• Clinical Director - Adult Community…

    Riverside Community Care (Milford, MA)
    …team of professionals who provide recovery oriented, clinical mental health services . The Clinical Director exemplifies the values inherent in ... services , and participating in continuous quality improvement. The Clinical Director provides guidance and support in...Employee Assistance Plan / Travel Assistance Plan + Employee bonus for referrals resulting in hiring + Discounts to… more
    Riverside Community Care (03/15/25)
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  • Clinical Research Director (CRD)…

    Merck (Providence, RI)
    **Job Description** The Clinical Research Director (CRD) is the Clinical Operations lead in a country/cluster and is responsible for execution of all ... : up to 30% **CORE Competency Expectations:** + Significant Management experience in a Clinical Trials setting with the ability to service and collaborate with… more
    Merck (03/19/25)
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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 - Medicaid N. Central

    Humana (Providence, RI)
    …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... 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 (03/11/25)
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  • Medical Director - Care Plus - Florida

    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 (03/18/25)
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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 (03/08/25)
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  • Behavioral Health Medical Director

    Humana (Providence, RI)
    …license, if required . At least five years of experience post-training providing clinical services . Experience in utilization management review and case ... community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral… more
    Humana (02/15/25)
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  • Medical Director - National Medicare Team

    Humana (Providence, RI)
    Director relies on medical background and reviews preauthorization requests for services . The Medical Director work assignments involve moderately complex to ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (03/11/25)
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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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  • Director of DMH Day Programs *Internal…

    Riverside Community Care (Milford, MA)
    …experience in program development, implementation, and evaluation. + Deep understanding of clinical services , particularly within the DMH sector. + Excellent ... and dedicated individual to join our team as the Director of DMH Day Services . This leadership...including supervision of staff, budget oversight, program development, and clinical duties. + Oversee referral management, payer relations, and… more
    Riverside Community Care (03/08/25)
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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 (02/14/25)
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  • Field Medical Director , Radiology (ENT…

    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 , 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 (03/10/25)
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  • Medicare Benefits Standards & Guidance Lead…

    CVS Health (Providence, RI)
    …are administered correctly. On occasion, CMS (Centers for Medicare Medicaid Services ) requires regulatory changes during the plan year. The **Medicare** **Benefits ... Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the Medicare Part C benefits when regulatory… more
    CVS Health (03/14/25)
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  • Director Network Pharmacy - Aetna

    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) ... make health care more personal, convenient and affordable. Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance management across all… more
    CVS Health (03/04/25)
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  • Medical Director , Dermatology

    Brockton Hospital (Brockton, MA)
    … to identify and implement quality initiatives for Dermatological care. The Medical Director will serve as clinical mentor within the Division of Dermatology ... hour from Boston. We are looking for a Medical Director for our Division of Dermatology to enhance our...a full-time outpatient opportunity with a schedule of 4 clinical days, 1 admin day and no Hospital call.… more
    Brockton Hospital (03/04/25)
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  • IPA Coding Associate Director

    CenterWell (Providence, RI)
    …The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease prevalence ... IPA strategic partners to develop market-specific strategies to promote accurate clinical documentation, ensures all state, federal and internal policies and… more
    CenterWell (03/06/25)
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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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  • Co-Occurring Clinical Team Manager

    Riverside Community Care (Milford, MA)
    We make a difference- in your community and in your career. Co-Occurring Clinical Team Manager Independent Licensure Required: LMHC or LICSW $4,000 SIGN ON BONUS ... distributed at 6 months! Riverside is seeking a passionate clinical team manager to join our Community Behavioral Health...include but are not limited to: + Partnering with director level management to align team with CBHC values… more
    Riverside Community Care (02/14/25)
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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 review of the EDRP application. Former EDRP participants ... ineligible to apply. Responsibilities This CLS position is in Pathology & Laboratory services at the Providence VA Medical Center, located at the Providence, RI… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Youth Clinical Team Manager - CBHC

    Riverside Community Care (Milford, MA)
    We make a difference- in your community and in your career. Youth Clinical Team Manager *Independent Licensure of LMHC or LICSW required* Riverside is seeking a ... passionate youth clinical team manager to join our Community Behavioral Health...the CBHC, and in consultation with the Assistant Program Director will be responsible for the following: + Provides… more
    Riverside Community Care (02/15/25)
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