- Humana (Montgomery, AL)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...national clinical guidelines, CMS policies and determinations, clinical … more
- Community Health Systems (Foley, AL)
- …care by driving quality improvement initiatives, maintaining regulatory compliance , and fostering interdisciplinary collaboration. The Director focuses on ... This is a full time Nursing (RN) Director of Women's Services at Baldwin Health in...optimize quality and overall efficiencies. + **Quality Assurance and Regulatory Compliance ** + Ensures compliance … more
- Community Health Systems (Enterprise, AL)
- … compliance with healthcare regulations and organizational objectives. The Director fosters a culture of collaboration and continuous improvement while supporting ... **This is a full time Nursing (RN) Director responsible for the oversight of the Swing...necessary. + Maintains up-to-date knowledge of industry trends, emerging clinical practices, and regulatory changes, ensuring the… more
- Community Health Systems (Birmingham, AL)
- …and protocols to optimize quality and overall efficiencies. + **Quality Assurance and Regulatory Compliance ** + Ensures compliance with all relevant ... critical thinking skills. + In depth knowledge of industry best practices and regulatory compliance (if applicable). + Strong organizational and time management… more
- Gentiva (Montgomery, AL)
- …meetings to promote brand awareness and referral relationships + Monitor compliance with sales methodologies, performance metrics, and regulatory requirements ... high-performing teams, and building strategic partnerships? We're seeking an experienced Area Director of Business Development to lead sales strategy and manage a… more
- WelbeHealth (Montgomery, AL)
- …, Audit & Oversight that ideally has a deep understanding of PACE and clinical compliance regulations, and experience in all stages of the auditing and ... vulnerable senior population. Under the direction of the VP, Compliance , the Senior Director , Audit & Oversight...and external First Tier, Downstream, and Related Entity (FDR) compliance + Collaborate with operational, clinical , and… more
- Community Health Systems (Birmingham, AL)
- …high-quality patient care. This role is responsible for departmental planning, regulatory compliance , financial management, and fostering collaboration among ... **Job Summary** The Director , Surgical Services provides strategic leadership and operational...optimize quality and overall efficiencies. + **Quality Assurance and Regulatory Compliance ** + Ensures compliance … more
- Evolent (Montgomery, AL)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review ... Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining… more
- Baylor Scott & White Health (Montgomery, AL)
- …procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external ... **Job Summary** The Director , Denial Resource Center is responsible for the...the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White… more
- Merck (Montgomery, AL)
- **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with ... accurate information across the full oncology product portfolio, precision medicine, clinical science, and quality management in a balanced and credible manner… more