A company is looking for a Medical Director in Post-Acute Care Management and Care Transitions. ...
Obtain Idaho medical licensure and Medical Staff privileges at Saint Alphonsus Regional Medical Center. Saint Alphonsus Medical Group is a physician-led, 500+ provider multispecialty group with an excellent opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in B...
A company is looking for a Medical Director in Virginia. ...
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...
A company is looking for a Medical Director for Operations role. Key Responsibilities:Supervise clinical operations for compliance with regulationsManage clinical operations efficiency and team coordinationLead strategic planning, innovation, and clinical research initiativesRequired Qualifications:...
Obtain Idaho medical licensure and Medical Staff privileges at Saint Alphonsus Regional Medical Center. Saint Alphonsus Medical Group is a physician-led, 500+ provider multispecialty group with an excellent opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in B...
Highmark Health Medical Director, Medicaid (Remote PA, DE or WV) Boise, Idaho. 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 escalat...
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...
In the Medical Director role, you will provide oversight for medical policy implementation and participate in the development, implementation, and evaluation of clinical/medical programs to address member needs across the continuum of care. CVS Health Medical Director (West) Boise, Idaho Apply Now. ...
The Behavioral Health 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. Humana Behavioral Health Medical Director - Medicare Boise, Idah...
Regional Medical Scientific Director Gastroenterology (Remote/Western US: SLC/Denver/Seattle) at Merck in Boise, Idaho, United States Job Description Job Description We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison, MSL) in Inflammatory...
Medical Director - Home Health - Home Solutions at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per die...
Medical Director - Central Region at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requ...
Pipeline & Biomarker Global Director Medical Affairs Immunology /GI Therapy Area (Remote) at Merck in Boise, Idaho, United States Job Description Job Description Role Summary: + The Global Senior Director Medical Affairs (GDMA) Immunology/Pipeline & Biomarkers will be responsible for driving executi...
Medical Director - Gulf South at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experien...
Director Finance Global Manufacturing, Medical Segment at Cardinal Health in Boise, Idaho, United States Job Description SUMMARY OF POSITION: Director, Finance Global Manufacturing for the Medical Segment supporting 8 Manufacturing locations throughout Tijuana, Costa Rica, United States, and Europe ...
Understand the priorities of Pfizer Medical Affairs in order to contribute to medical content strategy development and execute aligned Field Medical tactics. Maintain effective and appropriate communication and collaboration among headquarters medical colleagues, Medical Information, and other Pfize...
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...
As a Regional Medical Director, you will be responsible for overseeing the psychiatric clinical programs in Washington and ensuring compliance with state and federal guidelines. Maintain accurate and up-to-date medical records for each patient, including progress notes, treatment plans, and diagnosi...
Associate Medical Director Behavioral Health or UM Medical Director. As a member of the Utilization Management team, our Associate Medical Director Behavioral Health and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all lines of business wit...
The Medical Director provides the clinical direction needed to meet service delivery requirements, direct clinical services for patients, and clinical supervision for medical staff at the assigned site under the supervision of the Statewide Medical Director. The Medical Director collaborates with th...
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) Boise, Idaho Apply Now. CVS Health, a Fortune 4 company, has an outstand...
Saint Alphonsus Medical Group (SAMG) has an excellent full-time employment opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in Boise, Idaho. Enjoy a spacious, recently renovated clinic setting adjacent to the campus of Saint Alphonsus Regional Medical Center (...
The Statewide Medical Director will also mentor, clinically supervise and evaluate the team-delivered medical services for the patients at all facilities of the contract and promote the culture of quality medical care using evidence-based standard of care. Additionally, the Statewide Medical Directo...
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...