CVS Health Medical Director - (Cardiology) Boise, Idaho Apply Now. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardi...
The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, a...
CVS Health - Medical Director (Ortho/Total Joint) - Boise, Idaho. The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background in Orthopedic specialty, including post-graduate direct patient care experience specifically. This role expands Aetna's medical managemen...
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should meet authorization requirements. The Medical Director provides medical interpretation and determi...
In the Medical Director role, you will provide oversight for medical policy implementation. CVS Health Medical Director (National Accounts) Boise, Idaho. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical management programs ...
Highmark Health - Medical Director - Boise, Idaho. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Conduct electronic review of escalated cases against medical pol...
Job Description - Site Medical Director for Infection Control/Infectious Disease Specialist (3298690). Site Medical Director for Infection Control. Site Medical Director for Infection Control. The Site Medical Director for Infection Control is a key part of the Infection Control team at Mass General...
The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. Humana Behavioral Health Medical Director - Medicare Boise, Idah...
AVP Stars and Risk Adjustment National Medical Director. Board Certified in an approved ABMS Medical Specialty. Prior experience leading teams focusing on the accuracy of medical record documentation and diagnosis coding. Medical management experience, working with health insurance organizations, ho...
Train and oversee site Research Medical Directors and investigators within the Research Center of Excellence ensuring the quality and scientific integrity of all aspects of clinical research. Licenses/Certifications: Upon hire, Idaho medical licensure and previous Board certification for Medical Doc...
Understand the priorities of Pfizer Medical Affairs in order to contribute to medical content strategy development and execute aligned Field Medical tactics. Maintain effective and appropriate communication and collaboration among headquarters medical colleagues, Medical Information, and other Pfize...
As a Regional Medical Director, you will be responsible for overseeing the psychiatric clinical programs in Washington and ensuring compliance with state and federal guidelines. Maintain accurate and up-to-date medical records for each patient, including progress notes, treatment plans, and diagnosi...
Associate Medical Director Behavioral Health or UM Medical Director. As a member of the Utilization Management team, our Associate Medical Director Behavioral Health and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all lines of business wit...
Plus we have a Medical Excellence& Education platform including a Clinical ResearchCommittee Specialty Directors Board Doctor Mentorship Committee andmore. Health Insurance (Basic Plans Medical DentalVision). ...
Understand the priorities of Pfizer Medical Affairs in order to contribute to Medical content strategy development and execute aligned Field Medical tactics. Maintain effective and appropriate communication and collaboration among headquarters, Medical colleagues, Medical Information, and other Pfiz...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care expe...
Merz Therapeutics is seeking an Area Director, Medical Science Liaisons for the West Area. This is a 60% travel role leading Medical Science Liaisons including MI, N. To manage the activities of the Medical Science Liaison (MSL) team to develop and implement strategies. The Director of the US MSL te...
We are looking for an Associate Veterinarian or Medical Director to join our team. Plus we have a Medical Excellence & Education platform including a Clinical Research Committee Specialty Directors Board Doctor Mentorship Committee and more. Health Insurance (Basic Plans Medical Dental Vision). ...
The Medical Director reports directly to the Executive Director, Medical & Scientific Affairs. The Medical Affairs Director provides support to the Medical Affairs/Clinical Affairs Group for the Pharma and Consumer products portfolio. Actively contributes to and drives Medical planning including...
The Global Senior Director Medical Affairs (GDMA), Oncology is responsible for driving execution of scientific & medical affairs plans for the assigned therapeutic area (Prostate Cancer) in key countries and regions. Regional Director Medical Affairs) with proven track record of contribution to ...
In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical management programs to address member needs across the continuum of care You will s...
Train and oversee site Research Medical Directors and investigators within the Research Center of Excellence ensuring the quality and scientific integrity of all aspects of clinical research. Luke's Health System, our Research Department is at the forefront of advancing medical knowledge and improvi...
The Medical Director provides the clinical direction needed to meet service delivery requirements, direct clinical services for patients, and clinical supervision for medical staff at the assigned site under the supervision of the Statewide Medical Director. The Medical Director collaborates with th...
Merck Global Senior Director, Medical Affairs - Atherosclerosis. The Global Senior Director, Medical Affairs (GDMA) is responsible for driving execution of value and implementation plans for atherosclerosis programs in key countries and regions. They consolidate actionable medical insights from coun...
The Medical Director (MD) for Aetna One Advocacy is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. The MD is a critical medical/business leader resource for ex...