- CareOregon (Portland, OR)
- …behavioral health, and/or population health initiatives for the organization including clinical quality in the provider network. Essential Responsibilities + ... provide clinical strategy and interventions to CCO clinical systems . + May plan, participate in,...of population / panel management and performance data on clinical quality and utilization. Organizational Responsibilities +… more
- Providence (Portland, OR)
- …provides satisfaction to patients, and their families, providers and employees. + The Clinical Director MAY perform the following essential functions in addition ... **Description** **THE ROLE** The Director of Clinical Operations for Providence...the design, development and implementation of management and operational systems to assure cost-effective and quality operations… more
- Prime Therapeutics (Salem, OR)
- … clinical research and analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical Pharmacy ... our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description… more
- Indian Health Service (Salem, OR)
- Summary The position is the Clinical Director . Supervises others. Provides patient care. Must possess Board Certification. Reports to a Chief Executive Officer. ... evaluating, monitoring and revising medical operations, seeking to optimize the quality and access of outpatient medical care. Provide professional medical… more
- Merck (Salem, OR)
- …payers, integrated delivery systems , or scientific leaders OR 5 years of clinical oncology experience working within a health system OR the equivalent + ... **Job Description** **Health Systems Oncology Medical Affairs Director , US...Thorough knowledge of clinical medicine, healthcare delivery system structure and function, pharmacoeconomics, disease management, quality… more
- Humana (Salem, OR)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- CareOregon (Portland, OR)
- …behavioral health, and/or population health initiatives for the organization including clinical quality in the provider network. Essential Responsibilities + ... In partnership with the CCO Medical Directors, Senior Medical Director and/or other Medical Directors, the Quality ...provide clinical strategy and interventions to CCO clinical systems . + May plan and participate… more
- Humana (Salem, OR)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Salem, OR)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… more
- Lane County (Cottage Grove, OR)
- Medical Director - Dental Print (https://www.governmentjobs.com/careers/lanecountyor/jobs/newprint/4588106) Apply Medical Director - Dental Salary $148,699.20 ... the Position The Community Health Centers have been providing quality primary care and behavioral health services to the...willingness to work with a diverse population. The Dental Director will oversee the operations of the expanding dental… more
- Humana (Salem, OR)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Salem, OR)
- …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
- Evolent Health (Salem, OR)
- …+ Responsible to assist with all types of audits including Interrater, Customer, Clinical quality , and/or confirmation of process changes. + Holds Field Medical ... + In conjunction with other leaders, measures Field Medical Director productivity, quality , and telephone statistics +...new hires to educate and train on Utilization management system and Field Medical Director process, standards… more
- Evolent Health (Salem, OR)
- …and operational improvement initiatives to improve performance, satisfaction, and clinical quality /outcomes. **Teamwork/Collaboration** - serves as a liaison ... (including Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical, Quality , and Call Center Teams)… more
- CVS Health (Salem, OR)
- …system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is a ... Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical , expertise as well as directing case… more
- Evolent Health (Salem, OR)
- …with execution of Evolent's benchmarked Utilization/Cost Management Program and relevant Clinical Quality Improvement Programs + Participate in the Appeals ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...Director to be a member of the Evolent clinical team. As a collaborative member of a team… more
- Wellpath (Medford, OR)
- …if unavailable for an extended period. **Key Responsibilities** * The Medical Director provides clinical oversight to the facility medical program, adhering ... is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and...personnel and provide consultation for all professionals in the system . * The Medical Director partners with… more
- Options Counseling and Family Services (Clackamas, OR)
- …include liaison with contractor, budget development and monitoring, continuous quality and risk management, clinical and administrative supervision ... and administrative manager. Demonstrate knowledge of behavioral health services and systems and be able to work within that structure. Reasonable accommodations… more
- Catholic Health Initiatives (Roseburg, OR)
- …coordination programs and strategies to optimize patient care, resource utilization, and quality outcomes that align with system -wide Care Coordination. + ... and support throughout their healthcare journey. + Maintains effective communication with system , regional, market and care facility leadership, clinical staff,… more
- CVS Health (Salem, OR)
- …system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is ... have a NC License without encumbrances.** In the Medical Director role you will provide oversight for medical policy...or more years of experience in Health Care Delivery System eg, Clinical Practice and Health Care… more