Medical Director--Claims Management at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, re...
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 Medical Director collaborates with Optum Rx and CCR leadership and staff to establish, implement, support, and maintain clinical and operational processes related to outpatient pharmacy and medical coverage determinations. The Medical Director's activities primarily focus on the application of c...
Curriculum Design and Implementation Oversight in collaboration with NIMAA’s Clinical DirectorEnsure that course content reflects the desired content for NIMAAWork with instructors and guest faculty to shape content and format of all curriculum for NIMAAEnsure that content reflects appropriate hours...
In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical management programs to address member needs across the continuum of care You will s...
Associate Medical Director Behavioral Health or UM Medical Director. As a member of the Utilization Management team, our Associate Medical Director Behavioral Health and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all lines of business wit...
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 Senior Medical Director is responsible for leading improvement in clinical development strategies, and execution of clinical programs including implementation of the strategic plan through strategic cascades and metrics, and the oversight of operational activities of the medical directors. This ...
Train and oversee site Research Medical Directors and investigators within the Research Center of Excellence ensuring the quality and scientific integrity of all aspects of clinical research. Licenses/Certifications: Upon hire, Idaho medical licensure and previous Board certification for Medical Doc...
Obtain Idaho medical licensure and Medical Staff privileges at Saint Alphonsus Regional Medical Center. Saint Alphonsus Medical Group is a physician-led, 500+ provider multispecialty group with an excellent opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in B...
The Senior Medical Director is responsible for leading improvement in clinical development strategies, and execution of clinical programs including implementation of the strategic plan through strategic cascades and metrics, and the oversight of operational activities of the medical directors. This ...
The Statewide Medical Director will also mentor, clinically supervise and evaluate the team-delivered medical services for the patients at all facilities of the contract and promote the culture of quality medical care using evidence-based standard of care. Additionally, the Statewide Medical Directo...
Saint Alphonsus Medical Group (SAMG) has an excellent full-time employment opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in Boise, Idaho. Enjoy a spacious, recently renovated clinic setting adjacent to the campus of Saint Alphonsus Regional Medical Center (...
The Medical Director provides the clinical direction needed to meet service delivery requirements, direct clinical services for patients, and clinical supervision for medical staff at the assigned site under the supervision of the Statewide Medical Director. The Medical Director collaborates with th...
Merz Therapeutics is seeking an Area Director, Medical Science Liaisons for the West Area. This is a 60% travel role leading Medical Science Liaisons including MI, N. To manage the activities of the Medical Science Liaison (MSL) team to develop and implement strategies. The Director of the US MSL te...
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 ...
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 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 provides the clinical direction needed to meet service delivery requirements, direct clinical services for patients, and clinical supervision for medical staff at the assigned site under the supervision of the Statewide Medical Director. The Medical Director collaborates with th...
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...