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 - 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 (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 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...
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 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 ...
Medical Director - Sacramento, CA. Quest Diagnostics is seeking a Medical Director for our Northern California geography. The individual will work within a multifunctional team to ensure that the medical quality of the laboratory's services meets the healthcare needs of our patient population, and t...
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...
Medical Director IM or FP Physician Needed 1. ...
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Mercy S...
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...
In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical management programs to address member needs across the continuum of care You will s...
Medical Director position at an HIV Clinic in Mississippi on the ocean! JOB ID 71290. ...
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...
High paying Medical Director position at an HIV Clinic in the Bronx with 100k retention bonus and more! JOB ID 73367. ...
Medical Director Recruitment Brochure. MEDICAL REIMBURSEMENT ACCOUNT:The Medical Reimbursement Account allows pre-tax dollars to be set aside to pay for out-of-pocket expenses that are not paid by insurance or reimbursed by any other benefit plan. These benefits currently include: health, dental and...
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....
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...
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 (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 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...
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Mercy S...
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 ...
Shares information with others so there are no suprises; facilitates effective collaboration among clinic medical directors, clinic managers, and external partners. AI-enabled notes assistant within our proprietary EHR• Competitive salary with incentives, wRVU bonus plan and weekend/holiday differen...
Merz Therapeutics is seeking an Area Director, Medical Science Liaisons for the West Area. This is a 60% travel role leading Medical Science Liaisons including MI, N. To manage the activities of the Medical Science Liaison (MSL) team to develop and implement strategies. The Director of the US MSL te...