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ST LOUIS, Missouri
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The Plan Performance Director is responsible for serving as the lead clinician for a plan ... policies or clinical guidelines of the plan to ensure the appropriate and most cost-effective medical care
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St. Louis, Missouri
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for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ... /or independently performs clinical reviews.
The Medical Director typically has program
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St. Louis, Missouri
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quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ... including Medical Director Associates. May be responsible for an entire clinical program.
How you
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St. Louis, Missouri
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quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ... including Medical Director Associates. May be responsible for an entire clinical program.
How you
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St. Louis, Missouri
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for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ... /or independently performs clinical reviews.
The Medical Director typically has program
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St. Louis, Missouri
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The Medical Director Clinical Programs is responsible for designing and implementing clinical programs ... designs, analytics and reporting for clinical quality that drives improved healthcare outcomes
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St. Louis, Missouri
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clinical program and/or independently performs clinical reviews.
The Medical Director typically has ... .**
The Behavioral Health Medical Director is responsible for the administration of behavioral
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ST LOUIS, Missouri
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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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St Louis, Missouri
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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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ST LOUIS, Missouri
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responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical
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ST LOUIS, Missouri
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) Specialist** .
This Pharmacy Quality Assurance Specialist, reporting to the Director of ... Pharmacy Quality Assurance Specialist
Location: This position will work a hybrid
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ST LOUIS, Missouri
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Go to Market Director
Location:  This position will work a hybrid model (remote ... .
The Go to Market Director is responsible for defining, building, and operationalizing go to
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St Louis, Missouri
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responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient
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St Louis, Missouri
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clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective ... promote quality member outcomes, optimize member benefits, and promote effective use of resources for more
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ST LOUIS, Missouri
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additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a ... , and initiatives.
Maintains quality and productivity standards and ensures reviews are conducted
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