Highmark Health Medical Director Carson City, Nevada 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 review of escalated cases agains...
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...
CVS Health Medical Director (West) Carson City, Nevada Apply Now. Provide oversight for medical policy implementation. Participate in the development, implementation, and evaluation of clinical/medical programs. Expand Aetna's medical management programs to address member needs across the continuum ...
The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, 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. CVS Health Medical Director (Medical Affairs) Carson City, Nevada Apply Now. CVS Health, a Fortune 6 company, has an outstanding ...
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 Medical Director provides medical interpretation and determinations whether se...
CVS Health Medical Director - (Cardiology) Carson City, Nevada. 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 Cardiolo...
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...
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...
Merck Global Senior Director, Medical Affairs - Atherosclerosis. 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 actionable medical insights from coun...
Humana Medical Director- South Central Carson City, Nevada Become a part of our caring community and help us put health firstThe Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or reque...
Our investment in YOU:Annual base salary of $150,000-$200,000 dependent on experience and 40 hour per week scheduleExciting bonus package including relocation and housing assistanceAnnual Medical Director stipendSki Pass and National Parks pass to enjoy Incline Village to the fullest!Flexible FT wor...
Humana Medical Director - Southeast Region Carson City , Nevada Apply Now Become a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews health claims. Job ProfileThe Medical Director actively uses their medical background, experience,...
Still University's Kirksville College of Osteopathic Medicine - Nevada Region (ATSU-KCOM) seeks a part-time Director of Student Medical Education in Las Vegas, Nevada. This position is the primary faculty at the core clinical training site responsible to supervise and direct the clinical education o...
Humana Medical Director - Gulf South Carson City , Nevada Apply Now Become a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experience, and judgement to...
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...
Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within esta...
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 Center Medical Director supports the Director of Medical Operations by providing exceptional clinical care delivery within the center, consistent with Concentra’s clinical model, and ensuring optimal clinical outcomes for our workforce patient population. The Medical Director will provide clinic...
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 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...