The Market Medical Director will oversee medical operations, drive quality improvement initiatives and foster collaborative relationships with healthcare providers and community partners. Adventist Health is seeking a Market Medical Director to support our ambulatory clinics in the. Foster collabora...
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...
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...
The Medical Director, Utilization Management (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 Cali...
High Paying Medical Director position at an HIV Clinic in San Francisco with Student Loan Repayment! JOB ID 72692. ...
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...
Medical Director role available as well!. Collaborating with other medical and non-medical personnel. ...
High paying Medical Director position at an HIV Clinic in Philly with 100k retention bonus and more! JOB ID 73310. ...
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 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...
Responsibilities of this Medical Director role are related to Medicare Appeals. An Active state medical license without encumbrances. Medical Management - Medicare Complaints, Grievance & Appeals experience. The Company offers a full range of medical, dental, and vision benefits. ...
Directs the Graduate Medical Education (GME) program: supervises and teaches residents, oversees continuing medical education, directs faculty and supervises and manages office support personnel. Graduation from medical school or osteopathic medical school. Dignity Health Mercy San Juan Medical Cent...
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...
Primary Care - 70%* Provide medical care to enrolled participants, including the evaluation, diagnosis and management of their medical conditions, including but not limited to taking of a medical history, performance of physical examination, ordering and interpretation of diagnostic tests, formulati...
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...
Job Description & Requirements*Family Medicine Physician: Medical Director, Sacramento AreaStartDate: ASAP Pay Rate: $300000. The Opportunity:*\n* $300,000 base salary plus bonus opportunities* RVU bonus and quality bonus available* Medical Director in a primary care setting* 4-day clinical wor...
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...
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...
The Medical Director collaborates with Optum Rx and CCR leadership and staff to establish, implement, support, and maintain clinical and operational processes related to outpatient pharmacy and medical coverage determinations. The Medical Director's activities primarily focus on the application of c...
Rocklin, CA is currently looking for a Medical Director to join our team! Our collaborative team is skilled, engaged, and ready to support! Located 30 minutes from downtown Sacramento, Rocklin is a very desirable, high-end community. We opened our doors in 1978, offering a wide range of medical serv...
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...
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...
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 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...
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...