- Sumitomo Pharma (Charleston, WV)
- ** 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 (Charleston, WV)
- …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
- Elevance Health (Charleston, WV)
- ** Clinical Operations Associate Medical Director ** **Neurosurgery** **Carelon Insights/Carelon Medical Benefits Management** _A proud member of the Elevance ... of clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Associate Medical Director of Neurosurgery** responsible… more
- Humana (Charleston, WV)
- …management. They will lead and guide others in providing integrated services for the clinical teams. The Associate Director , Care Management requires a solid ... first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (LTSS/ABD) who will...Services and Supports and Aged, Blind or Disabled (LTSS/ABD) clinical care management team. + Provides ongoing associate… more
- Humana (Charleston, WV)
- …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 (Charleston, WV)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Charleston, WV)
- …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 (Charleston, WV)
- …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 (Charleston, WV)
- …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 (Charleston, WV)
- …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 (Charleston, WV)
- …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
- Wolters Kluwer (Charleston, WV)
- …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 (Charleston, WV)
- …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
- Intermountain Health (Charleston, WV)
- …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
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …communication system (PACS) technologist, MRI safety officer (MRSO), imaging administrator, clinical program director , and clinical instructor.] Grade ... and collimation. Maintains accurate record keeping, patient identity verification, and clinical duties in a fast-paced work environment. Ability to check system… more
- Humana (Charleston, WV)
- …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
- LifePoint Health (Beckley, WV)
- …patient care appropriate to the age of the patient served Reports to: Director of Laboratory *Minimum Education* Associate degree from an accredited institution ... . And much more *Position Summary:* Performs laboratory analysis and quality control testing following clearly defined criteria Reports any unusual conditions… more
- Humana (Charleston, WV)
- …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