Key Responsibilities:Review health claims and preservice appeals based on medical backgroundDetermine medical necessity and appropriateness of services in compliance with guidelinesRepresent the company at Administrative Law Judge hearings and make independent clinical judgmentsRequired Qualificatio...
The Program Director is expected to support integration of the FM Program with physician practices and hospital clinical services in a manner that enhances value and quality, and that promotes an optimal environment for professional practice and medical education. A minimum of 3 years of GME teachin...
A company is looking for a Medical Director in Neuropsychiatry to oversee clinical studies and ensure high-quality study conduct. ...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care expe...
A company is looking for a Wound Care Medical Director in Corrections. ...
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 Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across department(s). The Associate Medical Director has simila...
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...
Provides medical consultation to team members and answer all study related medical questions. Discusses all medical concerns with principal investigators and clients ( discussion regarding interpretation of inclusion/exclusion criteria) raised during the course of a study, using proper medical judgm...
Analyze and manage performance of all levels (Individual Sales Agents, Market Sales Directors and Agency Sales Directors) of the assigned territory. Job Description - MMP - Territory Sales Director (2400452). MMP - Territory Sales Director-(2400452). The Territory Sales Director (TSD) is primarily r...
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...
The Program Director is expected to support integration of the IM Program with physician practices and hospital clinical services in a manner that enhances value and quality, and that promotes an optimal environment for professional practice and medical education. A minimum of 3 years of GME teachin...
Clinical Medical Director opportunity near Fort Myers, Florida. Competitive base salary along with a FULL comprehensive benefits plan including health, dental, vision, CME, Medical stipend, Allowance, vacation, and 401K. ...
Responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May serve as a resource to staff including Medical Director Associates. Additional experience may be required by State contracts or re...
A company is looking for a Clinical Coverage Review Medical Director to support pharmacy operations and clinical review processes. ...
A company is looking for a Clinical Systems Strategy Director to oversee clinical initiatives and projects within the organization. ...
A company is looking for a Medical Writer - Life Sciences - I (Assistant). ...
A company is looking for a Senior Director, Workplace Planning and Executive Management. ...
A company is looking for a Medical Director for the Southeast Region. ...
A company is looking for an Associate Director - Virtual Medical Science Liaison - Gastroenterology. ...
A company is looking for an Executive Director, Data Strategy. ...
A company is looking for a Medical Writer (Manager) to create documents related to clinical studies and regulatory interactions. ...
A company is looking for an Associate Clinical Director - Serious & Complex to assist clients with serious and complex medical conditions. ...
A company is looking for a Director of HR Operations to lead People Operations strategies and initiatives globally. SHRM-SCP, SPHR) is a plusExperience in developing competitive compensation and benefits programsProven track record in leading People Operations during organizational growth and transf...
A company is looking for a Medical Director - Post-Acute Care Management - Care Transitions - Remote. ...