Director, Clinical Pharmacy Strategy & Policy
Cambia Health Solutions
Cambia Health Solutions is seeking a Director of Clinical Operations and Medical Policy to lead clinical pharmacy services across multiple lines of business. The role directs policies, prior authorization, and utilization management while guiding a team of managers and staff to meet strategic goals. The position emphasizes governance, collaboration with internal departments and external partners, and ongoing quality improvement in evidence-based medication assessment. #J-18808-Ljbffr Cambia Health Solutions
- Cambia Health seeks a Director of Clinical Operations and Medical Policy to lead pharmacy clinical operations, prior authorization, and medical policy governance across markets. This role shapes strategy, builds scalable operations, and leads a high-performing team to deliver...Policy
$179.4k - $242.7k
...Looking For Every day, Cambia’s dedicated team of Pharmacy leaders are living our mission to make health... ...member of the Pharmacy Services leadership team, our Director Clinical Operations and Medical Policy develops strategy, directs, and oversees clinical pharmacy...PolicyWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week- Cambia Health Solutions in Vancouver, WA is seeking a Director of Clinical Operations and Medical Policy to direct clinical pharmacy activities, formulary management, and policy development across multiple benefit lines. You will lead a team, oversee governance committees...Policy
- Cambia Health in Portland, OR, seeks a Director of Clinical Operations and Medical Policy to lead pharmacy prior authorization, clinical review, appeals, formulary governance, and related operations across markets. This role demands strategic leadership, regulatory acumen...Policy
$148.8k - $201.3k
...Manager Clinical Pharmacy Quality and Affordability Programs Hybrid role... ...responsible for the strategy, development, implementation... ..., recommending programs and policies to encourage appropriate utilization... ...with the Pharmacy Directors, VPs, and other leadership in...PolicyTemporary workWork at office3 days per week$248.5k - $373k
...Medical Director Optum is a global organization that delivers care... ...people with the care, pharmacy benefits, data and resources... ...Connecting. Growing together. Clinical Advocacy & Support has an unrelenting... ...proprietary coverage review policies, render coverage...PolicyRemote jobMinimum wageFull timeWork experience placementLocal area$136k - $184k
Assistant Director Clinical Regulatory OperationsHybrid role (3 days/week... ...Appeals, Care Management, Pharmacy, and Payment Integrity.Ability... ....Experience writing policies and procedures and developing... ...recommend proactive mitigation strategies while ensuring legislative,...PolicyFull timeContract workWork at officeImmediate startRemote workWork from homeRelocationFlexible hours3 days per week- ...other departments within the hospital and clinics (e.g., Employee Wellness, Employee... ...opportunities for improvement; ensures all policies and procedures are followed. Aligns team... ...collaborative efforts in spiritual care by: sharing strategies for developing and maintaining...Policy
$25k
...CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized,... ...delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health... ...com.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against...PolicyTemporary workApprenticeship- ...Medicaid and Medicare members. This role translates population health strategy into operational execution by leading the design,... ...the organization’s strategic goals.Adhere to the organization’s policies, procedures and other relevant compliance needs.Perform other duties...PolicyFull timeWork at officeLocal areaFlexible hours
- (Hiring)Market Director(Clinical Education) Marketing/Public Relations (Hiring)Market Director... ...responsible foroverseeing marketing policies and programs, as well as identify areas... ...and customer awareness Develop pricing strategies to maximizereturn on investment...Policy
$120k
..., a program of CAP Northwest, is seeking a Practice Administrator to lead clinical operations across Prism Health locations in SE and N Portland. The role emphasizes strategic leadership, policy implementation, and cross-functional collaboration to ensure high-quality,...PolicyFull timeWork at officeRemote workMonday to Friday$169.38k - $207.02k
...million and $50 million.Develop and execute business development strategies focused on acquiring new healthcare clients and expanding... ...sound risk management practices and ensure adherence to bank policies, procedures, and regulatory requirements.Foster a culture of accountability...PolicyFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week- ...and P&L review and will establish and uphold the organization’s policies and procedures. The incumbent will positively represent the... ...some travel. The incumbent will develop and implement marketing strategies including but not limited to social media, constant contact,...PolicyLocal areaImmediate startNight shiftWeekend work
- ...currently seeking a Medical Director - Shelter Medicine to join our... ...Nierenberg Community Veterinary Clinic , the Sandra Richardson... ...shelter medicine standards, policies, and protocols. Serve as the... ...population metrics and implement strategies to optimize welfare and #J-1...PolicyFull timeFlexible hoursAfternoon shift
$180k - $240k
...demonstrating strong leadership and strategic planning abilities. Key responsibilities include cultivating talent, developing targeted strategies, and collaborating with various teams. This position offers a salary ranging from $180,000 to $240,000, along with a...Flexible hours- ...with Providence. The Role The Director of Behavioral Health assumes... ...responsibility for the operational, clinical, and fiscal management of all... ...and implements practical strategies to increase efficiency,... ...compliance with regulatory standards, policies, and procedures and rapidly...PolicyLive inLocal areaRemote work
- ...health, justice and hope The Clinical Supervisor provides... ...clients, carries out agency policies, remains professionally current... ...Provides and assists clinical director in developing staff training... ...teams to develop and implement strategies to enhance end-user experiences...PolicyHourly payTemporary workWork at office
$70k - $85k
TITLE: Clinical Supervisor LOCATION: Portland, OR TERM/STATUS: Full... ...through outcome‑based strategies that support personal and community... ...Program Manager and Business Director in the overall operations and... ...records system. Ensure that policies, procedures and expected...PolicyFull timeTemporary workTraineeshipRelocation packageShift work$70k - $80k
...Manager, you’ll work closely with the Medical Director and leadership team, taking ownership of... ...and inventory, and implement hospital policies and procedures. Strategic Direction:... ...Community Engagement: Oversee marketing strategies, resolve client concerns, enhance client...PolicyFull timeLocal area$195k - $225k
...Head & Neck Oncology histology team as a Clinical Oncology Specialist (COS). In this high-... ...maintaining compliance with company policies and industry regulations. Perform other... ...to develop and execute territory growth strategies.Strong analytical, organizational, and problem...PolicyWork at officeImmediate startWorldwideNight shift- Viper Staffing Services L.L.C. is seeking a Market Director (Clinical Education) to lead marketing strategy and campaigns. You will oversee product development, pricing, and budgeting, while aligning with sales teams to boost brand awareness and market share. The role...
$78k
## Clinical Supervisor (QMHP) - Residential ProgramsApplylocations:... ...planning in accordance with agency policy and Human Resources practices... ...planning, engagement strategies, and complex behavioral health... ...complex clinical situations to the Director of Clinical Practice or...PolicyMonday to FridayShift workDay shift$100k - $180k
...movement! Position Overview The Clinical Account Manager (CAM) is responsible for... ...applicable laws, regulations, and Ceribell policies Works cross-functionally to ensure... ...cross functional agendas and adjust strategy to achieve desired outcomes. ~ Confidence...PolicyFull timeWork at officeLocal areaRemote workFlexible hours3 days per week- ...communication skills Exceptional customer service skills and strategies to keep customers lining up for more pizza Technically wholesome... ...protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting...PolicyLocal areaShift work
- ...Area Business Development Leaders and develop winning pursuit strategies. Also assist with local and national pursuits.Identify industry... ...development of production tools: best practices, technical policies and procedures, papers and presentations, Professional Associates...PolicyFor subcontractorLocal areaFlexible hours
$99.33k - $155.2k
...for millions of pets across nearly 3,000 clinics in more than 20 countries each year. We... ...within the Mars Veterinary Health (MVH) Strategy, Governance, & PMO function. Guided by our... ...accounting standards, amortization policies, and fiscal calendar timelines. Support...PolicyFull timeTemporary workWork at officeLocal areaFlexible hours$122.29k - $165.1k
...driven leader as the Deputy Public Health Director . This rare opportunity shapes public... ...senior leadership team. This role directs strategy, oversees operations, and ensures the... ...advancing social and environmental justice in policy and practice. Clackamas County is...Policy$200k
...specific eligibility requirements per VHA policy and submit your EDRP application within... ...holistic care through collaborative strategies with others Education and Experience Requirement... ...is required. Dimension Requirement: Clinical Practice. Delivers evidence-based health...PolicyTemporary workWork at office- Director Clinical Education Diagnostic Medical Sonography - $5,000 Sign-On Bonus Job Locations US-OR-Portland Overview Are you an experienced... ...environments Concorde Career Colleges is committed to a policy of Equal Employment Opportunity and will not discriminate against...PolicyLocal areaRelocation package
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