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. ...
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 ...
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 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. ...
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. ...
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...
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 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...
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...
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...
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...
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...
Senior Environmental Project Manager to be based out of either our Bothell, WA office or our Portland, OR office. Managing project progress using project management software. Scheduling project resources and ensure projects are staffed appropriately. A multidisciplinary environment where projects ar...
Project Planning: Develop comprehensive project plans, including scope, schedule, budget, resources, and risk management strategies. Budget Management: Develop and maintain project budgets, track expenses, and implement cost-control measures to ensure projects stay within budgetary constraints. Sche...
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...
Do you enjoy leading civil engineering teams while managing complex geotechnical projects?. The ideal candidate will possess a strong background in geotechnical engineering, materials testing, project management, and will be pivotal in driving the unit's success, ensuring staff development, P&L, wit...
The Project Manager will be based in the Southwest. Participate with project team and preconstruction services in development of a Project Chart of Accounts. Coordinate with Project Superintendent in development of a project site logistics plan. Clayco specializes in the "art and science of building...
Lead Project Managers and/or Program team in the development and maintenance of comprehensive plans for a defined program. Deliver presentations of project status to effectively communicate throughout the project life-cycle. Adhere to the Organization's project management methods, project life-cycle...
Accountable for welcoming and preparing the patient for their appointment, the Medical Assistant informs patients of relevant and required information for their visit and provides clear communication around the services they are scheduled to receive. Certified Medical Assistant or eligible within 90...
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...
The Project Manager role is project-driven and will support clients by acting as the first point of contact to ensure that their organizational goals are met. In addition, the Project Manager will be dedicated to monitoring and controlling the scope of work, engagement team priorities and project fi...
Worldwide Clinical Trials (Worldwide), a leading global contract research organization (CRO), works in partnership with biotechnology and pharmaceutical companies to create customized solutions that advance new medications – from discovery to reality. ...
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...
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. ...