The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
Premise Health is seeking a full time Medical Director to provide primary care and clinical leadership with our employer based direct care clinic in Folsom, CA What makes this opportunity unique: Practice evidence based medicine where you are not paid for productionBottom line is measured by the ...
The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions...
Provide clinical leadership and strategic medical input for all clinical deliverables in the assigned oncology project. ...
The Medical Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (F...
CM Medical is partnered with an exciting Cardiac EP start-up who are seeking a Director of Regulatory Affairs to lead regulatory strategy and compliance efforts for their devices. The ideal candidate will have a strong background in medical device regulations, particularly in cardiology and electrop...
The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and func...
The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
Premise Health is seeking a full time Medical Director to provide primary care and clinical leadership with our employer based direct care clinic in Folsom, CA. Conducts histories, physical exams and prescribes medical treatment for patients ages 2 and older. Knowledge and experience with electronic...
The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and func...
Premise Health is seeking a full time Medical Director to provide primary care and clinical leadership with our employer based direct care clinic in Folsom, CA. Conducts histories, physical exams and prescribes medical treatment for patients ages 2 and older. Knowledge and experience with electronic...
The Medical Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (F...
The Senior Medical Director, Behavioral Health will report to the Vice President, Medical Management. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (spell out acron...
The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions...
Directs the Graduate Medical Education (GME) program: supervises and teaches residents, oversees continuing medical education, directs faculty and supervises and manages office support personnel. Graduation from medical school or osteopathic medical school. Dignity Health Mercy San Juan Medical Cent...
The Regional Medical Director (RMD) will be responsible for guiding the medical direction of both GP/ER and Specialty hospitals in a defined group. Follow through on implementation and promotion of medical programs instituted by the Chief Medical Officer and the Medical Advisory Board. Deliver, with...
The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and func...
High Paying Medical Director position at an HIV Clinic in San Francisco with Student Loan Repayment! JOB ID 72692. ...
Ensures a high quality medical staff by thoroughly investigating and verifying the credentials of all applicants to the medical staff including Allied Health Professionals. Provides a vehicle to improve quality via the medical staff committee process and by maintaining records of all medical staff c...
The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Mercy S...
The Medical Director, Operations - CalPERS will report to the Vice President, Medical Management. The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The ...
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...
Reporting directly to the Chief Medical Officer, this position will play a pivotal role in providing strategic leadership and medical expertise to support the development and execution of the company’s mission. Oversee study design, protocol development and amendments, and management of clinical tri...
CCHCS seeks to fill a permanent/full-time Medical Record Director position in the Health Information Management, Medical Services Division. Under general direction of the Chief of Health Information Management, Health Information Management (HIM) Services, the Medical Records Director (MRD) performs...