The Medical Director relies on medical background and reviews health claims. 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 be authorized. The M...
CVS Health Medical Director - (Cardiology) Helena, Montana. 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 Cardiology s...
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...
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...
The Medical Director relies on medical background and reviews health claims. 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 be authorized. The M...
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. CVS Health Medica...
Highmark Health - Medical Director, Medicaid (Remote PA, DE or WV). 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 ag...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. CVS Health Medical Director (Medical Affairs) Helena, Montana Apply Now Bring your heart to CVS Health. Position SummaryCVS Healt...
Highmark Health Medical Director Helena, Montana Apply Now. 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 me...
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 Med...
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...
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...
Merck Global Senior Director, Medical Affairs - Atherosclerosis Helena, Montana. 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 in...
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 (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. CVS Health Medical Director - Medical Affairs (Oncology) Helena, Montana Apply Now. CVS Health, a Fortune 4 company, has an outst...
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...
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...
Medical Director Need in Montana - $292K Salary plus Production. ...
The Executive Director, Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of scientific & medical affairs Value and Implementation (V&I) plans for their assigned Therapy Areas (TA). Leads the annual scientific & medical Value a...
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...
This Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical Reviews And Interacts With The Provider Communities For Assigned Areas. Maintain Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Phys...
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...