The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, level of care, and/or site of service should be authorized. The Medical Director's work includes reviewing of all submitted medical records, synthesizing complex ...
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...
Highmark Health Medical Director in Montpelier, Vermont. 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 medic...
Medical degree (MD or DO) from an accredited medical school. The Hospitalist will provide exceptional medical care in a Long-Term Care Facility and Skilled Nursing Facility. Benefits package includes health insurance, retirement plans, paid time off, and continuing medical education opportunities. A...
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 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...
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) - Montpelier, Vermont. CVS Health, a Fortune 4 company, has an outstan...
The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director assesses medical necessity and appropriateness of services rendered by healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, ...
CVS Health - Medical Director - Behavioral Health. In this role as Medical Director (Behavioral Health) you will:. Provide leadership and day-to-day physician oversight for the utilization management team, including the management of high-risk cases and medical necessity decisions. Participate in th...
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...
AVP Stars and Risk Adjustment National Medical Director. Board Certified in an approved ABMS Medical Specialty. Prior experience leading teams focusing on medical record documentation and diagnosis coding accuracy. Medical management experience with health insurance organizations, hospitals, and oth...
Highmark Health Medical Director, Medicaid (Remote PA, DE or WV) Montpelier , Vermont 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...
CVS Health Medical Director - (Cardiology) Montpelier, Vermont 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 i...
Merck Global Senior Director, Medical Affairs - Atherosclerosis Montpelier, Vermont Apply Now. 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 actiona...
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 specialty, including post-graduate direct patient care experi...
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician a...
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...
The Human Resources (HR) Director will be responsible for the strategic and transformational leadership of all aspects of HR at The Central Vermont Medical Center (CVMC). The HR Director will be a thought leader in advancing organizational capability and effectiveness through demonstrated leadership...
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...
Medical degree (MD or DO) from anaccredited medical school. Provide comprehensive medical careto a caseload of 15 to 20 patients per day, which includes managing complexmedical conditions, chronic illnesses, and acute exacerbations. The Hospitalist willprovide exceptional medical care in a Long-Term...
The Primary Care Medical Director will spend 1/3 of the scheduled time, approximately 12 hours per week on Medical Director Responsibilities and 2/3 of time, 24 hours per week as a primary care clinician and will work collaboratively and cooperatively as a member of the health care team within the H...
Seeking a BC/BE Psychiatrist for a Director of Geriatric Behavior Health opportunity in New Hampshire. ...
Seeking a full-time Emergency Medicine Physician, with an Opportunity for EM Medical Directorship, to join an established EM group at a northern NH Critical Access Hospital. Provides and directs medical care to patients presenting to the Emergency Department (ED) and responds to in-house medical eme...