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...
The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding. The Medical Director is responsible for ...
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 ...
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. ...
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...
Director, Office of Medical Affairs (OMA) is responsible for the oversight of Shockwave Medical, Inc. Shockwave Medical aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its differentiated and proprietary local delivery of sonic p...
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...
Collaborate with the Assistant Medical Director of Documentation Quality and Associate Medical Director of Clinical Documentation Improvement to improve and optimize the organization's documentation quality standards and practices. Must have a thorough knowledge of medical terminology, anatomy and p...
The Medical Director reports directly to the Executive Director, Medical & Scientific Affairs. The Medical Affairs Director provides support to the Medical Affairs/Clinical Affairs Group for the Pharma and Consumer products portfolio. Actively contributes to and drives Medical planning including...
The Medical Director will work in Behavioral Health to provide utilization management review, case management review, consultation support, as well as strategic and tactical input on behavioral health initiatives. Become an effective member of the behavioral health team, which is responsible for imp...
Cretex Medical Component and Device Technologies - Director of Engineering NPI. Cretex Medical is a leading contract manufacturer of precision components and assemblies for the medical device industry. Cretex Medical offers a full benefit package to its employees, including medical, dental, vision, ...
The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The M...
Director, Hematology Medical Engagement Lead (MD required) - REMOTE. Collects meaningful medical insights and communicates to the medical and commercial organizations to support strategy development and business decisions. The primary role of Medical Engagement Lead (MEL) is to engage in meaningful ...
Medical Director- Fairview Health Medical Group (FHMG) for Anesthesia at M Health Fairview St. The Medical Director responsibilities will be at a. As the Medical Director you will lead the team that will provide high acuity tertiary care in a community hospital setting driving exceptional outcomes. ...
Director, US Medical Oncology, Pathology Engagement Liaison. Position reports to the Senior Director US Medical Oncology, Portfolio team as an individual contributor, partnering across home office and field matrix teams. Collaborate and communicate with US medical and commercial matrix to integrate ...
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. ...
Overview Find Your Passion and Purpose as a Hospice Medical Director Reimagine Your Career in Hospice As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we wa...
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'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 (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 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...
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...
Fairview Health Services seeks a Site Medical Director – Women’s and Children’s Service Line for its M Health Fairview Clinics and Surgery Center - Maple Grove. In partnership with the dyadic director is accountable for closing gaps in outcomes. Unrestricted MN Physician Medical License. ...
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...
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...