NewTravel Nurse RN - Director of Nursing - $65 per hour in Sistersville, WV TravelNurseSourceTravel Nurse RN - Director of Nursing - $65 per hour in Sistersville, WVSistersville, WV$65TravelNurseSource is working with Adelphi Healthcare to find a qualified DON RN in Sistersville, West Virginia, 26175! Champion patients' needs, addressing concerns to promote patient-centered care.
Program Director SevitaProgram DirectorBridgeport, WVManage the day-to-day operations of one to four programs in a community including organization and implementation of direct supports, person-centered planning, and implementation, health care, advocacy, stakeholder relations, regulatory compliance, recruiting, retention, staffing, training, safety, financial management, and maintenance of the physical environment. Manage the implementation of program planning; monitor delivery of services and supports; ensure services are consistent, engaging, and relevant to the individuals served.
Program Management Program Director SevitaProgram Management Program DirectorBeckley, WVManage the day-to-day operations of one to four programs in a community including organization and implementation of direct supports, person-centered planning, and implementation, health care, advocacy, stakeholder relations, regulatory compliance, recruiting, retention, staffing, training, safety, financial management, and maintenance of the physical environment. Manage the implementation of program planning; monitor delivery of services and supports; ensure services are consistent, engaging, and relevant to the individuals served.
Culinary Services Director Healthcare Services Group, Inc.Culinary Services DirectorWHITE SULPHUR SPRINGS, WVJoin Healthcare Services Group (HCSG) as a Food Service Director, leading the dining department at a long-term care facility. If you're looking for a role where you can lead with passion, drive positive change, and be part of a supportive and dedicated team, apply now and start making a difference at HCSG!
Assistant Safety Director Holder Construction CoAssistant Safety DirectorHuntington, WVLead planning, review, and execution of high-risk activities (e.g., crane & rigging, energy isolation/LOTO, critical lifts, work at height, etc.), with a focus on Serious Injury and Fatality (SIF) risk identification and mitigation. This role blends people leadership with strong technical capability, supporting project teams in integrating safety into planning and field execution.
Director of Field and Safety-WV Parkways Authority-Kanawha Co. State of West VirginiaDirector of Field and Safety-WV Parkways Authority-Kanawha Co.Charleston, WVProvide direct supervision and management of the Assistant Director of Field & Safety Operations, Safety Officer and Communications Supervisor. Experience should include developing, conducting, and managing safety programs, ensuring compliance with applicable safety regulations, and promoting workplace safety best practices.
Safety Manager - West Virginia Kokosing Construction Company IncSafety Manager - West VirginiaCharleston, WVSafety Program Coordination: Coach safety staff and provide leadership of project safety programs with subcontractors, vendors, and third-party personnel to verify adherence to regulatory, owner, and site-specific safety policies and procedures. Training and Communication: Based on upcoming operations, ensure safety staff identifies, initiates, coordinates and leads safety meetings and training programs to communicate company policies and distribute safety correspondence.
Safety Manager - West Virginia Kokosing IndustrialSafety Manager - West VirginiaCharleston, West VirginiaSafety Program Coordination : Coach safety staff and provide leadership of project safety programs with subcontractors, vendors, and third-party personnel to verify adherence to regulatory, owner, and site-specific safety policies and procedures. Training and Communication: Based on upcoming operations, ensure safety staff identifies, initiates, coordinates and leads safety meetings and training programs to communicate company policies and distribute safety correspondence.
Patient Safety Manager West Virginia University MedicinePatient Safety ManagerMorgantown, WVThe manager will promote interdisciplinary collaboration and teamwork to ensure excellence in patient centered care in these locations related to core focus areas of regulatory compliance, infection prevention, patient experience, patient safety, high reliability, quality assurance, and clinical quality improvement. Works collaboratively with adult and pediatric teams from Population Health, Ambulatory services, Nursing Services, Surgical Services, Inpatient services, and ancillary services such as pharmacy, nutrition, and environmental services.
Manager, Health and Safety (Oil and Gas) WSP Global IncManager, Health and Safety (Oil and Gas)Charleston, WV$91,900–$148,800 / yearFitness for duty for this position includes the ability to visit various types of projects sites in North America where walking across uneven terrain, climbing ladders and scaffolding, entering confined spaces, wearing an air purifying respirator, working in industrial settings, and working in a range of climates may be required. In alignment with WSP's existing enterprise-wide client programs, this role will develop internal and external strategic, trusted partnerships that bolster WSPs implementation of and reputation for a World Class Safety Program.
Safety Technician- Universal LEXICON CONSULTING, INC.Safety Technician- UniversalWVOur services include construction management, fabrication, erection, mechanical installation, and plant maintenance for heavy industrial, commercial, and roadway projects, as well as a full spectrum of golf course construction and management services. This position is deemed 'safety sensitive' due to the fact that a person improperly performing the essential or marginal functions of the job would constitute a threat to the health or safety of the employee, the employee's co-workers, and/or the public at large.
Health & Safety Specialist Night Shift Wincore Windows & DoorsHealth & Safety Specialist Night ShiftParkersburg, West VirginiaReporting directly to the EHS Director, this position is focused on executing EHS projects, leading training sessions, and actively engaging with employees on the floor to address safety concerns. Duties and responsibilities Work closely with the EHS Director to execute EHS projects and initiatives, including hazard assessments, ergonomic evaluations, and safety improvement programs.
Safety Manager Sheakley Workforce StaffingSafety ManagerApple Grove, WV$50–$55 / hourContractorConstruction safety management, ironwork safety, hazard analysis, fall protection, documentation control, workforce training, client communication, Procor data entry Knowledge Base . The assignment is expected to run 3-4 months and will require consistent on-site oversight, workforce engagement, and proactive hazard identification to support safe execution of work.
New(Hybrid) Simulation Education Specialist - Simulation Training & Education for Patient Safety West Virginia University(Hybrid) Simulation Education Specialist - Simulation Training & Education for Patient SafetyMorgantown, WVJul 22, 2026'',''Jul 22, 2026'',''Non-Classified'',''Non-Classified'',''Exempt'',''Exempt'',''Yes'',''Yes'',''Full-time'',''Full-time'',''false'',''379820'',''379820'',''true'',''379820'',''false'',''Submission for the position: (Hybrid) Simulation Education Specialist - Simulation Training & Education for Patient Safety - (Job Number: 29932)'',''false'',''379820'',''false'',''true''. ''379820'',''true'',''379820'',''false'',''Submission for the position: (Hybrid) Simulation Education Specialist - Simulation Training & Education for Patient Safety - (Job Number: 29932)'',''false'',''379820'',''false'',''true'',''(Hybrid) Simulation Education Specialist - Simulation Training & Education for Patient Safety '',''29932'',''!*!
Engineer Systems Safety 1/2 Northrop Grumman CorpEngineer Systems Safety 1/2WV$59,900–$89,900 / yearThe Allegany Ballistics Laboratory (ABL) site in Rocket Center designs, develops, and manufactures tactical rocket motors, medium caliber ammunition, composite components and end items, and fuze and electronics equipment. Position Summary: Hazards Analysis (HA) engineers perform hazards analysis studies for NGIS processes and products involving energetic, combustible, and flammable ingredients, propellants, and materials.
Lieutenant, HMH Public Safety Valley HealthLieutenant, HMH Public SafetyWVEach Lieutenant immediately corrects problems or writes appropriate work orders or memos or reports problem to safety officers and others when safety related problems are observed; Lieutenant inspects fire extinguishers and eye wash stations and conduct or assist others in conducting other safety and Public Safety inspections such as Environment of Care Rounds as assigned; test and check alarm system equipment and other equipment as assigned to make sure they are functioning correctly; perform fire watches when requested; monitors Camera systems, Infant Abduction systems, Fire Alarm systems, Medical Gas Alarms, and generator alarms. Each Lieutenant is required to have a strong working knowledge of the facility assigned, Campus grounds and all related buildings on Campus; analyze and coordinate responses to all alarms on the property; respond to emergency incidents and provide physical Public Safety to our command location; perform inspection of buildings, doors (interior and exterior) to make sure they are opened on time and secured after the regular business day; pick up cash deposits daily to be delivered to the cashier's office in the.
DIRECTOR OF NURSING (DON) Talented Medical SolutionsDIRECTOR OF NURSING (DON)Parkersburg, WV$2,600–$2,673Strategic staffing plans to ensure adequate nurse coverage and favorable ratios. On-site position based in Parkersburg, WV — collaborate face-to-face with your team in a dedicated workplace.
NewSafety Manager - Industrial Construction Kiewit CorpSafety Manager - Industrial ConstructionPoint Pleasant, WVWe offer our fulltime staff employees a comprehensive benefits package that's among the best in our industry, including top-tier medical, dental and vision plans covering eligible employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and generous paid time off. We are committed to safety, quality, and excellence in execution, providing our clients with world-class solutions while offering our employees stability, growth, and career development opportunities within a multi-billion-dollar organization.
RN Assistant Director of Nursing, ADON CommuniCareRN Assistant Director of Nursing, ADONGrafton, West VirginiaThe position must function as a team member, team leader, and supervisor to ensure that work is accomplished and quality care is delivered, supporting team members and leading the way in celebrating team successes. We continue to raise the bar and innovate wherever possible to enhance quality of life—creating environments where residents feel at home, employees thrive, and families find comfort and confidence in the care we provide.
RN Assistant Director of Nursing (ADON) CommuniCareRN Assistant Director of Nursing (ADON)Lewisburg, West VirginiaA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). The position must function as a team member, team leader, and supervisor to ensure that work is accomplished and quality care is delivered, supporting team members and leading the way in celebrating team successes.
RN Assistant Director of Nursing CommuniCareRN Assistant Director of NursingPrinceton, West VirginiaThe position must function as a team member, team leader, and supervisor to ensure that work is accomplished and quality care is delivered, supporting team members and leading the way in celebrating team successes. We continue to raise the bar and innovate wherever possible to enhance quality of life—creating environments where residents feel at home, employees thrive, and families find comfort and confidence in the care we provide.
Medical Director – part time (6 hrs/week) Wexford Health Sources IncMedical Director – part time (6 hrs/week)Parkersburg, WVParticipates in monthly reviews of off-site care, DME utilization, provider prescriptive practice, laboratory, and x-ray services for their site in conjunction with the State-wide Medical Director, Regional Medical Director, and Corporate Director of Pharmacy Services or designee. Works collegially and cooperatively with the Regional Medical Director, other physicians, physician extenders (e.g., physician assistants, nurse practitioners, etc.), dentists, psychiatrists, psychologists, and any other medical professionals working within the medical facilities at the site.
Medical Director – multiple sites Wexford Health Sources IncMedical Director – multiple sitesWVParticipates in monthly reviews of off-site care, DME utilization, provider prescriptive practice, laboratory, and x-ray services for their site in conjunction with the State-wide Medical Director, Regional Medical Director and Corporate Director of Pharmacy Services or designee. Works collegially and cooperatively with the Regional Medical Director, other physicians, physician extenders (e.g., physician assistants, nurse practitioners, etc.), dentists, psychiatrists, psychologists, and any other medical professionals working within the medical facilities at the site.
Executive Director, AI Infrastructure & Platform Engineering CVS Health CorpExecutive Director, AI Infrastructure & Platform EngineeringWV$175,100–$334,750 / yearReporting to the Global Head of Infrastructure/AI Operations and Service Delivery, this leader will establish operational baselines across the full infrastructure stack - hardware, network fabric, GPU clusters, storage, and the operating systems and orchestration layers above - and build the Site Reliability Engineering practice that delivers the availability, reliability, and performance that frontier AI workloads demand. The ideal candidate will bring the following experience, knowledge, and abilities: 10+ years of engineering leadership experience, with substantial time directly owning physical infrastructure at data center scale - including hardware lifecycle, capacity planning, and facility coordination (power, cooling, rack-and-stack execution).
NewDirector of Nursing, Extended Care B. E. Smith, Inc.Director of Nursing, Extended CareWVThe Director of Nursing (DON), Extended Care, will provide strategic and operational nursing leadership for a well-established long-term care community, overseeing clinical operations, resident care delivery, regulatory compliance, and nursing team performance. The hospital offers a broad range of services, including emergency care, inpatient services, surgical services, diagnostic imaging, rehabilitation, cardiopulmonary care, infusion therapy, wound care, and specialty clinics to improve access to care close to home.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsWV$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Business Development Director Encompass Health Rehabilitation Hospital of MorgantownBusiness Development DirectorMorgantown, WVFull timeIn this senior leadership role, you will be at the forefront of designing and implementing innovative referral programs, driving census growth and fostering a culture centered on patient safety and care excellence. You'll guide, train, and develop a dynamic Business Development team, all while creating strategies that align with our mission and deliver exceptional outcomes for patients, families and staff.
Director of Engineering, Energy Storage SOLV Energy LLCDirector of Engineering, Energy StorageWVRemote$170,074–$226,199 / yearFoster effective communication and collaboration between the Energy Storage Engineering group and cross-functional teams, including internal and external engineers, business development managers, project managers, pre-construction managers, procurement specialists, schedulers, estimators, and construction teams. In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting.
Senior Medical Director, Digital Innovation CVS Health CorpSenior Medical Director, Digital InnovationWV$184,112–$396,550 / yearReporting directly to the Vice President, Chief Medical Officer, Commercial & Innovation, and partnering across Analytics, Technology, Clinical Operations, Enterprise AI, Product, and Aetna Medical Affairs, this leader will shape how Aetna sources, evaluates, and scales member-facing clinical AI products; how the Aetna Health app and omni-channel digital platforms are designed to activate members; and how AI is embedded into clinical workflows to extend the reach and impact of our care teams. As Senior Medical Director, Digital Innovation at Aetna, a CVS Health company, you will serve as a key physician leader for Aetna's digital health and clinical AI strategy - a role that sits at the forefront of how a leading national health plan is deploying artificial intelligence and digital tools to improve access, drive behavior change, and measurably improve outcomes for tens of millions of members.
Hospitalist Medical Director - Braxton West Virginia University MedicineHospitalist Medical Director - BraxtonBraxton County, WVThe Medical Director will work closely with the physicians, administration, nursing, and technical staff to maintain an excellent level of general clinical care/operations and will organize the development of new clinical programs and innovations to continue to provide the latest clinical technologies and service. Anchored by a 700-bed academic medical center in Morgantown, the Health System includes more than 20 member hospitals that collectively serve a multi-state region that includes West Virginia, Western Maryland, Eastern Ohio, and Southwestern Pennsylvania.
NewDirector-Finance Knight Health Holdings LLCDirector-FinanceLogan, WVLogan Regional is an award-winning, full-service community hospital with a history of innovation, from its one-of-a-kind Rural General Surgery residency program to its collaboration with Marshall Health Network to bring more opportunities for specialty care to the area. Assists the CEO to plan and develop departmental budgets, revenue, capital and operational expenses, sufficient number of staff, and any other plans for allocation of fiscal or other resources according to the scope of services provided.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOWV$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Development Director YWCA CharlestonDevelopment DirectorCharleston, West VirginiaOriginally designed as safe lodging for young women from rural communities coming to Charleston to pursue careers, the YWCA has evolved into the city’s most diverse and comprehensive network of social service programs. If you believe that fundraising is really just giving people a tangible way to support their community, share what is closest to their heart, and you have the organizational strength to steer a complete revenue program, we want to talk.
Cruise Director American Cruise Lines, Inc.Cruise DirectorWheeling, WVThe Cruise Director is the most visible advocate for guests and is responsible for creating a fun atmosphere onboard while always engaging guests through a series of activities, shows, events, presentations and socializing throughout the cruise. This leadership role requires an energetic, creative, talented individual with previous cruise/resort experience, extraordinarily polished presentation skills, collaborative approach, team spirit, and a passion for guest satisfaction.
Medical Director MPO CVS Health CorpMedical Director MPOWV$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Lead Director - Software Development Engineering CVS Health CorpLead Director - Software Development EngineeringWV$144,200–$288,400 / yearThis Lead Director will lead a diverse team of technology associates across engineering and change management teams and be someone who will work across multiple geographies to deliver software engineering work, delivered through multiple Agile software releases each year. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Business Development Director Encompass Health CorpBusiness Development DirectorMorgantown, WVIn this senior leadership role, you will be at the forefront of designing and implementing innovative referral programs, driving census growth and fostering a culture centered on patient safety and care excellence. You'll guide, train, and develop a dynamic Business Development team, all while creating strategies that align with our mission and deliver exceptional outcomes for patients, families and staff.
Physician (Clinical Director) - Direct Hire U.S. Department of JusticePhysician (Clinical Director) - Direct HireWV$145,000–$350,000 / yearResponsible for clinical care provided at the institution, including reviewing applications and credentials for membership to the medical staff; interviewing prospective physicians and mid-level providers; implementing and monitoring in-house Continuing Professional Education (CPE) training; maintaining the quality of health records; supervising Physicians (if applicable), and evaluating patient care through an ongoing quality assurance program that identifies problems and their resolution. If you are on active duty and expect to be discharged or released from active duty service within 120 days, you may submit a Certificate of Release or Discharge from Active Duty from the appropriate Branch Personnel Office containing the following information: (1) the military service dates including the expected discharge or release date; (2) and the character of service (must be an honorable or general discharge); and (3) any qualifying service/campaign/expeditionary medals.
Director of Plant Maintenance CommuniCareDirector of Plant MaintenanceWest VirginiaThis position must maintain compliance with federal, state, and local regulations including but not limited to Occupational Safety & Health Act (OSHA), Omnibus Budget Reconciliation Act (OBRA), National Fire Protection Association (NFPA), Environmental Protection Agency (EPA), Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), and the State Department of Health in maintaining a safe, clean, comfortable, homelike setting for our residents within fiscal objectives. As a member of the Center Management team, this position works closely with the Center Administrator on all activities and networks with individuals at other CHS facilities and the home office for technical input and guidance.
NewDirector of Operations Legends GlobalDirector of OperationsHuntington, West VirginiaOur network of 450 venues worldwide, hosting 20,000 events and entertaining 165 million guests each year, is powered by our depth of expertise and level of execution across every component feasibility & consulting, owner’s representation, sales, partnerships, hospitality, merchandise, venue management, and content & booking of world-class live events and venues. The Director of Operations leads cross-functional teams including engineering, event services, security, and facility operations, while driving process improvements, financial performance, and an exceptional guest and client experience.
Director of Transportation- 62814 West Virginia Department of EducationDirector of Transportation- 62814Charleston, WVLead professional development for bus operators to be cognizant of the West Virginia School Bus Transportation Policy and Procedures Manual and provide an annual review of the manual to include such safety practices and procedures as pre-test and post-trip inspections. Assist school officials and bus operators concerning discipline cases occurring on buses and at stops, working with administrators to develop and implement bus safety programs in the school.
Director Leadership & Employee Development FirstEnergy CorpDirector Leadership & Employee DevelopmentWVAreas of focus include internally designed leadership development programs for emerging and experienced leaders, employee development resources, career progression initiatives, and enterprise processes that support continuous learning and Individual Development Plans (IDPs). Headquartered in Akron, Ohio, FirstEnergy includes one of the nation''s largest investor-owned electric systems, more than 24,000 miles of transmission lines that connect the Midwest and Mid-Atlantic regions, and a regulated generating fleet with a total capacity of more than 3,500 megawatts.
Center Director - Buffalo, WV Bright Horizons Family Solutions IncCenter Director - Buffalo, WVBuffalo, WV$63,000–$78,750 / yearIf hired, you will work in person in an early education/preschool child care center to provide center supervision, curriculum delivery, business management, and customer and client services per Bright Horizons' policies, procedures and guidance, in compliance with any applicable laws and regulations, and in a manner that will ensure safety of children in Bright Horizons care and the employee. Qualifications: Candidates must pass required state and company background checks, and meet state and company minimum education and experience requirements: Associate or higher degree in early childhood education, education, or child development related field is required; bachelor's degree is preferred.
Director Chick-fil-ADirectorRanson, WV$30,000–$69,000In addition to assisting with day-to-day operations of serving guests, the Manager is responsible for: Assisting with leading day-to-day operations by empowering employees, completing tasks, overseeing food safety procedures, and maintaining inventory while keeping a big smile on your face. Maintaining a culture where employees develop friendly and professional relationships, delight everyone they come into contact with, and delivering an exceptional quality product in a fast manner to positively impact lives.
Associate Director, Delivery Site & Service nVent Electric PlcAssociate Director, Delivery Site & ServiceWV$146,300–$271,700 / yearThe Delivery, Site & Service Associate Director leads multi-disciplinary field, logistics and service teams, coordinates with Project Management, Operations, Engineering and Sales and serves as a senior customer-facing leader from pre-site readiness through commissioning, warranty, and lifecycle service. Work closely with the customer and project management team to ensure jobsite services are completed on-time, within budget, and flawless quality including managing site schedules, look-ahead plans, and constraints; proactively communicate risks, mitigation plans, and required decisions.
NewDirector of Operations Legends Hospitality, LLCDirector of OperationsHuntington, WVOur network of 450 venues worldwide, hosting 20,000 events and entertaining 165 million guests each year, is powered by our depth of expertise and level of execution across every component feasibility & consulting, owner's representation, sales, partnerships, hospitality, merchandise, venue management, and content & booking of world-class live events and venues. The Director of Operations leads cross-functional teams including engineering, event services, security, and facility operations, while driving process improvements, financial performance, and an exceptional guest and client experience.
Assistant Director Lasting Impressions Child Development CenterAssistant DirectorClarksburg, WVWorking under the guidance of LICDC Executive Director, the Assistant Director supports the Director by managing daily operations, supervising staff, ensuring compliance with state health and safety licensing regulations, assisting in the education of the children and fostering parent communication. · Assisting classrooms in the required Infant/Toddler Environment Rating Scale (ITERS) and Early Childhood Environment Rating Scale (ECERS) framework.
Lead Director, Software Engineering CVS Health CorpLead Director, Software EngineeringWV$144,200–$288,400 / yearBachelor's degree in Computer Science, Software Engineering, Mathematics, or a closely related technical discipline - or equivalent demonstrated engineering depth through work history, open source portfolio, or verifiable technical contribution at scale. Partner at the executive level - with Product owners, Data Engineers, and Health care business leaders - translating business strategy into engineering bets with precision and conviction.
Physician - Continuity Clinic Director West Virginia University MedicinePhysician - Continuity Clinic DirectorSouth Charleston, WVThis physician leader will oversee day-to-day clinical operations, ensure high-quality, coordinated patient care, and collaborate with administrative and academic partners to advance the clinic's educational and community health mission. ABOUT THE ROLE: WVUHS Medical Group seeks a board-certified physician to serve as Director of the Internal Medicine Residency Continuity Clinic at Thomas Hospital.
Medical Director - ENT CVS Health CorpMedical Director - ENTWV$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.