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 ...
Required Qualifications: Board certification as an MD, DO, MBBS with a current unrestricted license to practice and maintain necessary credentials to retain the position Current, unrestricted medical license and the ability to obtain licensure in multiple states 3+ years of post-residency patient ca...
Ensure that the operational delivery of TOP medical services and patient care across the region coordinated by the medical team meets the appropriate standard of medical quality in accordance with the TOP Clinical Quality Medical Plan (CQMP), DHA service level expectations, and Assistance Centre, an...
Medical Assistant Program Director. Have you ever wanted to make an impact on the future generation of Medical Assistant professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people?. The MA Program Director is responsible for leve...
The Regional Medical Director (RMD) works as a part of the Medical Services department within the Government Medical Services business and is responsible for providing medical leadership and expertise to all projects. Specifically, the Regional Medical Director (OCONUS) is responsible for overseeing...
We are seeking a kind, compassionate Medical Director to join our four-DVM, small animal practice in northwest Houston!. Excellent benefits including medical/dental/vision options, practice-paid life insurance, 401(k) with match, PTO, annual CE stipend, paid licensure & due fees, PLIT, and more!. ...
Candidates must have strong hospital experience as CEO, CNO, COO, CFO, Director of Business Office, Director of Quality, Performance Improvement, Director of Case, Director of Ancillary, Allied, Critical Care, Pediatrics, NICU, CCU, ICU, Cardiac Cath, Radiology, Lab Services, Education, ER, OR, Phys...
The Regional Director, Medical Imaging will collaborate with key departments including Ambulatory Services, Information Systems, Finance, Purchasing, Human Resources, Managed Care, Marketing, Medical Records, Quality Improvement, Risk Management, Coding Compliance, and the Laboratory to meet organiz...
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the...
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 Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. Enhance clinical expertise of the radiation oncology team t...
In this role has Medical Director (Behavioral Health) you will:. Assist with the development, implementation and interpretation of medical policy including medical necessity criteria, clinical practice guidelines and new technology assessments. Provide leadership and day-to-day physician oversight f...
Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. The Director of Nursing Support Services is responsible for coordinating hospital professional...
The Regional Medical Director (RMD) works as a part of the Medical Services department within the Government Medical Services business and is responsible for providing medical leadership and expertise to all projects. Specifically, the Regional Medical Director (US Border) is responsible for oversee...
Under the general direction of the Vice President of Facility Services, the Director of Plant Operations is responsible for assisting the V/P of Plant Services in the overall operation of the Engineering Department inclusive of administrative and technical operation. Joseph Medical Center (SJMC), Ho...
The Regional Medical Director (RMD) works as a part of the Medical Services department within the Government Medical Services business and is responsible for providing medical leadership and expertise to all projects. Specifically, the Regional Medical Director (OCONUS) is responsible for overseeing...
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 Medical Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal clinical outcomes. Enhance clinical expertise of the Oncology team through education sessions with nursing teams, and serving as a thought leader and ...
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the...
We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US. Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals. Respond to clinical inquiries and serve as a no...
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...
As the leaders in pediatric medical services and rehabilitation, Nexus Children's Hospital and HealthBridge Children's Hospital treat children with primary medical issues who may also have secondary behavioral problems. We have an opportunity for a BC Pediatrician who will provide on-going medical m...
The Chief Medical Officer / Medical Director will report directly to the Group President and work alongside our Hospital Director to encourage positive collaboration and be responsible for working directly with specialists and our medical team to evaluate best practices and implement medical protoco...
WellMed, part of the Optum family of businesses, is seeking a CareCoach Connect Associate Medical Director to join our team in Houston, TX. Participate in Committees under the guidance of the Senior Medical Director(s). Support the Care Coach Connect Senior Medical Director(s) in implementing critic...
WB Medical Director is accountable to Medical Director Center for Critical Care for quality, recruiting, MD and Faculty goals, also he is part of the system CC CMPI and center goals . The Medical Director of Critical Care at HMWB works in collaboration with Hospital Leadership and Department Directo...