Clinical Risk & Cost Containment Director
Crains Cleveland
Crains Cleveland is looking for an Assistant Director who will provide clinical expertise and leadership for the Medical Management team. This role is crucial in evaluating high‑risk claimants, estimating care costs, and identifying cost containment opportunities. The ideal candidate will hold a current RN license and have extensive clinical experience, especially in managed care. The position includes responsibilities such as large claim risk assessment, clinical education, and team support. #J-18808-Ljbffr Crains Cleveland
$112.7k - $193.2k
...Connecticut is looking for an Assistant Director who will provide clinical expertise and leadership to the Medical... ...team. The role involves assessing high-risk claimants and supporting various internal teams in cost containment strategies. Qualified candidates should...Risk$112.7k - $193.2k
Texas Health Institute is seeking an Assistant Director to provide clinical expertise and leadership within the Medical Management... ...auditors, and vendor partners by assessing high-risk claims and identifying cost containment opportunities. The ideal candidate will have a...Risk$112.7k - $193.2k
The Rhode Island Bar Assn. is seeking an Assistant Director to provide clinical leadership and cost containment support for the Medical Management team. Responsibilities include evaluating high-risk claimants and collaborating with underwriters and claims auditors to implement...Risk- ...Hartford, Connecticut is seeking an Assistant Director to provide clinical expertise and leadership for the Medical... ...Management team. You will evaluate high-risk claimants and support underwriters and claims auditors in cost containment efforts. The ideal candidate will have a...Risk
$112.7k - $193.2k
...of Minnesota School of Nursing is seeking an Assistant Director to provide clinical expertise and leadership for the Medical Management team. This role involves evaluating high-risk claimants and estimating cost of care. Candidates should have extensive clinical experience...Risk- UnitedHealthcare is looking for an Assistant Director to provide clinical expertise and support for the Medical Management team. This role involves evaluating high-risk claimants and identifying cost containment opportunities. You will have the flexibility to work remotely...RiskRemote job
$112.7k - $193.2k
IntelliResume is seeking an Associate Director for their Medical Management team. This role focuses on clinical expertise, claim risk assessment, and cost containment support. Ideal candidates will have a strong clinical background and leadership experience. The position...RiskRemote job- ...Clinical Risk Manager Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive...Risk
- ...cultural, and talent capabilities to ensure Hartford HealthCare will always be the first choice of the people we serve. The Clinical Risk Manager performs risk management activities including investigating, managing and analyzing risk management data. Responsibilities...Risk
- ...requires RN License Position Purpose The Risk Manager is responsible for overseeing and... ...Risk Manager works collaboratively with clinical leadership, legal counsel, and the Risk Management... ...recommendations; provide feedback to directors and department leaders to support risk...RiskFull timeLocal areaMonday to FridayShift workDay shift
$84k - $140k
...We have an excellent opportunity for an experienced Clinical Risk Manager to join our team in Swiss Re's Accident & Health division... ...use your knowledge and experience to project expected treatment costs based on ICD 9 / ICD 10 codes, current treatment plan and other...RiskTemporary workWork at officeFlexible hours$114k - $210.9k
Experienced Clinical Trial Manager - Full-Service Syneos Health is a leading fully-integrated... ...data and process, protocol execution risks and risk mitigations related to... ...qualifications described above. Further, nothing contained herein should be construed to create an...RiskContract workFlexible hours$112.7k - $193.2k
UnitedHealth Group is looking for an Assistant Director to provide clinical expertise and leadership for their Medical Management team. This remote role evaluates high-risk claimants and offers cost containment support while collaborating with various stakeholders. The...RiskRemote job$84k - $140k
...Schaumburg, IL. We have an excellent opportunity for an experienced Clinical Risk Manager to join our team in Swiss Re's Accident & Health... ...your knowledge and experience to project expected treatment costs based on ICD-9 / ICD-10 codes, current treatment plans, and other...RiskWork at officeWorldwide- ...Clinical Scientist - Ophthalmology We are looking for a Clinical Scientist... ...Works with Medical Director to develop medical plans (Medical... ...the data to identify risks and data patterns/trends and... ...described above. Further, nothing contained herein should be construed to...RiskContract workFlexible hours
- Clinical Scientist - Ophthalmology We are looking for a Clinical Scientist... ...Works with Medical Director to develop medical plans (Medical... ...the data to identify risks and data patterns/trends and... ...described above. Further, nothing contained herein should be construed to...RiskContract workFlexible hours
$101k - $151.5k
...The Opportunity The Associate Director, Clinical Services leads a team of... ...clients manage health care costs more effectively. This position... ..., and other Health and Risk Solutions teams to support a... ...service, member engagement, cost containment, and health outcomes....RiskWork at officeLocal area2 days per week- ...Position Highlights Department: Mental Health Clinic Hours: Full-Time 40 hours per week Summary: As part of a multidisciplinary... ...implementation in a timely manner ·Participate in our high-risk program ·Demonstrates cultural competency and commitment to...RiskFull timeTraineeship
- ...KPMG Additional Responsibilities for Senior Manager: Manage risk and financial performance of engagements, including billing,... ...protected by applicable federal, state or local laws. The attached link contains further information regarding the firm's compliance with federal...RiskFull timeLocal area
- Datavant is looking for a Clinical AI Data Specialist to ensure the clinical accuracy of training data for AI-powered risk adjustment products. You will annotate and validate medical records, ensuring high-quality coding standards in a highly collaborative healthcare environment...RiskFlexible hours
$92.19k - $143.96k
...Officer will provide expert leadership in risk assessment, regulatory compliance,... ...risks, including laboratory practices, containment strategies, and facility-related biosafety... ...complexity, integrates basic research with clinical application, educates current and future...RiskLocal area- ...Clinical Supervisor - Child Outpatient Clinic About us: The Village was one of the first agenciesin the country to provide homes for neglected... ...include individualand family therapy, parent skills training, risk assessments andcrisis management, trauma informed treatment,...Risk
- Trinity Health is seeking a Risk Manager for an on-site position in Hartford, Connecticut. The role involves overseeing the risk management program across inpatient and outpatient settings, ensuring compliance with regulations, and promoting patient safety. Qualifications...Risk
- ...Vice Chair, Clinical Operations, Quality & Innovation About the Company Leading healthcare... ...inpatient outpatient nicu high-risk maternity cardiology cancer... ...research. The role also includes a medical director position at a suburban clinical site, precepting...Risk
- ...Parexel FSP is hiring multiple Clinical Supply Support Specialist Services across the USA. Clinical Supply & Inventory Planning & Execution Supply monitoring, assessment and oversight activities (risks, stocking levels, trends) Pull relevant data for metrics reporting...RiskWork experience placementInternship
- ...Estimator is responsible for preparing accurate and competitive cost estimates for AV system installations, integrations, and service... ...vendors and negotiate as needed to meet cost targets Analyze project risks and identify opportunities for cost savings or value engineering...RiskContract workFor subcontractor
- ...complex projects and play a key role in preconstruction strategy, cost leadership, and client engagement. You will provide technical... ...bid meetings, job walks, and client presentations. Cost Analysis & Risk Management Evaluate project risks, market conditions, and cost trends...RiskContract workFor subcontractorLocal area
- ...Clinical Data Manager Reporting to the Clinical Data Manager, you'll be responsible for... ...the execution of feasibility testing to de-risk data capture approaches, and own the... ...(s), efficiency, quality, and production cost. Contribute to the development and maintenance...RiskWork experience placement
- Experienced Clinical Research Associate - Sponsor Dedicated Syneos Health is a leading fully... ...to the protocol. Verifies issues or risks associated with blinded or randomized information... ...described above. Further, nothing contained herein should be construed to create an...RiskContract workInterim roleLocal areaImmediate startRemote workFlexible hours
- ...Job Summary: As a specialized research professional the Senior Clinical Research Associate (SrCRA) collaborates with the Principal Investigator... ...study meetings * Manage complex multisite, interventional high risk drug/device research protocols * Presents at conferences (...Risk
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