- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- State of Massachusetts (Brockton, MA)
- …Specialist and liaison to the Community Service Agencies. The CYF Supervisor will oversee case management and administrative supervision to assigned CYF Case ... Services Coordinator I(s) to ensure compliance with established standards of care for Case Management . . Maintains caseload oversight for assigned Human Services… more
- Elevance Health (Smithfield, RI)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Brown University (Providence, RI)
- …Safety, BUDPS immediately needs an outstanding individual to serve as the Director of Inspectional Services to provide oversight and strategic leadership over the ... violation, and/or other special confidential investigation requests; examine personnel and case records to ensure that police personnel conform to prescribed… more
- Highmark Health (Providence, RI)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Datavant (Providence, RI)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee Datavant's legal and ... audit standards. Reporting to the Chief Compliance and Privacy Officer, the Director of Internal Audit will evaluate the effectiveness of internal controls, risk… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Evolent (Providence, RI)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Datavant (Providence, RI)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be accountable for ensuring our products deliver… more
- CVS Health (Providence, RI)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
- RELX INC (Providence, RI)
- …prioritize using the best models from today's top creators for each legal use case . About the Role: The Director , Data Sciences raises data-driven decision ... and Data Scientists, as well as other resources. Influence should extend outside the director 's immediate team to other teams within the director 's peers. The … more
- Datavant (Providence, RI)
- …**You Will:** + Reporting to the Head of Commercial GTM, the Director , Sales Enablement will develop client-facing messaging, design sales training programs, and ... and analyze full-funnel metrics to find insights and assist management in making sound decisions + Set up &...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Parexel (Providence, RI)
- …anticipation of future needs, we are seeking an additional Associate / Medical Director to join Parexel's highly recognized Medical Sciences Team as we continue to ... and Inflammation Therapeutic Franchise! As an Associate / Medical Director , you will work closely with some of the...include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts on challenges… more
- CVS Health (Woonsocket, RI)
- …and are looking for an experienced CRM professional to help lead this change. The director will report into the Executive Director of CRM Marketing. The Lead ... and dynamic content roadmap + Assist in building the case for change and championing the need for transformation...experience in CRM, lifecycle, or loyalty marketing or product management + 3+ years of experience managing a team… more
- CVS Health (Woonsocket, RI)
- …If you'd like to join us on that journey, please read on! The **Lead Director of Merchandising, Business Acceleration** will lead a team of approx. 4 Senior Managers ... capability design often spurred by 'white space' opportunity identification and business case development * Design initiative pilots and deploy in select number of… more
- Cardinal Health (Providence, RI)
- …direction and expertise in the development of business strategy, strategic management disciplines and business analytics that support the company's mission, vision ... for developing and supporting the realization of strategic plans and management agendas including organic and inorganic growth initiatives. The ** Director… more