- Wellpath (Bridgewater, MA)
- …Social Work and Occupational Therapy.** This position offers a bonus ! The Director of Clinical Services directs the development and implementation of ... benefits varies based on employee type and length of service . **Why Us** **Now is your moment to make...health programs? We are seeking a dedicated and experienced Director of Clinical Services to… more
- CenterWell (Providence, RI)
- …for value-based, senior care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop, design, and deploy the ... to managing a team of role-based trainers and training facilitators. The Associate Director , Clinical Coding Education (RN) role will report to the National… more
- CenterWell (Providence, RI)
- …program leadership experience as a manager, director , or higher overseeing clinical pharmacy services and programs + Proven ability to drive comprehensive ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing,… more
- Cardinal Health (Providence, RI)
- …team is passionate about helping oncology practices navigate the future. The Director , Clinical Research & Strategy executes innovative strategies for programs ... development of annual and multi-year program strategic roadmaps for a portfolio of clinical programs and services in alignment with Navista strategy. +… more
- Northeast Family Services (Fall River, MA)
- …and independently licensed clinician to join our growing Massachusetts team as the Program Director of Outpatient Services . If you are a dedicated mental health ... Northeast Family Services is a premier mental health provider with...genuinely cares for their employees and clients. The Program Director of Outpatient Therapy, in partnership with the VP… more
- Humana (Providence, RI)
- …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- CVS Health (Providence, RI)
- …consultative support to the P&T process, formulary development, drug information services and pipeline activities, and provision of clinical leadership ... to various internal departments (eg, specialty pharmacy services , clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and… more
- Humana (Providence, RI)
- …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... Bold Goal mission, throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Northeast Family Services (Warwick, RI)
- Northeast Family Services is a premier and rapidly growing mental health provider with over 20 years of experience providing in-person, in-home, and telehealth ... services to children, adolescents, adults, and families. We are...are seeking a professional and caring ABA Assistant Program Director to join our growing Rhode Island home-based team!… more
- Humana (Providence, RI)
- …uses their medical background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service should be ... support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Northeast Family Services (Fall River, MA)
- …+ Master's Degree in social work, counseling, psychology, or related human services field + Independent clinical license in state of Massachusetts ... Northeast Family Services is premier mental health provider with over...to join our growing Massachusetts team as Assistant Program Director for Outpatient Therapy. The Outpatient Assistant Program … 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 ... whether requested services , requested level of care, and/or requested site of service should meet authorization requirements. All work occurs within a context of… more
- Humana (Providence, RI)
- …innovate **Additional Information** Typically reports to a Regional Vice President of Health Services , Lead, or Corporate Medical Director , depending on size of ... 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
- J&J Family of Companies (Raynham, MA)
- Senior Director , Medical Affairs Orthopedics - 2406206569W **Description** Johnson and Johnson Family is recruiting a **Senior** ** Director , Medical Affairs, ... reach their potential. At Johnson & Johnson, we all belong. This Senior Director provides medical affairs leadership for the joint arthroplasty platform within J&J… more
- J&J Family of Companies (Raynham, MA)
- Director , Medical Affairs, Orthopedics - 2406206565W **Description** Johnson and Johnson Family is recruiting a ** Director , Medical Affairs, Orthopedics** ... life-cycle management, including management of regulatory documents, critical evaluation of clinical risk and input regarding potential patient safety issues. This… more
- CVS Health (Providence, RI)
- …staff and providers on medical services not included in the aligned plan's service array. + Serves as a key clinical lead in developing and implementing ... at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM)… more
- Humana (Providence, RI)
- …scope and complexity ranging from moderate to substantial. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Evolent Health (Providence, RI)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of the utilization ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...Be Doing:** + Provides medical direction to the support services review process. Responsible for the quality of utilization… more
- Cardinal Health (Providence, RI)
- …Strong skills in stakeholder management and internal evangelism of IT Operations/ service principles. + Track record of identifying clinical /applications product ... alliance co-created with oncologists and practice leaders that offers advanced support services and technology to help practices remain independent and thrive. True… more
- Evolent Health (Providence, RI)
- …client partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services /analytics, and vendor management. ... for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Director , Partner Operations** The Senior Director , Partner Operations serves as… more