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...
The Executive Medical Director (EMD), In-Home Primary Care (IHPC) Clinical Operations will report to the Home-Based Care Chief Medical Officer and will work as a dyad partner with the IHPC Operations Director. Work in collaboration with the IHPC Operations Director to direct care delivery interventi...
As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Respiratory. Engaging in scientific discussions with medical and scientific specialists, including Healthcare Professionals and population health decision makers (“payers”) consistent w...
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimen...
Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Pediatric Surgery Medical Director at Evicore part of Evernorth Health Services, a division of The Cigna Group,...
As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within dermatology. Engaging in scientific discussions with medical and scientific specialists, including Healthcare Professionals and population health decision makers (“payers”) consistent w...
The Medical Director will then transition the client to a Client Medical Director after approximately 30 days post go-live. Experience in Health plan operations as a Medical Director, with focus on medical policy, medical coding, payment integrity and/or fraud/waste/abuse. The Medical Director focus...
Requisition Number7793Employment Type:Regular.Worldwide Clinical Trials (Worldwide), a leading global contract research organization (CRO), works in partnership with biotechnology and pharmaceutical companies to create customized solutions that advance new medications – from discovery to reality.Anc...
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...
The purpose of the Associate Medical Director position is to provide leadership and clinical expertise to operations on all medical aspects relating to the peer review process, utilization review activities, case management, and/or other activities requiring clinical leadership and consultation. Ace...
The Executive Medical Director will support BeiGene Clinical and Medical assets within the Hematology franchise by successful development of early and late phase clinical development strategies and deliverables in partnership across the organization; with external vendors; and with external academic...
In the Medical Director role you will provide oversight for medical policy implementation. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. You will participa...
We are looking for physicians who have expertise in Cardiology and Vascular medical topics to deliver on Coheres Cardiology program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Medical Director, Card...
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...
This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services in compliance with state regulations, nationally recognized evidence-based guidelines, and client-specific policies. Review all medical records using sta...
US Medical Affairs (USMA), Executive Director, Virology Medical Sciences – Field-based. The Executive Director (ED) US Medical Affairs Virology Medical Science is a key member of the USMA leadership team, reporting to the VP of USMA, Virology, field based in the US. Serve as US medical head for matt...
The Field medical Director represents Pierre Fabre Medical Affairs in the field for the Medical Innovative Oncology portfolio; is the scientific contact for HCP information and clinical trial requests and can serve as medical and scientific resource to all internal PF stakeholders; if needed, provid...
Serves as Director supporting company operations and initiatives by:. Providing medical and scientific support to Clario study teams and departments for the delivery of services in ongoing projects. Training the study team on the medical and scientific details of the project. Working with Senior Man...
Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to provide evidence-based medical reviews for patient care. Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore’s cas...
In the Medical Director role you will provide oversight for medical policy implementation. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. You will participa...
The Field medical Director represents Pierre Fabre Medical Affairs in the field for the Medical Innovative Oncology portfolio; is the scientific contact for HCP information and clinical trial requests and can serve as medical and scientific resource to all internal PF stakeholders; if needed, provid...
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimen...
This unique team — inclusive of dozens of artists and PhDs/PharmDs/MDs specifically trained in turning complex scientific messages into simple, memorable illustrations, animations, apps, decks, and medical congress booth experiences. We are seeking an Account Director to join our team with the goal ...
Our client is currently seeking a Remote Medical Director. Serves as the liaison between physicians and health plan Medical Directors. Develops strategies for improving all aspects of market performance including RAPS, membership, and medical management. Participates in case review and medical neces...
The Associate Medical Director, Global Medical Affairs Strategy (Nephrology and Immunology) supports Medical Directors and Franchise Leads to drive strategic and tactical excellence for assigned Otsuka assets. Part of this responsibility includes ensuring that medical content aligns with Medical Aff...