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. ...
They are seeking a dedicated and experienced Medical Director to join our dynamic team and contribute to our vision of transforming eye care. The Medical Director will play a crucial role in shaping the clinical strategy and direction of our ophthalmology programs. The Medical Director must have pre...
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...
Job Description: The neurology departmentprovides diagnostic services, medical treatment, and follow-up care to infants, children, and adolescents who have suspected or confirmed neurological disorders Accredited by the NAEC as a level 4 epilepsy center. Diagnostic procedures include: Neurological e...
Elevance Health Medical Director Las Vegas, Nevada Apply Now. May serve as a resource to staff including Medical Director Associates. The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and overseeing clini...
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...
Supervise Associate Medical Directors and Nurse Practitioners, including recruiting and evaluation. Provide medical direction adhering to Medicare, federal and state statutes that govern provision of services. Review patients' medical eligibility for hospice services to ensure the plan of care is in...
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 ...
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...
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...
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...
To obtain list eligibility for the Medical Record Director, before applying for the position, you must first take and pass the Medical Record Director exam. Two years of experience in a medical records office of an approved hospital which must have involved the supervision of medical records personn...
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 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...
Curriculum Design and Implementation Oversight in collaboration with NIMAA’s Clinical DirectorEnsure that course content reflects the desired content for NIMAAWork with instructors and guest faculty to shape content and format of all curriculum for NIMAAEnsure that content reflects appropriate hours...
Medical Director role available as well!. Collaborating with other medical and non-medical personnel. ...
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 Cardiology specialty, including post-graduate direct patient care experi...
The Assistant Director is a Registered Dietitian who provides operational and clinical oversight for all services within the Diabetes and Nutrition Education and Inpatient Clinical Nutrition departments as well as working collaboratively with the hospital based Food Service department, Cancer Center...
A successful Pod Medical Director is intrinsically motivated, challenge-driven, rethinks traditions and genuinely cares about employees and patients. The Medical Director acts with an owner’s mindset, cultivating new ideas for driving business performance by leading the clinic team, managing financi...
We help negotiate your salary and contract.We coordinate interviews and help with licenses.Specialized recruiters match your career preferences.Experienced support teams take care of every detail....
Reporting directly to the Chief Medical Officer, this position will play a pivotal role in providing strategic leadership and medical expertise to support the development and execution of the company’s mission. Oversee study design, protocol development and amendments, and management of clinical tri...
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 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 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...
High Paying Medical Director position at an HIV Clinic in San Francisco with Student Loan Repayment! JOB ID 72692. ...