- Centene Corporation (Jefferson City, MO)
- …federal regulations as well as company policies. + Responsibilities: + Oversee retrospective clinical audits to ensure accurate and timely payment of claims. + ... Interpret review results, develop action plans and present findings to senior management + Develop and implement continuous processes from analytic design to final report stage + Design, develop, and implement internal audit programs, policies, and procedures… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** The ** Director of Payment Integrity Solutions** is responsible for overseeing Payment Integrity edit and program strategy and ... address operational gaps, support provider escalations, and guide ongoing improvements in payment integrity strategies and support systems. Key to the role… more
- Humana (Carson City, NV)
- …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
- Intermountain Health (Murray, UT)
- …dyad leadership structure to define, establish, and oversee the work of the Clinical Program. The Senior Medical Director works collaboratively with all regions ... to drive the performance and measured improvement of the clinical program. **Scope** The Senior Medical Director ...leader for the model healthcare system as evidenced by integrity , passion, and energy; being a champion of Intermountain's… more
- Villa of Hope (Rochester, NY)
- JOB TITLE: Associate Clinical Director (member of Operational Leadership Team) POSITION GRADE: 84 DEPARTMENT/PROGRAM: Tuckahoe Community Residence (Williamson ... Location) SUPERVISOR: Clinical Director of Behavioral Health Residential, School,... operates the program in alignment with Value Based Payment principles, including regulatory compliance, risk management, staff development,… more
- BrightSpring Health Services (Springville, AL)
- …oversight of ongoing staff development + Collaborate with Director , Hospice Clinical Education to monitor integrity of orientation program, and provides ... Our Company BrightSpring Health Services Overview Director of Hospice Clinical Practice Hybrid... and clinically related financial outcomes data to ensure integrity of care, compliance with requirements and improve ongoing… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …**Position Summary** Otsuka is seeking an experienced and visionary Senior Director , Global Clinical Development (GCD), with experience in immunology, ... and ensuring the highest standards of scientific and medical integrity . The incumbent will be responsible for the design...research programs and protocols for OPDC products under good clinical practices (GCP). The Senior Director , GCD… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …visit winshipcancer.emory.edu. **Winship is seeking qualified candidates for the Senior Director , Clinical Trials position.** **Position details are as ... follows:** JOB DESCRIPTION: + The Senior Director of Clinical Trials for the Winship...trials and continuous improvements in the fiscal and scientific integrity of clinical trials activities. + Provides… more
- BrightSpring Health Services (Charleston, WV)
- …through oversight of ongoing staff development. Collaborate with Director , HH Clinical Education to monitor integrity of orientation program, and provides ... Health Services Overview Provide oversight, leadership and support relating to clinical practice and care provision. Consult and collaborate with agency leadership… more
- Edwards Lifesciences (Raleigh, NC)
- …Heart Valve (THV) business unit continues to partner with cardiologists and clinical teams to transform patient care with devices supported by clinical ... us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based...and physicians to ensure they recognize the economic and clinical value of the transcatheter heart valve (THV) therapy.… more