The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implement...
Ability to network and partner with important external customers, including medical thought leaders, academic institutions, large group practices, medical directors and pharmacy directors is required. The Field Medical Director (FMD) is a field-facing representative of the Medical Affairs Department...
A company is looking for a Medical Director in Orthopedic Surgery. Key Responsibilities:Conduct coverage reviews for musculoskeletal and medical/surgical services, including prior authorizations for spine surgeryDocument clinical review findings and outcomes in compliance with policies and regulator...
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...
A company is looking for a Full Time Remote Physician Reviewer (Medical Director) in Psychiatry. ...
Highmark Health Medical Director, Medicaid (Remote PA, DE or WV) Augusta, Maine Apply Now. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Conduct electronic revie...
A company is looking for a Remote Medical Director in Texas. ...
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...
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 make determinations whether requested services, r...
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...
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'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 ...
Director/Senior Director, Regulatory Medical Writing (Remote). Director, Head of Global Regulatory Portfolio Management, with a dotted line reporting to the Interim Head of Medical Writing, will be the medical writing lead for clinical regulatory documents. This lead medical writer will lead submiss...
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 ...
Medical Director, Concurrent Review. All necessary hardware and software is provisioned to each of our Medical Directors. Opportunity to be involved in additional responsibilities such as special projects, focus groups, new Medical Director training, or organizational committees. We organize our Med...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. The Medical Director (Pain Management) will be a Subject Matter Expert (SME) with a background in Pain Management specialty, including post-graduate direct pati...
We are looking for physicians who have expertise in Cardiology and Vascular medical topics to deliver on Coheres Cardiology program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Medical Director, Card...
Acentra seeks a Behavioral Health Medical Director-Psychiatrist or HSPP with Indiana license (Remote U. Provide medical expertise with respect to planning and establishing goals and policies to improve medical management. Medical Director in a managed care company. Review pediatric medical literatur...
In this role has Medical Director (Behavioral Health) you will:. Assist with the development, implementation and interpretation of medical policy including medical necessity criteria, clinical practice guidelines and new technology assessments. Provide leadership and day-to-day physician oversight f...
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...
In the Medical Director role you will provide oversight for medical policy implementation. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. You will participa...
Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within esta...
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...
For over 85 years, we have pioneered significant medical innovations that transform healthcare. Baxter’s Advanced Surgery, a $1B business and part of our Medical Products and Therapies Global Business Unit (GBU), offers a product portfolio of hemostats, sealants and adhesion prevention products to e...
Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified pract...