• Director , Clinical Services

    Wellpath (Bridgewater, MA)
    …Therapy, up to director level.** 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** **From top to bottom, we are...health programs? We are seeking a dedicated and experienced Director of Clinical Services to… more
    Wellpath (01/07/25)
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  • Director , Clinical Pharmacy

    CenterWell (Providence, RI)
    **Become a part of our caring community and help us put health first** The Director of Clinical Pharmacy will be the leader of Forecasting and would lead the ... for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior… more
    CenterWell (01/29/25)
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  • Sr Director , Market Operations…

    Evolent (Providence, RI)
    …Stay for the culture. **What You'll Be Doing:** **Job Description:** The Senior Director , Market Operations ( Clinical ) is responsible for overseeing clinical ... include:** + Leading operational planning, implementation, and evaluation of strategic clinical initiatives inclusive of medical expense initiatives, clinical more
    Evolent (01/28/25)
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  • Physician Medical Director - LTSS

    Humana (Providence, RI)
    …part of our caring community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of ... services , requested level of care, requested site of service , and/or medical supply should be authorized. All work...10 weekends per year. **Additional Information** + The Medical Director conducts clinical reviews of the care… more
    Humana (01/25/25)
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  • Medical Director - Gulf South

    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
    Humana (12/03/24)
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  • Medical Director - Southeast Region

    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
    Humana (02/04/25)
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  • Assistant Program Director - Telehealth

    Northeast Family Services (Fall River, MA)
    …along with the content, implementation of treatment plans, and provide supervision to clinical staff for licensure. The Assistant Program Director will carry a ... Northeast Family Services is a premier mental health provider with...independently licensed clinician for the role of Assistant Program Director to help lead our growing Outpatient Telehealth team!… more
    Northeast Family Services (01/25/25)
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  • Medical Director - Mid West Region

    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
    Humana (01/30/25)
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  • Medical Director

    Genesis Healthcare (Cumberland, RI)
    … partners with the Regional Medical Director to promote the delivery of clinical services in a manner that fulfills the AlignMed Partners mission of ... the Center, accountable to the Center Administrator for delivery of clinical services as stipulated in the Medical Director Agreement, and accountable to the… more
    Genesis Healthcare (01/10/25)
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  • Field Medical Director , Interventional…

    Evolent (Providence, RI)
    …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
    Evolent (01/30/25)
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  • Field Medical Director , Cardiology

    Evolent (Providence, RI)
    …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (11/15/24)
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  • Director , Quantitative Pharmacology…

    Merck (Providence, RI)
    …of our Company's Research Laboratories is seeking a curious and collaborative Director to support our rapidly expanding ophthalmology pipeline. As a director ... cross-functional teams of experienced scientists to discover and advance the clinical development of novel therapeutic agents for ophthalmologic disorders. You will… more
    Merck (02/04/25)
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  • Director , Physician Practice IT Operations…

    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
    Cardinal Health (01/27/25)
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  • Field Medical Director , Genetic Testing

    Evolent (Providence, RI)
    …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... culture. **What You'll Be Doing:** As a Field Medical Director , Genetic Testing you will be a key member...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (11/19/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Providence, RI)
    …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
    Humana (01/07/25)
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  • Medical Director - Regulated Medicare…

    CVS Health (Providence, RI)
    …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) ... 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… more
    CVS Health (01/30/25)
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  • Director , Data & Advanced Analytics

    Cardinal Health (Providence, RI)
    **Position Summary:** Sonexus (TM) Access and Patient Support is seeking a ** Director of Data & Advanced Analytics** to join and support our growing organization. ... across various business functions, including patient support, patient engagement, clinical support, operations, and pharmacy distribution. + **Vendor and Partner… more
    Cardinal Health (01/23/25)
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  • Chief Clinical Officer

    Evolent (Providence, RI)
    …Role** The Chief Clinical Officer (CCO) is a key leader in the Clinical Services organization reporting directly to the Chief Medical Officer. The CCO will ... lead the Clinical Operations team and work with medical ...of the clinical operations team. Within the Clinical Services team, the CCO will also… more
    Evolent (12/21/24)
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  • Clinical Laboratory Scientist

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    …(one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This ... CLS position is in Pathology & Laboratory services at the Providence VA Medical Center, located at the Providence, RI location. It is a Full Time (40 hours/week)… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Clinical Letter Writer

    Evolent (Providence, RI)
    …for the mission. Stay for the culture. **What You'll Be Doing:** Our shared services team offers candidates the opportunity to make a meaningful impact by providing ... made, documented and communicated clearly **What You Will Be Doing:** The Clinical Letter Writer is responsible for reviewing adverse determination decisions against… more
    Evolent (02/01/25)
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