The Associate Director, Clinical Monitoring Oversight at True North Consulting is responsible for overseeing and implementing a global sponsor oversight monitoring program within the clinical operations department. This role involves leading internal process improvements related to monitoring quality and data integrity, ensuring compliance with regulatory requirements and GCP, and managing a global sponsor oversight monitoring team. The position is remote with possible quarterly meetings in Waltham, MA.

ASSOCIATE DIRECTOR, CLINICAL MONITORING OVERSIGHT

Associate Director, Clinical Monitoring Oversight

The Medical Director at CenterWell Home Health actively uses their medical background, experience, and judgement to make determinations on requested services, level of care, and site of service authorization. This role involves computer-based review of clinical scenarios, communication of decisions, and possible participation in care management. The position focuses on regulatory compliance, operationalizing knowledge of Medicare and Medicare Advantage requirements, and supporting Humana values and its Bold Goal mission.

MEDICAL DIRECTOR - NORTHEAST REGION

Medical Director

The Medical Director Clinical Programs at Elevancehealth is a remote, individual contributor role responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. This role involves analyzing data, partnering with leaders to ensure alignment with health priorities, and collaborating on clinical programs that support providers in value-based payment arrangements. The position is 50% UM support and 50% focused on West Region Star related work.

MEDICAL DIRECTOR CLINICAL PROGRAMS (US)

Medical Director Clinical Programs

Greenbrook Medical is seeking a Senior Director of Clinical Operations to lead and expand their successful clinical model across Tampa Bay and beyond. This role involves designing, refining, and optimizing clinical workflows, working closely with the Chief Medical Officer, and leveraging a partnership with Tampa General Hospital to scale high-quality care. The ideal candidate will have a strong leadership background, a track record of clinical team development, and the ability to manage key performance indicators to drive excellence in clinical services.

Head of Operations

Senior Director of Clinical Operations

As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

The OMHC Clinical Director is responsible for overseeing the day-to-day operations of the OMHC program, including planning, organizing, evaluating, and directing the delivery of quality client services. This role involves overseeing all program aspects and functions, supporting the management team with compliance, and ensuring the delivery of high-quality services in line with standards, objectives, regulations, and accreditation standards.

OMHC Clinical Director Remote

OMHC Clinical Director

CareStar, Inc. is seeking a Clinical Supervisor to oversee the delivery of services aimed at enhancing the health, safety, and general well-being of participants, with a focus on maximizing independence. This role involves identifying, coordinating, and overseeing services, and requires an unrestricted RN or LSW/LISW licensure in Ohio, along with five years of clinical experience and one year of management experience.

Clinical Supervisor

Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program. This role involves coordinating, conducting, and documenting delegation assessments, preparing status reports, developing corrective action plans, and assisting with Delegation Oversight Committee meetings.

Sr. Specialist, Delegation Oversight (Analyst) - REMOTE - CA ONLY

Senior Specialist, Delegation Oversight

The Medical Director at Aetna Duals Center of Excellence (COE) is responsible for performing utilization management tasks including concurrent and prior authorization reviews, appeals, and pharmacy reviews. This role involves leading daily rounds and requires a minimum of 3-5 years of clinical practice experience, with a preference for those with managed care experience. The position is work-at-home, located anywhere in the US, and requires working Eastern or Central Standard time hours, with occasional weekend/holiday coverage.

Medical Director Aetna Duals Center of Excellence

The Supervisor, Clinical Operations at GEHA is responsible for supervising the daily operations of the Care Management Department clinical programs and processes. This role serves as the primary contact for staff and escalated care management issues, assists in developing policies and procedures, monitors compliance, and provides support and supervision to clinical and clinical support staff. The position operates under the direct supervision of the Care Management Administrator/Manager.

Supervisor, Clinical Operations

The Clinical Operations Medical Director at Elevance Health is responsible for supporting the medical management staff to ensure timely and consistent medical decisions for members and providers. This role involves participating in pre-authorization and quality improvement solutions for specialized cardiology and vascular surgery, including procedures such as coronary angiography, percutaneous coronary interventions, and endovascular interventions. The position is remote, with the ideal candidate living within 50 miles of an Elevance Health PulsePoint location.

Clinical Operations Medical Director

Sea Mar Behavioral Health Services is seeking a full-time Clinical Supervisor for their outpatient mental health programs. This role involves providing licensure supervision to agency-affiliated and associate level counselors, monitoring their documentation, and collaborating with other clinical supervisors and managers. The position primarily operates through telehealth, supporting clinicians at various sites throughout Sea Mar.

Clinical (Licensure) Supervisor

The Medical Director GPS US at Lundbeck is responsible for overseeing the safety profile of assigned Lundbeck products in accordance with FDA and global regulatory Pharmacovigilance guidelines. This role involves a strong background in analyses of 'Big Data' and leveraging real-world data to support and enhance PV activities. The incumbent will also be involved in medical assessment of adverse events, signal management, risk management activities, and contributing to the development of Global Medical Safety processes and procedures.

Medical Director Global Patient Safety (GPS) US - Remote Opportunity

The Good Clinical Practice (GCP) Quality Assurance (QA) Oversight role at GE HealthCare is crucial for ensuring compliance with regulatory requirements, protocols, and standard operating procedures (SOPs) in clinical trials. This role involves overseeing compliance and program activities related to GCP and R&D functions, including CROs, Investigator sites, Centralized Labs, and specialist Non-Clinical Labs. The role focuses on global compliance support, proactive sharing of insights and industry trends, and supporting compliance and continuous improvement within PDx.

Good Clinical Practice (GCP) Quality Assurance (QA) Oversight

Good Clinical Practice Quality Assurance Oversight

The Clinical Operations Supervisor - RN at Acentra Health is responsible for managing the day-to-day operations of Clinical Operations, Utilization Management, and Clinical Reviewers. This role involves assuring quality customer service and support for clients and staff, developing and enforcing operational policies and procedures, managing staff, and coordinating correspondence between external stakeholders and the company. The position requires a proactive approach to problem-solving, team management, and ensuring operational success through business and financial metrics monitoring.

Clinical Operations Supervisor

Clinical Operations Supervisor - RN

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