- Pfizer (Pearl River, NY)
- …country feasibility. **Support study team** + With supervision of medical monitor ( director /Sr director ) provides clinical input to protocol/study team for ... study team to ensure high quality of data eg appropriate patient population, adequacy of clinical assessments as study is ongoing. + Contributes to medical review… more
- UPMC (Moosic, PA)
- …significant responsibility for quality management and utilization management and for assuring the adequacy of the provider network for the clinical needs of ... have an exciting opportunity for a full-time Senior Medical Director to join our leadership team with UPMC Community...relationship between Community Care and the providers in its network . + Reviews proposed service denials and supervises care… more
- Pfizer (Pearl River, NY)
- …with study team to ensure high quality of data eg, appropriate patient population, adequacy of clinical assessments as study is ongoing. + Ensures the medical review ... Provides protocol specific training to study team, investigators, clinical research associate , and others. + Interacts with healthcare professionals at sites… more
- Molina Healthcare (Los Angeles, CA)
- …Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy , financial performance and ... and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role supports negotiations with… more
- Fallon Health (Worcester, MA)
- …Department** + Works closely with the Senior Director , PACE Operations to ensure network adequacy and timely procurement of needed contracts in all areas and ... The Manager works closely with their counterpart to assist the Senior Director , PACE Operations to manage the program level operational and regulatory functions… more
- CVS Health (Princeton, NJ)
- …management, and provider complaint resolution . Implementation of quality measures of network adequacy . Implementation of processes designed to improve access ... Director , Behavioral Health Administrator, CMO, Behavioral Health Director of Network Relations and all matrixed...High School Equivalent and 4 years of experience or Associate degree and 2 years of experience in health… more
- Lilly (Lebanon, IN)
- …Industrial Hygiene compliance and a positive site culture. + Collaborate with the Associate Director HSE to identify and define the necessary capabilities, ... reviews and ensure compliance with program elements and documentation for adequacy and completeness. **Additional Responsibility:** + Other areas of focus include… more
- Humana (Jacksonville, NC)
- … network operations to include customer support and outreach activities, network adequacy , access to care standards, provider relationships, provider ... military health system operations and optimization including contractual performance and provider network management in order to provide the best experience for our… more
- City and County of San Francisco (San Francisco, CA)
- …its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. The San Francisco Health Network is the City's only ... tissue types; + Checks morgue and other work spaces for cleanliness and adequacy of service supplies; + Checks for appropriate decedent storage temperatures and… more
- Universal Health Services (Temecula, CA)
- …www.SWHtemeculavalley.com. Medical Staff Coordinator The Medical Staff Coordinator assists the Director of Medical Staff to implement MEC and Board decisions ... participates in all related surveys related to credentialing and ensures adequacy and coordination of information required to successfully meet applicable standards… more