Director of Quality and Risk Management Jobs Page 59 of 2200

Best Point Education & Behavioral Health - Cincinnati, OH

The After School Program Lead supports and actively participates in the daily operations of a licensed after-school childcare program. This...

Outside Representative - Seeking Former Educators

The McKernan Group - Belle Glade, FL

Job Description Benefits: * Retirement * Bonus based on performance * Company parties * Dental insurance * Flexible schedule * Health insurance...

Director of Human Resources and Talent Acquisition

KIPP - Kansas City, MO

Job Description Company Description About KIPP Kansas City Public Schools: KIPP Kansas City Public Schools is part of a nationwide network of...

Utilization Management Nurse, Senior

Blue Shield of California - Hawthorne, CA Posted 1 second ago

The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure medical necessity...

Medical Director, Line of Business

Blue Shield of California - Rancho Cordova, CA Posted 1 second ago

The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the National...

Utilization Management Nurse, Senior

Blue Shield of California - Lawndale, CA Posted 1 second ago

The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure medical necessity...

Sr. Medical Director, FEP Utilization Management

Blue Shield of California - Fremont, CA Posted 1 second ago

The Senior Medical Director of FEP Utilization Management leads clinical review activities, physician process management, and ensures compliance...

Licensed Clinician, Senior (Board Certified Behavioral Analyst)

Blue Shield of California - Folsom, CA Posted 1 second ago

The Licensed Clinician, Senior (Board Certified Behavioral Analyst) conducts utilization reviews and care management for members seeking...

Licensed Clinician, Senior (Board Certified Behavioral Analyst)

Blue Shield of California - Rescue, CA Posted 1 second ago

The Licensed Clinician, Senior (Board Certified Behavioral Analyst) conducts utilization reviews and care management for members seeking...

Licensed Clinician, Senior (Board Certified Behavioral Analyst)

Blue Shield of California - Diamond Springs, CA Posted 1 second ago

The Licensed Clinician, Senior (Board Certified Behavioral Analyst) conducts utilization reviews and care management for members seeking...

Senior Case Manager RN - Paid Drive Time

Professional Case Management - Granger, WA Posted 1 second ago

Senior Case Manager RN leads a team of registered nurses providing in-home care to former Nuclear Weapons Workers with chronic and terminal illnesses...

Director, Medi-Cal/Medicare Utilization Management Nurse Management

Blue Shield of California - Penryn, CA Posted 1 second ago

Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal Utilization Management is critical to the...

Sr. Medical Director, Clinical Strategy

Blue Shield of California - Pilot Hill, CA Posted 1 second ago

Reporting to the Chief Medical Officer, the Senior Medical Director, Clinical Strategy will define the vision and priorities for Blue Shield...

Utilization Management Nurse, Senior

Blue Shield of California - Inglewood, CA Posted 1 second ago

The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure medical necessity...

Manager, Utilization Management Nurse Management

Blue Shield of California - Victor, CA Posted 1 second ago

The Manager, Utilization Management Nurse Management leads a clinical team responsible for reviewing post service and provider appeal cases...

Medical Director, Behavioral Health

Blue Shield of California - Orinda, CA Posted 1 second ago

The Medical Director, Behavioral Health leads clinical review and utilization management activities to ensure appropriate behavioral health...

Sr. Manager, Case Management (Population Health)

Blue Shield of California - Long Beach, CA Posted 1 second ago

The Care management team is looking for a leader with Medi-Cal experience who can help design and lead our Medi-Cal line of business. The Senior...

Licensed Clinician, Senior (Board Certified Behavioral Analyst)

Blue Shield of California - Auburn, CA Posted 1 second ago

The Licensed Clinician, Senior (Board Certified Behavioral Analyst) conducts utilization reviews and care management for members seeking...

Financial Accounting Systems Transformation (FAST) Program Manager Lead, CFPMO

MassMutual - Boston, MA Posted 1 second ago

The Financial Accounting Systems Transformation (FAST) Program Manager Lead oversees the multi-year implementation of the SAP S/4HANA platform...

Sr. Medical Director, Clinical Strategy

Blue Shield of California - Rescue, CA Posted 1 second ago

Reporting to the Chief Medical Officer, the Senior Medical Director, Clinical Strategy will define the vision and priorities for Blue Shield...

Licensed Clinician, Senior (Board Certified Behavioral Analyst)

Blue Shield of California - Newcastle, CA Posted 1 second ago

The Licensed Clinician, Senior (Board Certified Behavioral Analyst) conducts utilization reviews and care management for members seeking...

Utilization Management Nurse, Senior

Blue Shield of California - Lomita, CA Posted 1 second ago

The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure medical necessity...

Utilization Management Nurse, Senior

Blue Shield of California - La Palma, CA Posted 1 second ago

The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure medical necessity...

Production Manager (Aviation Maintenance)

LARSON CANDO INC - Fort Lauderdale, FL

The Production Manager maintains delegated approval from the Chief of Operations for the day-to-day oversight and management of personnel,...

Subject Matter Expert III | Procurement Assistance and IT Research, Advisory, and Consulting [NCDPC0

ProSidian Consulting, LLC - Raleigh, NC

Job Description:\n\nCompany Description ProSidian is a Management and Operations Consulting Services Firm focusing on providing value to...

43,995 Director of Quality and Risk Management Jobs Nationwide