… more
    Gentiva (05/07/25)
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  • Senior Director Clinical Account…

    Prime Therapeutics (Carson City, NV)
    …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible...clients, specifically with the senior leadership; develop a consultative, service -oriented partnership with the client in order to maximize… more
    Prime Therapeutics (04/09/25)
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  • Director of Clinical Services

    Reno Behavioral Healthcare Hospital (Reno, NV)
    The Director of Clinical Services (DCS) is responsible for the overall direction of the facility's clinical services delivery, including clinical ... consultation, and programmatic planning. The DCS is responsible for the overall clinical development of all programs and staff. Key Responsibilities: + Coordinates… more
    Reno Behavioral Healthcare Hospital (05/19/25)
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  • Clinical Director

    Lincoln Financial (Carson City, NV)
    …**Requisition #:** 74514 **The Role at a Glance** We are excited to bring on a Clinical Director to our claim's organization. This role will be remote, or hybrid ... on the proximity to Charlotte or Omaha. As a Clinical Director , you will provide leadership and...other business areas to support the mission of maximizing service capability & delivery. * Lead project resource and… more
    Lincoln Financial (05/02/25)
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  • Senior Manager, Clinical Management

    Otsuka America Pharmaceutical Inc. (Carson City, NV)
    **Job Summary** Under the direction of the Director /Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the ... oversight and management of Otsuka clinical studies, including coordination with other relevant parties (eg, other Otsuka departments, external service providers… more
    Otsuka America Pharmaceutical Inc. (05/13/25)
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  • RN Market Executive of Clinical Quality…

    CenterWell (Carson City, NV)
    …experience in home-based care functioning in a branch leadership (Branch Director /Administrator) or Clinical Manager role strongly preferred. + Multi-site ... help us put health first** The Market Executive of Clinical Quality will be responsible for driving clinical...care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager, CenterWell is… more
    CenterWell (05/06/25)
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  • Utilization Review Specialist

    Reno Behavioral Healthcare Hospital (Reno, NV)
    …assure compliance with reporting and turnaround times. + Addresses care issues with the Director of Clinical Services and Chief Medical Officer/Medical ... Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective...degree in Social Work or related field required. + Clinical Licensure in the State of Nevada preferred. +… more
    Reno Behavioral Healthcare Hospital (04/27/25)
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  • Director , Nursing Services

    Grand Canyon University (Reno, NV)
    Director , Nursing Services - College of Nursing job in Reno, NV with Grand Canyon University + Search All Jobs + Careers Home + Faculty Jobs + Staff Jobs + ... Worker Jobs + Graduate Assistant Opportunities + Return to GCU Home (https://www.gcu.edu/) Director , Nursing Services - College of Nursing Click Here to Apply… more
    Grand Canyon University (05/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Carson City, NV)
    …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Carson City, NV)
    …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (04/24/25)
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  • Medical Director - Pacific SW Region

    Humana (Carson City, NV)
    …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (05/10/25)
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  • Medical Director - Florida

    Humana (Carson City, NV)
    …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... innovate **Additional Information** Typically reports to a Regional Vice President of Health Services , Lead, or Corporate Medical Director , depending on size of… more
    Humana (05/22/25)
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  • Field Medical Director , Interventional…

    Evolent (Carson City, NV)
    …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
    Evolent (04/30/25)
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  • Divisional Director of Care Management,…

    CenterWell (Carson City, NV)
    …years of Director experience preferred_ + _Though not required,_ _advanced clinical professional license strongly preferred such as RN, MSW/LCSW, NP, PA, MD/DO_ ... of our caring community and help us put health first** The Divisional Director is responsible for building a strong partnership with clinical -operational… more
    CenterWell (05/23/25)
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  • Director , Actuarial Services

    Evolent (Carson City, NV)
    …accountability as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to ... + Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures… more
    Evolent (03/22/25)
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  • Medical Director , MSK Surgery

    Evolent (Carson City, NV)
    …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical Directors and… more
    Evolent (05/20/25)
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  • Global Account Director , Strategic…

    Norstella (Carson City, NV)
    Global Account Director , Strategic Solutions Company: Citeline Location: Remote, United States Date Posted: May 5, 2025 Employment Type: Full Time Job ID: R-1151 ... Citeline is one of the world's leading providers of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
    Norstella (05/06/25)
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  • Field Medical Director , Cardiology

    Evolent (Carson City, NV)
    …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (05/16/25)
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  • Medical Director

    Gentiva (Reno, NV)
    …of Gentiva. The Medical Director will invoice Gentiva for services rendered. ReqID: 2025-122388 Category: Clinical Management Position Type: Part-Time ... physicians regarding pain and symptom control management. + Reviews clinical information prior to the recertification period and provides...will not be an employee of Gentiva. The Medical Director will invoice Gentiva for services rendered.… more
    Gentiva (05/08/25)
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  • Corporate Medical Director - Medicare…

    Humana (Carson City, NV)
    …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with… more
    Humana (04/24/25)
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