- 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
- Humana (Dover, DE)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to the Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible ... for completing invoice and reconciliation claim audits for BCBSMA's payment integrity programs. Quality assurance audit reviews and core functions include… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …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
- Henry Ford Health System (Troy, MI)
- *The Director Revenue Cycle Inpatient Clinical Documentation Improvement & Payer Audit is a Local Southeastern, MI role with flexible Hybrid opportunity if ... 2024. As we expand, we are seeking a highly skilled and experienced Clinical Documentation Improvement (CDI) Program Director to provide concentrated daily… 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
- Intermountain Health (Broomfield, CO)
- …Senior Medical Director drives engagement of physicians and APs, assures clinical best practice is achieved in accordance with the Fundamentals of Extraordinary ... **Job Description:** The Senior Medical Director for the Musculosketal Service Line serves as...lines and markets, as well as Enterprise disciplines, including Clinical Programs, Clinical Shared Services, Research, Medical… more
- Intermountain Health (Broomfield, CO)
- …in the service line. **Essential Functions** + Serves as a model clinical leader, demonstrating integrity , passion, energy, and championing Intermountain's ... **Job Description:** The Senior Medical Director for Children's Health serves as the physician...drives engagement among physicians and advanced practice providers, ensures clinical best practices are achieved according to the Fundamentals… more
- Allucent (Cary, NC)
- …finance and clinical research? Join our dynamic team as an AD/ Director , Operational Finance & Investigator Grant Management where your expertise in budgeting, ... Clinical Operations, Project Leadership, and Finance teams to ensure financial integrity , resolve complex payment escalations, and drive adherence to budget… 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
- RWJBarnabas Health (Livingston, NJ)
- …to claims and payment issues. + Coordinate discussions with clinical department leaders and revenue integrity leadership to optimize documentation ... Director , Patient Access & Rev CycleReq #:0000204879 Category:Billing/Collections/Registration...leading revenue cycle committee meetings with members of finance, clinical departments, coding, and revenue integrity . +… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …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
- Norstella (Little Rock, AR)
- 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
- Cleveland Clinic (Akron, OH)
- …CCAG's clinical and academic mission in NEO. Superb interpersonal skills, clinical and administrative integrity , and career development focus are highly ... southern market, announces a search for the Adult Psychiatry Residency Program Director . The Adult Psychiatry Residency is part of CCAG's Department of Psychiatry… more
- St. Luke's University Health Network (Allentown, PA)
- …alignment and compliance with financial and billing requirements safeguarding both financial integrity and regulatory compliance across all clinical studies + ... improve charge capture processes + Manages sponsor invoicing, collections, receivables, and payment posting for clinical trials and research, ensuring timely and… more