- BrightSpring Health Services (Colonial Heights, VA)
- …AT Home Care & Hospice Overview MUST HAVE HOSPICE EXPERIENCE RN REQUIRED The Director , Clinical Operations is responsible for the overall direction of hospice ... clinical services. The Director , Clinical ...hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy.… more
- Prime Therapeutics (Richmond, VA)
- …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 (Richmond, VA)
- …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
- Sumitomo Pharma (Richmond, VA)
- … Data Analytics. + Works with clinical trial project teams and management to adhere to quality standards and project timelines. **Key Core** **Competencies** ... clinical program indications, end points, dataflow, data integrity, standards, and data quality + Working Knowledge of ICH, Good Clinical Practice and FDA… more
- Takeda Pharmaceuticals (Richmond, VA)
- …to bring life-changing therapies to patients worldwide. Join Takeda as an Associate Director , Global Patient Safety Clinical Operations in Cambridge, MA, where ... the Pharmacovigilance Operations team, you will report to the Director , PV Clinical Operations and will be...compliance + Liaise with and advise study teams including Clinical Science, Data Management , Regulatory Affairs, and… more
- Prime Therapeutics (Richmond, VA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services - Remote Nevada **Job Description Summary** Plays ... 8+ years of pharmacy experience. + 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service. + Working… more
- Prime Therapeutics (Richmond, VA)
- … 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
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Clinical Pharmacy Provider Engagement Associate Director , HPS Clinical Program Strategy, ... Provider Groups. This role will lead a team of Clinical Pharmacists who work in market to develop and...and identify new opportunities to further PBM goals around quality , Stars, pharmacy trend, and CenterWell Pharmacy utilization +… more
- Humana (Richmond, VA)
- …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
- HCA Healthcare (Hopewell, VA)
- …future events. . Assists with the coordination and implementation of the Trauma Quality Management Plan. Participates in case review and implementation and ... activities of the Trauma Center. This position maintains responsibility/accountability for 24-hour/7-day management . 100% of the Trauma Program Director 's FTE is… more
- Humana (Richmond, VA)
- …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
- Takeda Pharmaceuticals (Richmond, VA)
- …to bring life-changing therapies to patients worldwide. Join Takeda as an Associate Director , Signal Management Process Excellence in Cambridge, MA, where you ... implement process excellence strategies to enhance the efficiency and quality of signal management activities. As part...Innovation (SMI) team, you will report to the Senior Director , Head, Signal Management and Innovation (SMI).… more
- HealthEdge Software Inc (Richmond, VA)
- **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 (Richmond, VA)
- …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
- Highmark Health (Richmond, VA)
- …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
- Humana (Richmond, VA)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Richmond, VA)
- …as an MBA, MHA, MPH + Prior experience participating in teams focusing on quality management or utilization management . **Additional Information** Reports to ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Prefer Medical...a Lead Medical Director . The Medical Director conducts Utilization Management of the care… more
- Takeda Pharmaceuticals (Richmond, VA)
- …of assigned projects and ensure efficient, timely completion. + Excellent project management skills including in depth understanding of clinical timelines (study ... therapies to patients worldwide. Join Takeda as a Associate Director Medical Writing where you will be responsible for...therapeutic area depending on the scope and stage of clinical development and may or may not have direct… more
- Takeda Pharmaceuticals (Richmond, VA)
- …+ Direct and drive the implementation of compliance management related to quality events and internal audits for clinical trial delivery functions including ... empower you to shine? Join us as an Associate Director , GCP Compliance based remotely reporting to the ...for clinical trial delivery **_A_** **_CCOUNTABILITIES:_** Compliance Management + Oversee and manage quality events/deviations… more
- Evolent Health (Richmond, VA)
- … Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...Vascular Surgery or Adult Congenital Heart Disease + Strong clinical , management , communication, and organizational skills +… more