The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
The Senior Medical Director, Behavioral Health will report to the Vice President, Medical Management. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (spell out acron...
In-house development programs for new graduates, experienced Associates, and Medical Directors. Sacramento, California looking to add a new veterinarian to our practice! Our extremely spacious and modern hospital includes five exam rooms, double surgical suite, 4-sink treatment area, digital & denta...
The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and func...
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Mercy S...
The Senior Medical Director, Behavioral Health will report to the Vice President, Medical Management. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (spell out acron...
Medical Director position at an HIV Clinic in Mississippi on the ocean! JOB ID 71290. ...
The Assistant Medical Director works with other department Medical Directors to support and assist teams with recruiting, assessment, hiring and onboarding of doctor staff. Emergency Veterinarian, ER/CCU/Urgent Care Assistant Medical Director – Redwood City, CA. We are seeking an Emergency doctor wh...
High paying Medical Director position at an HIV Clinic in the Bronx with 100k retention bonus and more! JOB ID 73367. ...
The Associate Director, Medical Affairs is responsible for the administrative oversight and day to day operations of the Well-Being of Physicians Committee, the Medical Staff’s Peer Review Process and the Medical Staff’s Ongoing Professional Practice Evaluation (OPPE). This position reports directly...
Sacramento, California is currently seeking a Medical Director to join our team. ...
Responsible for medical affairs and providing administration (at hospital, regional and system level) and medical staff with knowledge, experience and leadership from a medical management perspective. ...
Shares information with others so there are no suprises; facilitates effective collaboration among clinic medical directors, clinic managers, and external partners. AI-enabled notes assistant within our proprietary EHR• Competitive salary with incentives, wRVU bonus plan and weekend/holiday differen...
The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
Primary Care - 70%* Provide medical care to enrolled participants, including the evaluation, diagnosis and management of their medical conditions, including but not limited to taking of a medical history, performance of physical examination, ordering and interpretation of diagnostic tests, formulati...
Find Your Passion and Purpose as a Hospice Medical Director. Hospice Medical Director Qualifications:. Five or more years in a medical director or other administrator role, preferred. As a medical professional, you know that what you do impacts you as much as your patients and their families, and at...
The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
Rocklin, CA is currently looking for a Medical Director to join our team! Our collaborative team is skilled, engaged, and ready to support! Located 30 minutes from downtown Sacramento, Rocklin is a very desirable, high-end community. We opened our doors in 1978, offering a wide range of medical serv...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. The Medical Director (Pain Management) will be a Subject Matter Expert (SME) with a background in Pain Management specialty, including post-graduate direct pati...
This is an outstanding opportunity for a motivated veterinarian to continue practicing medicine while establishing the direction and medical quality of the hospital like a practice owner. Benefits: We offer competitive compensation along with a comprehensive benefits package, including medical, dent...
The Medical Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (F...
Director, Medical ManagementRancho Cordova CA. Director, Medical Management in Rancho Cordova CA. Centene Corporation have an immediate need for Director, Medical Management. If you happen to live in or around Rancho Cordova, CA or have the freedom to relocate yourself to Rancho Cordova, CA and poss...
The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions...
The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and func...