The Medical Director also provides/assists in the direction and oversight in the development and implementation of policies, procedures and clinical criteria for all medical programs and services and may serve as a liaison between physicians, and other medical service providers in selected situation...
CVS Health - Medical Director (Cardiology). 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, includ...
The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. Enhance clinical expertise of the radiation oncology team t...
CVS Health Behavioral Health Medical Director - Saint Paul, Minnesota. Develops, implements, and interprets medical policies and procedures, including service authorization, claims review, discharge planning, and medical reviews. Ensures timely medical decisions, including after-hours consultation a...
The Medical Director will work on the Medical Management team in our WPS Health Insurance line of business. In addition, the Medical Director will actively use their medical background, experience, and judgement, with available evidence-based sources to make determinations whether requested services...
This Global Medical Director (GMD) position for our Rhythm Management Division (with focus on cardiac ablation therapies) is a key medical leadership role which offers the opportunity to leverage your therapeutic area expertise and procedural experience to support Boston Scientific's mission of deve...
The Medical Director actively uses their medical background, experience, and judgement to make determinations regarding requested services, level of care, and/or site of service authorizations. Humana Medical Director - South Central. Provide medical interpretation and determinations on services pro...
Site Medical Director – Women’s and Children’s Service Line for its M Health Fairview Center for Women location. In partnership with the dyadic director, is accountable for closing gaps in outcomes. Unrestricted MN Physician Medical License. ...
In the Medical Director role, you will provide oversight for medical policy implementation. CVS Health Medical Director (National Accounts) Saint Paul, Minnesota Apply Now. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical m...
The Clinic Medical Director reports directly to the Primary Care Regional Medical Director (RMD) and is responsive to the Regional Clinic Director (RCD). The Clinic Medical Director provides accountable leadership for all of the HealthPartners Medical Group goals and priorities, including the People...
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 Sales Director is responsible for developing new production programs for the Confluent Medical portfolio. The Sales Director will be responsible for ensuring that the production opportunities are aligned with the Confluent Medical strategic plans, core capabilities and achieve profitability goal...
The Medical Director functions to support the Director of Medical Operations to ensure consistency of clinical care delivery, clinician onboarding, as well as supporting market clinical and financial strategies and tactics as determined by the director team. The Medical Director will provide clinica...
The Sales Director is responsible for developing new production programs for the Confluent Medical portfolio. The Sales Director will be responsible for ensuring that the production opportunities are aligned with the Confluent Medical strategic plans, core capabilities and achieve profitability goal...
Works with the Care Map Program Manager, CVR System Director, Care Map Medical Directors and operational leaders to set the strategic direction and goals of the Care Map Program. The Program Medical Director is 0. Partners with other Medical Directors and broader leadership team to support the strat...
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...
This Global Medical Director (GMD) position for our Rhythm Management Division (with focus on cardiac ablation therapies) is a key medical leadership role which offers the opportunity to leverage your therapeutic area expertise and procedural experience to support Boston Scientific’s mission of deve...
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. ...
The Associate Medical Director will be responsible for guiding and shaping clinical trials in the Interventional Cardiology Division by rigorously and creatively applying scientific and medical expertise to guide strategy, optimize execution, ensure patient safety and drive innovation. Past experien...
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 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 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 ...
Provide leadership and direction to the Medical Underwriting and Claims organization including oversight of all functions of the medical department. Oversee changes to medical underwriting guidelines and procedures. Maintain an active medical license in the state of your location. Proficiency with m...
The Associate Director will lead a DHM Research and Scholarship Committee which will report to the DHM Executive Council and collaborate closely with Departmental, Medical School, and University research leaders to further research and scholarship efforts, increase the amount of institutional and ex...
Continuing their growth, the team are excited to bring on someone new to join their Director-level leadership team, in the form of an Client Services Director! As Client Service Director, you'll bring a wealth of experience in the medical communications industry, leading and driving multiple account...