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 (Neurologist). This Senior Medical Director will lead clinical development trials as the subject matter expert for autoimmune disorders like Lupus and Sclerosis. ...
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...
More specifically, this professional will ensure medical decisions are rendered by qualified medical personnel and medical care meets quality standards. The Medical Director will also lead the prior authorization medical necessity review process and develop utilization management criteria and clinic...
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...
Provide oversight and lead day-to-day operations for your team of medical assistants and support staff. Medical/Master’s degree and certification. Current, unrestricted medical license to practice in the state of California. Comprehensive benefits package effective day one, including medical, dental...
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 ...
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 Medical Director, Operations - CalPERS will report to the Vice President, Medical Management. The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The ...
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 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...
Medical Director role available as well!. Collaborating with other medical and non-medical personnel. ...
Ensures a high quality medical staff by thoroughly investigating and verifying the credentials of all applicants to the medical staff including Allied Health Professionals. Provides a vehicle to improve quality via the medical staff committee process and by maintaining records of all medical staff c...
The Medical Director provides oversight of physician services by complementing attending physician care, acting as a medical resource to the interdisciplinary groups, and continuity of medical services. In conjunction with the executive leadership and as a part of the Interdisciplinary Team, the Med...
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...
Conducts histories, physical exams and prescribes medical treatment for patients ages 2 and older. Knowledge and experience with electronic medical records strongly preferred. ...
The Regional Medical Director (RMD) will be responsible for guiding the medical direction of both GP/ER and Specialty hospitals in a defined group. Follow through on implementation and promotion of medical programs instituted by the Chief Medical Officer and the Medical Advisory Board. Deliver, with...
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 Assistant Medical Director works with other department Medical Directors to support and assist teams with recruiting, assessment, hiring and onboarding of doctor staff. Emergency Veterinarian, ER/CCU/Urgent Care Assistant Medical Director – Redwood City, CA. We are seeking an Emergency doctor wh...
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...
Medical Director Needed at an Outpatient Facility in Oakland, California. ...
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...
High paying Medical Director position at an HIV Clinic in Philly with 100k retention bonus and more! JOB ID 73310. ...