CVS Health Medical Director - (Cardiology) Baton Rouge, Louisiana. 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 Cardi...
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...
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 ...
Regional Medical Director Float - LA, MS, AL, TN, OH, MI. The Regional Medical Director is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved pa...
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...
Highmark Health Medical Director Baton Rouge, Louisiana 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 review of escalated cases aga...
The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, a...
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 Med...
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 (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. CVS Health Medical Director (Medical Affairs) Baton Rouge, Louisiana Apply Now. CVS Health, a Fortune 6 company, has an outstandi...
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 (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. CVS Health Medical Director - Medical Affairs (Oncology) Baton Rouge, Louisiana Apply Now. CVS Health, a Fortune 4 company, has a...
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...
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...
Collaborate on the integration of medical services into Restore's overall comprehensive medical services as requested by the Chief Medical Director and/or designee. The Medical Director oversees Nurse Practitioners at Restore Hyper Wellness, providing services from 1-2 hours a week. Employee pricing...
The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our Models of Care across all markets. Consults with plan medical staff regarding adverse determinations, addresses issues related to network providers, performs medical chart reviews, and conduct...
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 ...
Collaborate on the integration of medical services into Restore's overall comprehensive medical services as requested by the Chief Medical Director and/or designee. The Medical Director oversees Nurse Practitioners at Restore Hyper Wellness, providing services from 1-2 hours a week. Employee pricing...
Merck Global Senior Director, Medical Affairs - Atherosclerosis. The Global Senior Director, Medical Affairs (GDMA) is responsible for driving execution of value and implementation plans for atherosclerosis programs in key countries and regions. They consolidate actionable medical insights from coun...
The Executive Director, Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of scientific & medical affairs Value and Implementation (V&I) plans for their assigned Therapy Areas (TA). Leads the annual scientific & medical Value a...