must coordinate with all functional areas of shared services partners, including but not limited to clinical operations, quality...: Coordinate day to day operations (including clinical, regulatory, call, etc.) to achieve goals and ensure compliance...
must coordinate with all functional areas of shared services partners, including but not limited to clinical operations, quality...: Coordinate day to day operations (including clinical, regulatory, call, etc.) to achieve goals and ensure compliance...
department: clinical operations (UM: inpatient and outpatient, and discharge transition planning), health improvement (HEDIS... use of services, clinical practice guidelines, and treatment guidelines Clinical Quality Provides clinical support...
-time (approximately 20 hours per week) Medical Director with expertise in psychiatry to join our Clinical Strategy... across our digital mental health platform. Reporting directly to the Chief Clinical Officer, the Medical Director will provide clinical...
workgroup, and provides physician consultative expertise to the health services department: clinical operations (UM: inpatient... use of services, clinical practice guidelines, and treatment guidelines Clinical Quality Provides clinical support...
Reporting to the Director of Clinical Operations, the Nurse Manager, Prior Authorizations, provides clinical... a team of registered nurses and clinical staff responsible for prior authorization reviews, ensuring determinations...
Description & Requirements Maximus is seeking a Director, Solution Architect. The candidate will be a Lead... for solution architecture and estimation with a focus on business process and technical services domain. The candidate is expected...
Director to ensure that clinical quality concerns are addressed in all grievances and appeals. As a member of SFHP's the... in both Health Services Operations and Health Services Programs departments as well as other areas of SFHP, especially Compliance...
Job Summary Under the supervision of the Administrative Director or the Urology Faculty Practice, the Ambulatory Care... Coordinator will be responsible for overseeing daily administrative operations, including patient scheduling, billing...
results. These partners include Marketing, Medical Affairs, Market Access and Commercial Operations. Ideal candidates... Director to ensure successful launch and/or ongoing promotion of branded products. Engage with Regional Sales Director...
Quality Review Nurse (QRN) will support key clinical quality initiatives at SFHP. The QRN is part of SFHP Health Services... QRN works closely with the Grievance and Appeals team and the SFHP Medical Director to ensure that clinical quality...
. Analyze procedures and processes to improve Compliance and Oversight operations; provide recommendations to Director. Prepare...Reporting to the Director, Compliance & Oversight, the Specialist supports the Compliance and Oversight Program...