- CenterWell (Providence, RI)
- …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 (Smithfield, RI)
- ** 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
- Merck (Providence, RI)
- **Job Description** With support of Sr CRA ( Clinical Research Associate ) and/or CRA Manager, acts as primary site contact and site manager throughout all phases ... site performance. + Identifies, assesses and resolves site performance, quality or compliance problems and escalates per defined CRA...( Clinical Research Manager), TA Head and CRD ( Clinical Research Director ) as needed. + Works… more
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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
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