• Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    ** Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... of equity and inclusion where diversity is valued and celebrated!_ **Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management |… more
    Kaleida Health (06/19/25)
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  • Senior Director , Clinical Risk…

    Banner Health (Phoenix, AZ)
    …Rel **Work Shift:** Day **Job Category:** Risk, Quality and Safety The **Senior Director , Clinical Risk Management & Patient Relations** will provide strategic ... the clinical risk management team and patient relations team. The Senior Director , Clinical Risk Management and Patient Relations has oversight for … more
    Banner Health (05/21/25)
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  • Director , Clinical Development

    Intra-Cellular Therapies, Inc (Bedminster, NJ)
    coding support, protocol deviation review, and data cleaning in collaboration with Clinical Operations and Data Management. 5. Work with Biometrics to ... demand integrity and respect in all we do, create and deliver. Director , Clinical Development, will be responsible for the leadership, oversight, and medical… more
    Intra-Cellular Therapies, Inc (08/01/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Richmond, VA)
    …with senior CareBridge and Elevance Health leadership across Product, Analytics, and Clinical Operations teams. + Advises on vendor investments and operational ... ** Clinical Documentation and Claims Integrity Director **...of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination… more
    Elevance Health (07/18/25)
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  • Director , Operations - Surgical…

    UPMC (Pittsburgh, PA)
    …but not limited to, professional licensure, registration and/or certification; risk management; clinical operations and clinical compliance; and staff and ... but not limited to, professional licensure, registration and/or certification; risk management; clinical operations and clinical compliance; and staff and… more
    UPMC (07/02/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Providence, RI)
    …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies and… more
    Humana (07/29/25)
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  • Supv Revenue Integrity Special / Revenue Cycle…

    Hartford HealthCare (Farmington, CT)
    …charging guidelines for staff. . Provide consultative and analytical services to operations and other personnel within the organization with respect to charging * ... policies, procedures, and education with revenue integrity staff and clinical departments. Creates necessary operational standard work. . Conducts special… more
    Hartford HealthCare (07/16/25)
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  • Director Clinical Analytics

    Dignity Health (Bakersfield, CA)
    …but will be expected to work PST business hours.** **Position Summary:** The Director of Analytics oversees and strategizes the data analytics needs of the ... including but not limited to analysis of population health metrics, network clinical , financial, utilization, and patient satisfaction in support of the optimization… more
    Dignity Health (07/30/25)
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  • Senior Director , Revenue Cycle

    Scripps Health (San Diego, CA)
    …Cycle where you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management HIM. ... manages the staff responsible for hospital and professional fee coding and CDI, ensuring quality documentation and clinical...for the system, serving on an array of business operations and clinical committees. * Accountable for… more
    Scripps Health (05/16/25)
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  • Associate Operations Director

    CenterWell (Myrtle Beach, SC)
    …of our caring community and help us put health first** The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations in a ... vary by market or center, as determined by local leadership. The Associate Operations Director helps develop and leads implementation for staffing plans,… more
    CenterWell (07/17/25)
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