- Genesis Healthcare (WV)
- …serve. Responsibilities Make a difference in patient care by joining our team as the Director of Clinical Risk Management. You will champion patient safety ... provide data-driven feedback. *Serve as a subject matter expert in clinical risk management, providing guidance and promoting best practices. *Support nursing… more
- Sumitomo Pharma (Charleston, WV)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... including signal detection, signal validation, signal escalation, development of risk mitigation strategies and authoring of signal evaluation reports according… more
- LifePoint Health (Beckley, WV)
- …the Quality/ Risk /Medical Staff Office Department within defined financial priorities Risk ManagementConducts clinical risk assessments and analysis of ... ( clinical experience preferred). Minimum 2 years experience in clinical risk management preferred. Supervisor and/or management experience preferred.… more
- Evolent (Charleston, WV)
- … expertise in developing cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk -based models.** ... the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance Suite … more
- CenterWell (Charleston, WV)
- …The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease prevalence ... IPA strategic partners to develop market-specific strategies to promote accurate clinical documentation, ensures all state, federal and internal policies and… more
- Merck (Charleston, WV)
- **Job Description** **Role Summary:** + The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical affairs plans ... regions. + Serves as an impactful member of Product Development Team sub-teams (eg, Clinical , V & I, Commercial, Publications). + Contributes to the development of a… more
- Evolent (Charleston, WV)
- …health outcomes and a more connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected for this role will be part ... driving analysis and support for Evolent's fast growth and innovative risk -based Performance Suite business. **Collaboration Opportunities:** This person will work… more
- Evolent (Charleston, WV)
- …as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to solve ... + Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures… more
- Highmark Health (Charleston, WV)
- …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... management. They will advise the multidisciplinary team on cases, particularly high- risk cases, through the team structure. Additionally, the incumbent may be… more
- Highmark Health (Charleston, WV)
- …for service, pay-for-value programs, episode payments, prospective bundled payments, gain share and risk share models across all lines of business with the goal of ... matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results...documents and overall contract management process + 1 year Clinical background and/or worked as part of a health… more
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