Serves as a member of the executive leadership team and works collaboratively with the Chief of Clinical Operations, Chief of Quality and Compliance, Senior Directors, System of Care Director, medical staff, nursing staff, and site leaders. Participates in health plan Medical Director, statewide pro...
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 ...
Lead the strategic transformation toward value-based care models as our Practice Medical Director. Medical degree from an accredited medical school. Active medical license and DEA registration in at least one state and willing to get licensed in multiple states in the region. Monogram’s innovative, ...
Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review. ...
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...
Seeking Medical Director for Senior Behavioral Inpatient Unit - Tucson, Arizona!!. Group is seeking a Medical Director for their Senior Behavioral Inpatient Unit at the Hospital. The Director must demonstrate competency to provide services to a senior behavioral patient population as well as identif...
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. ...
With a focus on delivering comprehensive, high quality person-centered care across the health care continuum, the Medical Director will provide clinical leadership and oversight of program team members and serve as an active medical provider. Provide primary medical care services to patients residin...
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 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...
As Medical Director, this position is responsible for decisions related to medical care and day-to-day availability for consultation regarding services provided to the AHCCCS Managed care Acute Care, ALTCS, and special populations, as well as oversight of the care rendered to the AHCCCS population b...
A Regional Medical Director Is Needed in Phoenix, Arizona. Serves as primary liaison between the health center and the chief medical officer. Assists with the recruitment of medical staff, including interviewing candidates. Leads regular meetings of the medical staff at their health center. ...
Seeking Psychiatry Medical Director in Arizona!!. Health Center has an excellent opportunity for a Board Certified/Board Eligible Psychiatrist to be the Medical Director of a new Inpatient Adult Behavioral Health Unit. The Medical Director will hold a critical leadership position at the hospital and...
The Clinical Director supports the program and staff alignment with our core values and principles, and oversees delivery of the facilities scope of services, including the hiring, training, supervision and evaluation of clinical staff. The Clinical Director oversees a Quality Program that gathers e...
Optima Medical is an Arizona-based medical group consisting of 20 locations and over 90 medical providers, who care for more than 120,000 patients statewide. We are seeking a Physician Assistant to promote and maintain patients’ health by providing tailored care. As a Physician Assistant, you ...
This role of Project Manager, or Senior Project Manager (Flood Control) is responsible for the overall management of Flood Control projects in the Arizona and Colorado markets. Participate on project teams for new project interviews. The successful candidate will be accountable for developing busine...
The Project Manager will primarily focus within the commercial and light industrial markets, including large distribution centers and general manufacturing projects. This typically includes a Project Engineer or Assistant Project Manager, Field Superintendents, and administrative staff. Mentor and t...
Create documentation protocols and ensure all records of operations are properly maintained and reviewed. Maintain a culture of accountability at every step of our process. Our recruiters have a proven track record of placing top-tier talent across industry verticals, with deep expertise in numerous...
The Project Manager will work with internal mobile and web digital engineering teams to facilitate requests, drive the project as well as setting the price of advertisement and selection of the 3rd party marketing vendor for strategy. Project Manager (Retail Media Network) will work with marketing t...
The Senior Project Manager is responsible for meeting with the client to determine requirements, consulting with the client on best practices and workflow and submitting the requirements into the workflow system in preparation of client delivery. Planning and managing internal and external project c...
The Medical Director (MD) for Aetna One Advocacy is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. The MD is a critical medical/business leader resource for ex...
A valid and active Medical Assistant Certification from the American Association of Medical Assistants (AAMA) - CMA; American Medical Technologists (AMT) - RMA; National Center for Competency Testing (NCCT) - NCMA; or National Health Care Association (NHA) - CCMA; - Required within 90 days of hire. ...
My Medical Career is the #1 portal for individuals seeking a career in the Medical Assistant field. Interested in online medical assisting training? My Medical Career can help!. Rapid ONLINE Medical Assistant Training. Medical assisting is a passionate, rewarding career! Work alongside physicians in...
This position is responsible for providing leadership in the development, implementation, and oversight of standards, systems, policies, and procedures for the delivery of legal services for assigned areas of responsibility, in alignment and in furtherance of system strategic goals and ongoing opera...
CVS Health is recruiting for an Executive Director, Sales and Account Management in Payor Solutions who will develop and manage a team that carries out processes for sales, account management, and business retention. ...