- Elevance Health (Atlanta, GA)
- ** Director Clinical Quality Management ** **Location:** This position will work a hybrid model (remote and office). Must live within 50 miles/1 hour ... commute of an Elevance Health location. The ** Director Clinical Quality Management ** is responsible for the oversight of day-to-day operations of… more
- Morehouse School Of Medicine (Atlanta, GA)
- … research and project management . The DCRPO will report to the Associate Director , Clinical Research, of the CVRI and work with a robust clinical ... Director of Clinical Research Programs Operations...operations, relationships with other affinity groups and staff, study quality management , personnel management and… more
- CenterWell (Atlanta, GA)
- …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
- 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)
- …role presents an unparalleled opportunity for impact of your work and expertise. The ** Director Clinical Onboarding & Development** role is part of the Emory ... core member of the Learning and Development team the Director Clinical Orientation and Development will also...programs as needed. **Focus Areas for Highest Impact:** **Program Management ** + Lead the development of a redesign of… 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
- CVS Health (Atlanta, GA)
- …you all the way! Position Summary: Qualified candidates must reside in Oklahoma. The Quality Director is responsible for the operation of the Contractor's ... Section 1.11: " Quality " of this Contract. The Quality Director will be responsible for developing...and/or managed care experience in the healthcare industry and quality management . * Previous experience that reflects… more
- CVS Health (Atlanta, GA)
- …enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to ... in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior... clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality … 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
- CVS Health (Atlanta, GA)
- …of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...Collaborates with the Learning and Performance Team to develop clinical training for care management staff. *… more
- Emory Healthcare/Emory University (Lithonia, GA)
- …responsible for the entitys effectiveness and efficiency of infection control/prevention, clinical quality analytics and data reporting, and process improvement. ... and leadership programs + And more **Description** We're seeking an **Assistant Director of Quality and Patient Safety** responsible for supporting the… more
- Sunrise Senior Living (Lilburn, GA)
- …members. Quality Assurance and Regulatory Compliance: + Tracks, trends, and reports clinical quality data to identify risk. + Participates actively as a ... Forks **Job ID** 2024-217807 **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
- Humana (Atlanta, GA)
- …care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures, processes, ... analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management ,… 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
- 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
- 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
- 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