Hybrid Director, Pharmacy Clinical Ops & Medical Policy
Cambia Health
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 affordable, quality care for members. The role requires a PharmD or BS in Pharmacy with licensure, 8+ years in managed-care pharmacy, and 5+ years of leadership experience. #J-18808-Ljbffr Cambia Health
- 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...PolicyMedical
- 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...PolicyMedical
$179.4k - $242.7k
Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver... ...day, Cambia’s dedicated team of Pharmacy leaders are living our mission to... ...Services leadership team, our Director Clinical Operations and Medical Policy develops strategy, directs, and oversees...PolicyMedicalWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week$148.8k - $201.3k
...Manager Clinical Pharmacy Quality and Affordability Programs Hybrid role (3 days/week in office) at our... ...quality, affordability, and medication management programs... ...programs and policies to encourage appropriate... ...Collaborates with the Pharmacy Directors, VPs, and other...PolicyMedicalTemporary workWork at office3 days per week- 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...PolicyMedical
$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...people with the care, pharmacy benefits, data and resources... ...Connecting. Growing together. Clinical Advocacy & Support has an... ...proprietary coverage review policies, render coverage determinations...PolicyMedicalRemote jobMinimum wageFull timeWork experience placementLocal area$108.29 - $173.13 per hour
...Providence is calling for Senior Manager Clinical Pharmacy - Pharmacy - Hybrid The Senior Clinical Manager -... ...FTE, Union, location, time-off plan policies, availability of health and welfare... ...matching, health care benefits (medical, dental, vision), life insurance, disability...PolicyMedicalMinimum wageLocal areaShift work$97.7k - $130.3k
...from our Vancouver office and potential hybrid flexibility, depending on business needs.... ...real estate title insurance commitments and policies Utilize underwriting standards and... ...comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave...PolicyMedicalFull timeWork at office$90k - $200k
...Oak Brook, IL and 150+ clinic locations in Illinois,... ...Chiropractors and Clinic Directors - Perform, Lead,... ...per adjustment) Full medical, dental, vision + PTO,... ...revenue cycle, clinical ops) Why Chiro One is Different... ...compliance and TVG-Medulla, LLC policies and Standards of...PolicyMedicalFull timeLocal areaFlexible hours- ...utilization, and member experience.This is a hybrid position with the expectation to be in... ...goals.Adhere to the organization’s policies, procedures and other relevant compliance... ...after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability...PolicyMedicalFull timeWork at officeLocal areaFlexible hours
- ...JOB DESCRIPTION SUMMARY The hospice Medical Director will have overall responsibility for the... ...2. Assuring that the established policies, bylaws, rules, and regulations of the... ...Director/Administrator and Director of Clinical Services, criteria to monitor the quality...PolicyMedical
$169.38k - $207.02k
...management practices and ensure adherence to bank policies, procedures, and regulatory requirements.... ...communities they serve.The role offers a hybrid/flexible schedule, which means there's an... ...include the following:Healthcare (medical, dental, vision)Basic term and optional...PolicyMedicalFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week- ...Southwest Washington is currently seeking a Medical Director - Shelter Medicine to join our team.... ...the Nierenberg Community Veterinary Clinic , the Sandra Richardson Miller Mobile Veterinary... ...maintain shelter medicine standards, policies, and protocols. Serve as the...PolicyMedicalFull timeFlexible hoursAfternoon shift
$78k
Behavioral Health Clinical Supervisor - Posting #26201 Annual Salary... ...COVID‑19 and flu vaccine policy. Duties and Responsibilities... ...the Regional Behavioral Health Director. In partnership with the Program... ...records. What We Offer Medical, Dental, Vision, and Prescription...PolicyMedicalFull timeContract workInternshipWork at office- ...Providence. The Role The Director of Behavioral Health... ...for the operational, clinical, and fiscal management... ...relationships with ministry medical and specialty care... ...regulatory standards, policies, and procedures and... ...be required to work a hybrid schedule, which consists...PolicyMedicalLive inLocal areaRemote work
$36.05 - $38.46 per hour
...Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational... ...to the WAC, county contracts, TJC, and Sea Mar Policies and Procedures. Ensure system integration of care...PolicyMedicalHourly payFull timeContract workInternship- Rebound is hiring a full-time Clinic Manager. The Clinic Manager provides operational leadership... ...supervision, coaching, communication, policy administration, and performance... ...certification, training preferred Certified Medical Assistant or LPN certified preferred, other...PolicyMedicalFull timeTemporary workWork experience placementFlexible hours
$80.17k
## Clinical SupervisorApplylocations: Vancouvertime type: Full timeposted... ...includes more than 90 medical, dental, and behavioral health... ...the Regional Behavioral Health Director. • In collaboration with the... ...contracts, TJC, and Sea Mar Policies and Procedures. • Ensure system...PolicyMedicalPermanent employmentFull timeSeasonal workImmediate start- ...Pharmacist – Fair Medication AccessWork From Home | Strong Clinical Writing Focus Combine... ....Apply plan policies, evidence-based guidelines... ..., and medical directors during case... ...PharmD or Bachelor of Pharmacy.Licensure: Active... ...Role?Fully remote or hybrid options available....PolicyMedicalRemote work
- ...other day of the year!Dental, Medical, Vision available for full-... ...of careProvides the Executive Director with data involving patients... ...reviews, revises, and implements policies and procedures; goals and... ...conferences are conducted, reviewing clinical and progress notes, periodic...PolicyMedicalFull timeLocal area
- Director Clinical Education Diagnostic Medical Sonography - $5,000 Sign-On Bonus Job Locations US-OR-Portland Overview Are you an experienced Sonographer who... ...Concorde Career Colleges is committed to a policy of Equal Employment Opportunity and will not discriminate...PolicyMedicalLocal areaRelocation package
- ...Representative / Blackjack/RQ-21 UAS Operator (OP)/Maintainer (MX)/Mission Coordinator (MC)... ...: Ability to obtain an FAA class II medical certificate. Ability to pass rigorous... ...abuse in the workplace and workforce. AgTS policy ensures compliance with the Drug-Free Workforce...PolicyMedicalPermanent employmentWorldwideOverseas
- ..., reporting to the Associate Director, Branch Administration at CenterWell... ...with self-administered medications by opening bottle caps for... ...Care and CenterWell Home Health policy.Report changes and document... ...specialty, hospice and retail pharmacy, CenterWell is focused on whole...PolicyMedical
$177.27k - $265.9k
...direct engagement. This policy promotes an environment... ...that per our policy on hybrid/virtual work,... ...by law The Manager Pharmacy Specialty is responsible... ...account management and clinical expertise. Maximizes... ...bargaining agreement), medical, dental, vision, short...PolicyMedicalFull timeTemporary workWork experience placementLocal areaImmediate startMonday to FridayFlexible hoursShift workDay shift1 day per week- ...designated technical, clerical, and clinical task associated with patient... ..., and infusion of injectable medications. In addition, performs designated tasks regarding pharmacy quality control, management of... ...regulations and pharmacy policies. Collaboration with Healthcare...PolicyMedicalReliefLocal areaImmediate start
$63 - $88 per hour
...Health nurse, reporting to the Clinical Manager, you will provide... ...homes, including administering medications, performing wound care, and conducting... ..., hospice and retail pharmacy, CenterWell is focused on... ...Opportunity EmployerIt is the policy of Humana not to discriminate...PolicyMedicalTemporary workApprenticeship$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... ...Just a few highlights include: Medical, dental and vision coverage...PolicyMedicalFull timeContract workWork at officeImmediate startRemote workWork from homeRelocationFlexible hours3 days per week- ...ensuring adherence to company policies and operational... ...Reporting To: Regional Director of Operations Direct Reports... ...relationships with medical leadership to align operations with clinical standards. Growth and Operational... .... Working Conditions Hybrid administrative work on...PolicyMedicalLocal areaRelocationAfternoon shift
$50.89 - $76.33 per hour
...Description PeaceHealth is seeking a RN Clinic Supervisor for a Full Time, 1.00 FTE, Day... ...leadership to assist in the development of policies, procedures, and enhancements to the... ...alignment with the patient experience and medical group strategic initiatives. Provide operational...PolicyMedicalFull timeWork experience placementWork at officeLocal area- ...be an ideal addition to the Legacy community. As Medical Director of Surgical Specialties, you will combine clinical expertise with strategic leadership - providing... ...and implement outpatient standards of care and policies and procedures, which meet the regulations and guidelines...PolicyMedicalRelocation package
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