- Merck (Atlanta, GA)
- …a significant impact in achieving those objectives. Under the guidance of the Regional Director , Clinical Quality Management (RCQM), the CCQM oversees ... Demonstrated experience in leading cross-functional teams. + Ideally, experience in Clinical Quality Management including Quality Control Activities,… more
- BrightSpring Health Services (Lawrenceville, GA)
- Our Company Sacred Journey Hospice Overview The Director of Clinical Operations is responsible for the overall direction of hospice clinical services. The ... hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy....and planning + In the absence of the Executive Director /Administrator, the Director , Clinical Operations… more
- Morehouse School Of Medicine (Atlanta, GA)
- Director , Clinical Strategic Transformation Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. No ... career at MSM ! Posting Number NONAC3437 Job Title Director , Clinical Strategic Transformation Position Title ...of the Nursing School. This role focuses on transforming clinical education, partnerships, and practices to ensure high- quality… more
- Prime Therapeutics (Atlanta, GA)
- …Director , Stars - Remote **Job Description** The Clinical Program Development Director contributes to the development of drug management strategy for the ... designated clinical product domain (ie Utilization Management , Formulary, Concurrent and Retrospective Drug Utilization Review (DUR), Drug list management ).… more
- ChenMed (East Point, GA)
- …We're rapidly expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in ... is accountable for maximizing overall core model execution, including improving clinical quality , efficiency, outcomes, and clinician/patient satisfaction. In… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …diversity and excellence of our academic community. **Description** ACPE seeks an exceptional Director of Member Engagement to join its national staff as a key ... support of professional member processes including accreditation and certification. The Director of Member Engagement will contribute to ACPE workforce pipeline… more
- Prime Therapeutics (Atlanta, GA)
- … clinical research and analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical Pharmacy ... and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE...programs such as Fee Schedule Management , Prior Authorization, Post Service Claim Edits, Site of… more
- BrightSpring Health Services (Lawrenceville, GA)
- …available! SpringHealth Behavioral Health & Integrated Care is seeking a full-time, in-person Clinical Director to be based in our Lawrenceville clinic. This ... you're motivated to give our clients a more positive quality of life, we encourage you to apply today!...encourage you to apply today! Responsibilities + Assists State Director with review and updates of department materials such… more
- Humana (Atlanta, GA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Fujifilm (Atlanta, GA)
- …the development and implementation of the global strategy and policy relative to quality management systems for FUJIFILM Diosynth Biotechnologies (FDB) to ensure ... **Overview** The Senior Director Global Quality Assurance, Audits &...engineering, etc.) required + 15+ years of leadership in Quality Management Systems and excellent understanding of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …preparation and submission of all regulatory agency Requests for Information (RFI) for clinical approvals of the programs including but not limited to: UNOS key ... regulatory changes and communicates any new requirement concerns to ETCs Executive Director (s) and Sr. Vice President. + Collaborates with ETC and program leadership… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Emory. **Principal Duties and Responsibilities** The Pediatric Abdominal Transplant Surgical Director will have clinical , administrative, quality /process ... to form the System Transplant Leadership Team for overall management of Transplant Services and development of clinical...meetings, and as needed, ad-hoc meetings with System Transplant Quality Director and associated Quality … more
- Sunrise Senior Living (Sandy Springs, GA)
- …members. Quality Assurance and Regulatory Compliance: + Tracks, trends, and reports clinical quality data to identify risk. + Participates actively as a ... II **Job ID** 2024-219627 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical ...Quality Assurance and Performance Improvement committee. + Leads clinical quality and process improvement initiatives within… more
- Humana (Atlanta, GA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Elevance Health (Atlanta, GA)
- **JR130960 Business Change Director ( Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program ... Manager / Quality Control Test Architect. This high-performing individual contributor will...high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and… more
- Humana (Atlanta, GA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management… more
- HealthEdge Software Inc (Atlanta, GA)
- **Overview** ** Director , Product Management ** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to ... to deliver exceptional value for their stakeholders. As a Director , Product Management , you will lead one...fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your Impact:** +… more
- Humana (Atlanta, GA)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient ... is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical ...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- CenterWell (Atlanta, GA)
- …and ostomy care needs. + Interface seamlessly with Region, Area, Market and Local Clinical Quality , Operations and Sales teams to ensure timely information flow, ... activities and business development. + Collects and analyzes data related to Clinical Quality Outcomes including wound related measures, Advanced Wound Supply… more
- Highmark Health (Atlanta, GA)
- …of care, care plans and through patient centered evaluation and engagement. The medical director will serve as a clinical champion - promoting and representing ... the interdisciplinary team in cooperation with the Executive Medical Director + Evaluate quality assurance and performance...medical education needs in cooperation with the Executive Medical Director + Serve as a clinical champion… more