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 ...
MEDICAL DIRECTOR, PHARMACOVIGILANCE AND PATIENT SAFETY . We are looking for a highly skilled Medical Director with expertise in safety data management, safety databases, and periodic report authoring, as well as experience in managing safety signals. Participates in the medical review of case narrat...
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 ...
In this vital role the Medical Director is the single point of Medical accountability for their allocated product in the relevant indications. The Medical Director drives the development and execution of product Medical strategies to maximize Amgen's value proposition in alignment with product strat...
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...
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...
UnitedHealth Group Medical Director Medical Oncology - Remote Omaha, Nebraska Apply Now. 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...
Highmark Health - Medical Director, Medicaid (Remote PA, DE or WV). 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 ag...
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 ...
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 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'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 ...
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...
Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to provide evidence-based medical reviews for patient care. Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore’s cas...
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 AD Medical Expert Engagement Marketer will help support the Medical Expert (ME) Engagement strategy and work cross-functionally to identify, engage, and build professional relationships with Medical Experts in the ovarian cancer disease area and execute regional engagement plans with them in a c...
The Field medical Director represents Pierre Fabre Medical Affairs in the field for the Medical Innovative Oncology portfolio; is the scientific contact for HCP information and clinical trial requests and can serve as medical and scientific resource to all internal PF stakeholders; if needed, provid...
Medical Director, Scientific and Medical Affairs position. You will be a part of the Medical and Scientific Affairs team and report to the Senior Director, Medical and Scientific Affairs. The Medical and Scientific Affairs team strives to provide medical and scientific expertise that drives innovati...
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...
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...
Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to provide evidence-based medical reviews for patient care. Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore’s cas...
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimen...
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...
Medical Director to act as a Clinical Lead in our late stage and life cycle management development across Hematology, and Oncology, programs. Provide medical and strategic leadership for all clinical related initiatives including leading regulatory interactions and marketing authorizations globally ...
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...