- Molina Healthcare (Tacoma, WA)
- JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical systems . Responsible for provision of product ownership of clinical applications ... as industry subject matter expert in the functional area and leads clinical systems to meet critical needs. * Communicates and collaborates with customers to… more
- Sumitomo Pharma (Olympia, WA)
- …website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The **Senior Director , Clinical Operations** is a member of the Clinical ... within Clinical Operations which also includes implementing fit-for-purpose solutions, systems and processes. The ideal candidate will be knowledgeable for all… more
- Sumitomo Pharma (Olympia, WA)
- …highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D Organization. This ... individual will contribute to the design and execution of clinical development plan(s) for assigned asset(s) and serve as the Clinical Research Lead for stem… more
- Humana (Olympia, WA)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Olympia, WA)
- …products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an… more
- Humana (Olympia, WA)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... 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
- CenterWell (Olympia, WA)
- …National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, and ... improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement… more
- Evolent (Olympia, WA)
- …THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... efforts in **California** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more
- Pfizer (Olympia, WA)
- …relevance to proposed HIT methodologies + Analyze workflows in the context of clinical healthcare information systems to facilitate care processes to reduce care ... **ROLE SUMMARY** The Field Oncology Medical Outcomes Director is a field-based medical colleague responsible for...The role is responsible for educating customers on the clinical and economic impact of Pfizer Oncology medicines and… more
- Molina Healthcare (Tacoma, WA)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. +… more
- WelbeHealth (Olympia, WA)
- **Sr. Director , People** **_Special Assignment:_** _People Operations and Innovation_ At WelbeHealth, we serve our communities' most vulnerable seniors through ... and our participant-focus lead the way no matter what. The **Sr. Director , People Operations & Innovation** leads core People Team functions including **Contact… more
- Molina Healthcare (Tacoma, WA)
- …in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality ... enterprise-wide teaching on psychiatric diagnoses and treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * Supports BH committees for… more
- Evolent (Olympia, WA)
- …mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products.… more
- Evolent (Olympia, WA)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial, EDWBI, Clinical , Performance Solutions and Partner Delivery. **What You'll Be… more
- Humana (Olympia, WA)
- …2029. In this role, you will be responsible for leading the Talent Acquisition Clinical and Operational strategy, for $4 Billion enterprise. In this matrix role, you ... and Acquisition team to develop strategies that support continued growth + Lead the clinical team to partner closely with the Chief Medical Officer on best practices… more
- Travelers Insurance Company (Olympia, WA)
- …assigned. **What Will Our Ideal Candidate Have?** + Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance + Strong ... analysis skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and the overall healthcare system. Collaborate with fellow pharmacists to standardize clinical pharmacy systems for enhanced efficiency and consistency. + ... **Job Summary/Purpose:** This position is responsible for providing leadership and clinical pharmacy services in the **Critical Care** setting, including the… more
- Cognizant (Olympia, WA)
- …. Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with ... Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health… more
- Centene Corporation (Olympia, WA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... on workplace flexibility. **Position Purpose:** + Responsible for managing and tracking clinical projects that advance the objectives of strategic plan with key… more
- Virginia Mason Franciscan Health (Lakewood, WA)
- …VMFH Franciscan Medical Group clinic(s) in close collaboration with the Medical Director /Operations Director and in accordance with business objectives, internal ... regulatory requirements. Work involves proactively monitoring a variety of clinical /operational elements and maintaining constant awareness of changing conditions in… more