The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and func...
Together with the Regulatory Affairs team and in close collaboration with other departments, the Associate Director / Director, Regulatory Affairs will take a hands-on approach to developing and implementing regulatory strategies for our development programs in rare diseases. The Associate Director ...
The Senior Medical Director, Behavioral Health will report to the Vice President, Medical Management. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (spell out acron...
Senior Medical Director – Clinical Development – IIT. We are recruiting a Senior Medical Director - Clinical Development to help advance our client's mission to free patients from the siege of autoimmune disease. Serve as the medical lead for CAR T-cell therapy in IITs for autoimmune disease indicat...
The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
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, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (F...
The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions...
The Chief Medical Officer also leads a team of Medical Directors across business sites and provides medical consultations on new business and claims cases, conducts research and development to keep the division at the forefront of underwriting and delivers educational programs to the underwriting de...
The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions...
High paying Medical Director position at an HIV Clinic in Philly with 100k retention bonus and more! JOB ID 73310. ...
Site Medical Director / Family or Internal Medicine. AltaMed, a leading healthcare center providing services to more than 300,000 Southern California residents, is seeking a qualified physician with prior leadership experience to serve as the site medical director for one of its clinics in Los Angel...
High Paying Medical Director position at an HIV Clinic in San Francisco with Student Loan Repayment! JOB ID 72692. ...
Rocklin, CA is currently looking for a Medical Director to join our team! Our collaborative team is skilled, engaged, and ready to support! Located 30 minutes from downtown Sacramento, Rocklin is a very desirable, high-end community. We opened our doors in 1978, offering a wide range of medical serv...
In-house development programs for new graduates, experienced Associates, and Medical Directors. Sacramento, California looking to add a new veterinarian to our practice! Our extremely spacious and modern hospital includes five exam rooms, double surgical suite, 4-sink treatment area, digital & denta...
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Mercy S...
The Medical Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (F...
The Associate Director, Medical Affairs is responsible for the administrative oversight and day to day operations of the Well-Being of Physicians Committee, the Medical Staff’s Peer Review Process and the Medical Staff’s Ongoing Professional Practice Evaluation (OPPE). This position reports directly...
The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions...
Director, Medical ManagementRancho Cordova CA. Director, Medical Management in Rancho Cordova CA. Centene Corporation have an immediate need for Director, Medical Management. If you happen to live in or around Rancho Cordova, CA or have the freedom to relocate yourself to Rancho Cordova, CA and poss...
Responsibilities of this Medical Director role are related to Medicare Appeals. An Active state medical license without encumbrances. Medical Management - Medicare Complaints, Grievance & Appeals experience. The Company offers a full range of medical, dental, and vision benefits. ...
The Medical Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (F...
The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and func...
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Mercy S...
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