Director Clinical Operations And Medical Policy Cambia HealthDirector Clinical Operations And Medical PolicySpokane, WABuilds a forward-looking clinical strategy informed by the drug pipeline, emerging therapies, medical and specialty drug trends, clinical evidence, market dynamics, competitive intelligence, and current and future health-plan market needs that drives affordability and appropriate utilization through evidence-based coverage criteria, formulary and utilization-management strategies, site-of-care and medical-drug programs, biosimilar and therapeutic substitution opportunities, and high-value clinical interventions. Builds and develops a high-performing leadership and clinical team through clear priorities, role clarity, coaching, succession planning, performance management, professional development, and thoughtful workforce and capacity planning; fosters a culture of curiosity, accountability, psychological safety, evidence-based challenge, collaboration, innovation, and continuous improvement that empowers team members to make decisions at the appropriate level and learn through transformation.
Director Clinical Operations and Medical Policy Cambia Health Solutions IncDirector Clinical Operations and Medical PolicySpokane, WADemonstrated knowledge of the following: Health Plan and benefit design structures and application; Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Knowledge of health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities, health insurance operations, or legal research helpful; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. These activities include services pertaining to: evidence reviews of medications, formulary development, Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or medical claims system, medication pipeline monitoring, medication trend management, and consultation and guidance on medication-related issues.
Assistant Director Clinical Regulatory Operations Cambia HealthAssistant Director Clinical Regulatory OperationsSpokane, WAAs a member of the Transformation, Quality, and Learning team, our Assistant Director Clinical Regulatory Operations leads a clinical regulatory operations team that serves as a strategic partner to HSO clinical business leaders - enabling the pursuit of improved affordability, operational efficiency, quality, and member experience within a framework of regulatory compliance. The role will partner with Cambia regulatory stakeholders and clinical business owners to identify and operationalize evolving requirements, establish scalable monitoring and remediation frameworks, and facilitate operational simplification by aligning processes across teams and lines of business where appropriate - all in service of creating a person-focused health care experience.
Assistant Director Clinical Regulatory Operations Cambia Health Solutions IncAssistant Director Clinical Regulatory OperationsSpokane, WAAs a member of the Transformation, Quality, and Learning team, our Assistant Director Clinical Regulatory Operations leads a clinical regulatory operations team that serves as a strategic partner to HSO clinical business leaders - enabling the pursuit of improved affordability, operational efficiency, quality, and member experience within a framework of regulatory compliance. The role will partner with Cambia regulatory stakeholders and clinical business owners to identify and operationalize evolving requirements, establish scalable monitoring and remediation frameworks, and facilitate operational simplification by aligning processes across teams and lines of business where appropriate - all in service of creating a person-focused health care experience.
Area Director of Clinical Operations Team Select Home Care LLCArea Director of Clinical OperationsSpokane, WA$120,000–$150,000 / yearDuties/Responsibilities: Responsible for clinical oversight and management of the following: coaching, orienting and developing the clinical team in an assigned area which consists as applicable of Director of Nursing (DON), Clinical Supervisors, Case Managers, and field staff who treat adult and pediatric patients, as applicable. The Area Director of Clinical Operations (ADCO) is responsible for the day-to-day management of clinical operations in assigned Area/States to ensure excellent patient-centered care, efficient use of clinical resources and excellent customer service.
Supervisor PACE Operations Providence Health & ServicesSupervisor PACE OperationsSpokane, WA$31.73–$49.27 / hourRequsition ID: 453647 Company: Providence Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 3303 PACE WA SPOKANE Address: WA Spokane 6018 N Astor St Work Location: Providence PACE Spokane Workplace Type: On-site Pay Range: $31.73 - $49.27 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Supervisor PACE Operations Providence St. Joseph HealthSupervisor PACE OperationsSpokane, WATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Senior Financial Analyst - Regional Finance Operations - Hybrid Providence Health & ServicesSenior Financial Analyst - Regional Finance Operations - HybridSpokane, WARequsition ID: 451881 Company: Providence Jobs Job Category: Finance Operations Job Function: Finance Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4004 SS REG FIN OPS SMS Address: WA Spokane 20 W 9th Ave Work Location: Mother Gamelin Ctr-Spokane Workplace Type: Hybrid Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Senior Financial Analyst - Regional Finance Operations - Hybrid Providence St. Joseph HealthSenior Financial Analyst - Regional Finance Operations - HybridSpokane, WATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The Senior Financial Analyst is a member of the service area team and sits on local ministry teams to provide analytical support regarding the team''s financial performance.
NewFinance Manager - Regional Finance Operations - Full Time, Day, Onsite Providence Health & ServicesFinance Manager - Regional Finance Operations - Full Time, Day, OnsiteSpokane, WA$42.96–$67.82 / hourRequsition ID: 450445 Company: Providence Jobs Job Category: Finance Operations Job Function: Finance Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4004 SS REG FIN OPS WAMT Address: WA Spokane 101 W 8th Ave Work Location: Sacred Heart Medical Center-Spokane Workplace Type: On-site Pay Range: $42.96 - $67.82 Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewFinance Manager - Regional Finance Operations - Full Time, Day, Onsite Providence St. Joseph HealthFinance Manager - Regional Finance Operations - Full Time, Day, OnsiteSpokane, WATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Pharmacy Operations Manager Walgreen CoPharmacy Operations Managermillwood, WA$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
NewSupervisor Clinic Operations - Pulmonology Providence Health & ServicesSupervisor Clinic Operations - PulmonologySpokane, WA$26.83–$41.04 / hourTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The role of Supervisor is to provide operational and management support to the benefit of Providence Medical Group (PMG) providers, staff and patients under the direction of their assigned Manager.
Home Health &Hospice Clinical Director - Full Time - Up to $110,000/YR! Connected Health Care, LLCHome Health &Hospice Clinical Director - Full Time - Up to $110,000/YR!Spokane, WAConnected Health Care, a premier recruitment and staffing firm, is partnering with a respected healthcare organization to identify an experienced Clinical Director for a thriving Home Health & Hospice program near Spokane, WA. This leadership opportunity is ideal for a dedicated Registered Nurse with home health, hospice, or clinical leadership experience who is passionate about delivering exceptional patient-centered care.
Full Time Clinical Director - Home Health &Hospice - Up to $110,000/YR! Connected Health Care, LLCFull Time Clinical Director - Home Health &Hospice - Up to $110,000/YR!Coeur d'Alene, IDConnected Health Care, a premier recruitment and staffing firm, is partnering with a respected healthcare organization to identify an experienced Clinical Director for a thriving Home Health & Hospice program in beautiful Coeur d'Alene, Idaho. This leadership opportunity is ideal for a dedicated Registered Nurse with home health, hospice, or clinical leadership experience who is passionate about delivering exceptional patient-centered care.
Full Time Assistant Clinical Director - Home Health/Hospice- Up to $108,000/YR! Connected Health Care, LLCFull Time Assistant Clinical Director - Home Health/Hospice- Up to $108,000/YR!Coeur d'Alene, IDThis hybrid leadership role combines direct patient care responsibilities with clinical leadership duties, offering the opportunity to make a meaningful impact on both patients and healthcare staff in the home health and hospice setting. Connected Health Care is seeking an experienced and compassionate Assistant Clinical Director for a full-time opportunity with one of our respected healthcare partners in Coeur d'Alene, Idaho .
Full Time Home Health & Hospice Assistant Clinical Director - Up to $52/hr! Connected Health Care, LLCFull Time Home Health & Hospice Assistant Clinical Director - Up to $52/hr!Spokane, IDThis hybrid leadership role combines direct patient care responsibilities with clinical leadership duties, offering the opportunity to make a meaningful impact on both patients and healthcare staff in the home health and hospice setting. Connected Health Care is seeking an experienced and compassionate Assistant Clinical Director for a full-time opportunity with one of our respected healthcare partners in Spokane, Idaho .
NewAssistant Clinical Director - Home Health & Hospice - Full Time - Up to $52/hr! Connected Health Care, LLCAssistant Clinical Director - Home Health & Hospice - Full Time - Up to $52/hr!Coeur d'Alene, IDThis hybrid leadership role combines direct patient care responsibilities with clinical leadership duties, offering the opportunity to make a meaningful impact on both patients and healthcare staff in the home health and hospice setting. This individual will work closely with leadership teams to ensure quality patient care, staff support, regulatory compliance, and operational efficiency within the home health and hospice program.
NewHome Health &Hospice - Clinical Director - Full Time - Up to $110,000/YR! Connected Health Care, LLCHome Health &Hospice - Clinical Director - Full Time - Up to $110,000/YR!Spokane, WAConnected Health Care , a premier recruitment and staffing firm, is partnering with a respected healthcare organization to identify an experienced Clinical Director for a thriving Home Health & Hospice program in beautiful Spokane, WA . This leadership opportunity is ideal for a dedicated Registered Nurse with home health, hospice, or clinical leadership experience who is passionate about delivering exceptional patient-centered care.
NewFull Time Assistant Clinical Director - Up to $108,000/YR! Connected Health Care, LLCFull Time Assistant Clinical Director - Up to $108,000/YR!Coeur d'Alene, IDThis hybrid leadership role combines direct patient care responsibilities with clinical leadership duties, offering the opportunity to make a meaningful impact on both patients and healthcare staff in the home health and hospice setting. Connected Health Care is seeking an experienced and compassionate Assistant Clinical Director for a full-time opportunity with one of our respected healthcare partners in Coeur d'Alene, Idaho .