Ensures that medical decisions are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for acceptable medical care. Provides medical oversight and expertise in appropriateness and medical necess...
Medical Director and the Pharmacy Director of PCHP in overseeing and administering the pharmacy benefit for PCHP members including coordination of care between the Medical and Pharmacy benefits. As assigned by the Chief Medical Officer or Senior Medical Director assists in representing PCHP on clini...
For the expansion of our team, argenx is looking for an Associate Director of Medical Writing to contribute to the development of complex clinical, nonclinical, and safety documents for regulatory submissions. This individual will contribute to and execute the overall strategy for all medical writin...
Facilitates feedback from Field Medical Personnel to assist Medical and Marketing and Sales to develop strategies and tactics that will (1) improve strategic planning, (2) expand and improve the quality of clinical research, (3) increase accuracy of medical and marketing assessments, and (4) improve...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
IntroductionDo you want to join an organization that invests in you as a Surgery Sales Director? At Medical City Ambulatory Surgery Center, you come first. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans in...
HealthDrive is looking for a Medical Director/Collaborating Physician to. The Medical Director/Collaborating Physician will promote good health practices and work. The physician will serve as the Medical Director or Attending Physician for skilled nursing facilities/rehabs and will participate in ad...
They are excited to hire a full-time Neuropathologist to serve as Assistant Medical Director at therapeutic neuropathology laboratory. The Assistant Medical Director will sign out neuropathology cases, including epidermal and sweat gland nerve fiber density skin biopsies, muscle and nerve biopsies, ...
Come live and practice in the greater Dallas, TX area that is growing like few other metro areas of the country.Every amenity, cuisine, form of entertainment, choice of great schools, and so much more are at your fingertips.At CompHealth, we can match you with the right job.Every step of the way, yo...
Coordinate Medical City Dallas Patient Flow responsibilities with the Case Management Director for Medical City Dallas Adult Services and the division Revenue Integrity Department Director to ensure all patient flow needs of the Medical Center are met and to ensure similar policies and procedures ar...
This position shall coordinate across the Plan and broadly across HCSC to develop effective population health strategies that target reductions in unnecessary medical utilization and improve clinical quality and healthcare outcomes. This position will also head projects to promote effective medical ...
The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our Models of Care across all markets. Consults with plan medical staff regarding adverse determinations, addresses issues related to network providers, performs medical chart reviews, and conduct...
The Medical Director Medical Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes. Enhance clinical expertise of the Oncology team through education sessions with nursing teams, and serving as a thought leader and ...
UT Southwestern Medical Center Department of Dermatology seeks a Medical Director for Pediatric Dermatology. The incumbent will provide clinical care to inpatients and outpatients and direct Pediatric Dermatology educational programs for residents in dermatology and pediatrics as well as medical stu...
Facilitates feedback from Field Medical Personnel to assist Medical and Marketing and Sales to develop strategies and tactics that will (1) improve strategic planning, (2) expand and improve the quality of clinical research, (3) increase accuracy of medical and marketing assessments, and (4) improve...
Clinical Medical Director opportunity near Fort Myers, Florida. Competitive base salary along with a FULL comprehensive benefits plan including health, dental, vision, CME, Medical stipend, Allowance, vacation, and 401K. ...
Strategic Planning: Facilitates feedback from Field Medical Personnel to assist Medical and Marketing and Sales to develop strategies and tactics that will (1) improve strategic planning, (2) expand and improve the quality of clinical research, (3) increase accuracy of medical and marketing assessme...
Clinical Medical Director opportunity in Sonoma County, CA. VERY competitive base salary along with a FULL comprehensive benefits plan including health, dental, vision, CME, Medical stipend, Allowance, vacation, and 401K. ...
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...
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...
Opportunity Details:• The Medical Director of the Developmental Disabilities Division provides leadership, direction and teaching in an academic, integrated, interdisciplinary pediatric environment • Academic rank, based on experience, offered through the hospital's academic partner, UT Southwestern...
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support an...
They are excited to hire a full-time Neuropathologist to serve as Assistant Medical Director at therapeutic neuropathology laboratory. The Assistant Medical Director will sign out neuropathology cases, including epidermal and sweat gland nerve fiber density skin biopsies, muscle and nerve biopsies, ...
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