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Wallingford, Connecticut
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clinical program and/or independently performs clinical reviews.
The Medical Director typically has program management responsibilities including clinical policy development, program development
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WALLINGFORD, Connecticut
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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Wallingford, Connecticut
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Clinical Operations Associate Medical Director
Neurosurgery
**Carelon ... clinical domains, including radiology, cardiology and oncology._
The **Clinical Operations
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WALLINGFORD, Connecticut
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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WALLINGFORD, Connecticut
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Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ... portfolio projects.
Creates and presents extremely high quality presentations to executive levels
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WALLINGFORD, Connecticut
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significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... , influencing product strategy and design and medical management approaches that impact healthcare quality, cost
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WALLINGFORD, Connecticut
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activities and quality management program activities. *Internal facing title: Process Improvement Consultant ... quality and operational processes as a result of opportunities identified through CAPA program
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Wallingford, Connecticut
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clinical domain and industry changes, as well as company core quality/value programs and solutions ... enablement to improve member care quality and value. Serves as a strategic solution lead for Oncology and
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Wallingford, Connecticut
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of top-tier clinical quality management programs for multi-state Medicare and Medicaid markets within ... quality-enhancement campaigns (HEDIS) and launch initiatives that support STARS improvement. Your
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WALLINGFORD, Connecticut
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members total health needs and ensures the highest quality of continuity of care.
**How you will ... .
Reviews Home based services for clinical appropriateness of the continued care.
Performs reviews
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