No longer accepting applications
Clinical Program Director
Specialty Search GroupDallas, TX, United States1 day ago
Job type
- Full-time
Job description7–10 years of healthcare experience, with 5+ years in formulary or benefit management. Strong knowledge of claims adjudication, reimbursement operations, and coding standards. Advanced Excel skills (pivot tables, lookups, reconciliations). Coding certifications (CPC, CCS, CMRS) preferred. Detail-oriented with strong analytical and communication skills.
A growing healthcare technology organization is seeking a Clinical Program Director of Formulary to oversee the accurate and timely implementation of formulary data across medical benefit drugs, DMEPOS, immunizations, vaccinations, and test-and-treat services. This role ensures fee schedules and coding data are complete, compliant, and optimized for claims processing.
Key Responsibilities
- Lead the review, update, and maintenance of formulary files and fee schedules.
- Ensure compliance with federal / state payer rules and policies.
- Act as subject matter expert in coding (HCPCS, CPT, NDC, ICD-10).
- Oversee quality checks, pricing validations, and data accuracy.
- Collaborate with internal teams and external partners to align systems and workflows.
- Monitor regulatory updates and recommend system or process changes.
Qualifications
Create a job alert for this search
Clinical Program Director • Dallas, TX, United States
Related jobs
A company is looking for a Program Director responsible for shaping the strategic direction of healthcare programs and managing customer relationships.
Key Responsibilities Manage all aspects of p...Show moreLast updated: 30+ days ago A company is looking for a Health Plan Medical Director Physician.Key Responsibilities Participate in the development and execution of case management, disease management, and population health m...Show moreLast updated: 2 days ago 
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...Show moreLast updated: 3 days ago A company is looking for a Senior Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Oversee the delivery of the Post Acute Care Program ensuring seamless patient transitions an...Show moreLast updated: 3 days ago A company is looking for an Associate Director of Clinical Data Management.Key Responsibilities Manage a team of Clinical Data Managers and oversee Clinical Data Management tasks across various s...Show moreLast updated: 2 days ago A company is looking for a Remote Outpatient Director of Growth & Operations (Telehealth Behavioral Health).Key Responsibilities Design and execute referral growth strategies to expand session vo...Show moreLast updated: 3 days ago A company is looking for a Director, Clinical Impact & Innovation.Key Responsibilities Lead strategies to achieve business and clinical KPIs, focusing on quality outcomes and in-home screening ef...Show moreLast updated: 4 days ago A company is looking for a Clinical Programmer 2 - Manager.Key Responsibilities Manage the execution of programming components of clinical trials, ensuring timely and accurate delivery Provide i...Show moreLast updated: 2 days ago A company is looking for a Registered Nurse - Clinical Director (remote).Key Responsibilities Oversee hiring and training of Registered Nurse Assessors Conduct retrospective quality reviews of c...Show moreLast updated: 10 days ago 
Fastest-Growing Company, is a privately owned SaaS organization comprising 190+ team members across the globe, with hub locations in Cambridge, ON, Canada, Dallas, TX, USA, and Ho Chi Minh City, Vi...Show moreLast updated: 8 days ago A company is looking for a Medical Director, Oncology & Specialty Patient Safety.Key Responsibilities Lead Product Safety Teams and ensure safety monitoring throughout the product lifecycle Over...Show moreLast updated: 30+ days ago )
North Central Surgical Center is a highly successful, Baylor Scott & White affiliated hospital located in Dallas, TX.We partner with the very best team members and medical staff in the area.We are ...Show moreLast updated: 23 days ago A company is looking for a Director of Clinical Operations.Key Responsibilities Lead the design and execution of internal auditing systems for operational quality and compliance Serve as the ope...Show moreLast updated: 30+ days ago A company is looking for a Senior Director, Clinical Development.Key Responsibilities Lead clinical development programs for dermatology and other autoimmune disease indications Drive cross-func...Show moreLast updated: 30+ days ago Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...Show moreLast updated: 3 days ago A company is looking for a Senior Manager of Clinical Innovation & Design.Key Responsibilities Design, prototype, and refine new clinical workflows and care pathways Partner with data teams to d...Show moreLast updated: 30+ days ago 
Medical Director physician job in Texas : .Medical Director, Physician - Occupational Health - Relocation.Valor Healthcare is seeking a Site Medical Director to join our growing team! In exchange fo...Show moreLast updated: 23 days ago A company is looking for an Associate Director, Clinical Documentation Integrity.Key Responsibilities Oversee the Clinical Documentation Improvement (CDI) program and manage the CDI team Provide...Show moreLast updated: 2 days ago 
BayMark Health Services seeks an experienced Director of Medical Management to lead and oversee our comprehensive addiction treatment programs tailored to individuals battling opioid use disorder a...Show moreLast updated: 4 days ago A company is looking for an Associate Director, Program Management.Key Responsibilities Manage end-to-end CRM and email marketing initiatives, including requirements gathering and timeline manage...Show moreLast updated: 4 days ago
- Promoted
Program Director
VirtualVocationsGrand Prairie, Texas, United StatesFull-time
- Promoted
Maryland Licensed Medical Director
VirtualVocationsPlano, Texas, United StatesFull-time
- Promoted
Director Analytics and Benchmarking
Parkland Health and Hospital SystemDallas, TX, USFull-time
- Promoted
State Licensed Senior Director of Clinical Excellence
VirtualVocationsDallas, Texas, United StatesFull-time
- Promoted
Clinical Data Management Director
VirtualVocationsIrving, Texas, United StatesFull-time
- Promoted
Licensed Outpatient Operations Director
VirtualVocationsPlano, Texas, United StatesFull-time
- Promoted
Clinical Director, State Licensed
VirtualVocationsGrand Prairie, Texas, United StatesFull-time
- Promoted
Clinical Programmer Manager
VirtualVocationsCarrollton, Texas, United StatesFull-time
- Promoted
Massachusetts Licensed Clinical Director
VirtualVocationsGrand Prairie, Texas, United StatesFull-time
- Promoted
Director of Product, Clinical
MealSuiteDallas, TX, USFull-time
- Promoted
Oncology Medical Director
VirtualVocationsPlano, Texas, United StatesFull-time
- Promoted
Clinical Director - Post Surgical Unit, ED & Float Pool
North Central Surgery Center (10826)DALLAS, Texas, United StatesFull-time
- Promoted
Director of Clinical Operations
VirtualVocationsPlano, Texas, United StatesFull-time
- Promoted
Senior Director Clinical Development
VirtualVocationsIrving, Texas, United StatesFull-time
- Promoted
Director Practice Operations / Surgical Specialty Clinics
Parkland Health and Hospital SystemDallas, TX, USFull-time
- Promoted
Senior Manager of Clinical Innovation
VirtualVocationsPlano, Texas, United StatesFull-time
- Promoted
Medical Director
Valor HealthcareDallas, Texas, USFull-time
- Promoted
Ohio Licensed Clinical Documentation Director
VirtualVocationsDallas, Texas, United StatesFull-time
- Promoted
Director of Medical Management
BayMark Health ServicesLewisville, TX, United StatesFull-time
- Promoted
Associate Director of Program Management
VirtualVocationsDallas, Texas, United StatesFull-time