- Sumitomo Pharma (Baton Rouge, LA)
- ** Associate Director , GMP Quality Control** Sumitomo Pharma America (SMPA) is focused on delivering therapeutic and scientific breakthroughs in areas of ... highly motivated, and experienced individual for the position of Associate Director of GMP Quality ...investigational clinical trials and/or commercial phases. The Associate Director ensures compliance with GMPs, SMPA… more
- CenterWell (Baton Rouge, LA)
- …part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... and other crucial areas; as well as development of other pharmacy-related clinical initiatives to improve medication quality , cost, and appropriate use… more
- Humana (Baton Rouge, LA)
- …of variable factors. The Staff Geriatrician or Physician with Ten (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to ... 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 (Baton Rouge, LA)
- …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
- Humana (Baton Rouge, LA)
- …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
- Humana (Baton Rouge, LA)
- …in outcomes, consumer experiences and a highly engaged team culture The Medical Director conducts clinical case reviews of requests received by members of ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- CenterWell (Baton Rouge, LA)
- …facilities, rehab programs, etc. * Proven ability to move the needle on clinical quality outcomes (eg, avoidable hospitalizations, ER visits, readmissions, total ... a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management** The Director of… more
- Humana (Baton Rouge, LA)
- …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... Maintains efficient operations while ensuring attainment of quality of care and financial goals. Provides information for pricing guidelines based on utilization… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Director , Key Providers is accountable for developing and ensuring execution of sales and growth ... strategy for Key Provider partnerships. The Director , Key Providers requires an in-depth understanding of how organization capabilities interrelate across the… more
- Wolters Kluwer (Baton Rouge, LA)
- …optimal care for patients. In this remote-friendly position, you will report to the Associate Director of Clinical Content within the Health division of ... clinical decision support solutions that measurably improve clinical effectiveness. The Senior Clinical Quality Analyst will use their clinical… more
- Humana (Baton Rouge, LA)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- CVS Health (Baton Rouge, LA)
- …of our people to transform health care. Position Summary: The Care Management Associate (CMA) role is a full time remote telework position. Qualified candidates must ... population health members, and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake,… more
- Intermountain Health (Baton Rouge, LA)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... the Cost Stewardship team and reports to the Finance Director of Decision Support. The Cost Stewardship team is...+ Subject matter expertise in healthcare or related data ( Clinical Programs, Clinical Services, Compliance, Quality… more
- CenterWell (Baker, LA)
- …- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of care, review of ... environment. We are a value-based care provider focused on quality of care for the patients we serve. Our...care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a… more
- Humana (Baton Rouge, LA)
- …join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ... and subacute activity daily for outcomes related to readmission, utilization, quality of care and provider performance in compliance with Humana/iCare policies.… more
- CenterWell (Baker, LA)
- …- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of care, review of ... of care. + Follows level of medical care and quality for patients and monitors care using available data...care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of… more
- Humana (Baton Rouge, LA)
- …work with cross-functional partners across product, marketing, sales, member experience and clinical to drive the evolution of data driven insights and our segment ... to senior leaders across the enterprise. Tactically, you will partner with the Director of Strategy Advancement to set segment specific OKRs and then drive progress… more