Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
The primary role of the Medical Engagement Lead (MEL) is to engage in meaningful peer-to-peer scientific dialog with National Thought Leaders (NTLs) and priority HCPs as defined by the Medical Plan. Collects meaningful medical insights and communicates to the medical and commercial organizations to ...
As an Associate Director, Field Medical Affairs you be a field facing representative engaging in the exchange of scientific data, medical or information with KOLs, HCPs, researchers, pharmacists and population-based decision makers. Identifying and maintaining a list of relevant medical/therapeutic ...
As Headway’s Medical Director, you will support Headway’s health plan relationships and product strategy to continue expanding Headway’s provider network impact. You bring 5+ years of experience working in Clinical or Medical Leadership roles in technology environments. Assist in the training, conti...
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...
Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Pediatric Cardiologist Medical Director at Evicore part of Evernorth Health Services, a division of The Cigna G...
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...
As an Associate Director, Field Medical Affairs you be a field facing representative engaging in the exchange of scientific data, medical or information with KOLs, HCPs, researchers, pharmacists and population-based decision makers. Identifying and maintaining a list of relevant medical/therapeutic ...
As Headway’s Medical Director, you will further develop Headway’s quality and compliance program, leading the Credentialing and Quality teams to continue expanding Headway’s provider network and drive clinician performance management. You bring 3+ years of experience working in Clinical or Medical L...
The Oncology Medical Director - MRD initiates and leads external advisory boards involving medical leaders in pharma, key opinion leaders, and other third parties. The Oncology Medical Director - MRD is a member of the Medical Affairs team and is both a leader of and participant on internal cross-fu...
As the Medical Director - Post Acute Care you will provide clinical oversight for one or more CareCentrix markets including Utilization Management reviews of Post-Acute Care (PAC) stay requests, medically appropriate steerage to home, coordination of discharges and post discharge follow up to preven...
Matrix Medical Network is a leading clinical services organization that supports the needs of diverse and vulnerable populations, working with millions of individuals across the country to assess and help them manage their health risks through our large network of clinicians. Matrix Medical Network ...
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...
As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Respiratory. Engaging in scientific discussions with medical and scientific specialists, including Healthcare Professionals and population health decision makers (“payers”) consistent w...
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 ...
The Medical Director, Clinical Strategy, will report to the Chief Medical Officer and be a fundamental physician driver of new clinical program design, strategy, and innovation working closely with prospective and current clients as we rapidly expand. Provide strategic guidance of utilization manag...
Our client is currently seeking a REMOTE Medical Director Associate. FULLY REMOTE, Equipment and supplies will be provided!M-F 8am - 5pm CT with occasional weekend and evening coverageYou will be responsible for supporting the medical management staff ensuring timely and consistent medical decisions...
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 Medical Director, Global Medical Safety is responsible for global pharmacovigilance for marketed and/or investigational products, including review and analysis of safety data from post-marketing sources and from clinical trials, the identification, and investigation of safety signals, management...
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 Executive Medical Director serves as the Lead Product Safety Physician for multiple or large complex strategically important developmental programs (often multi-indication) and creates and maintains a single interpretation of global safety data for developmental and marketed products. BeiGene an...
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, Concurrent Review. All necessary hardware and software is provisioned to each of our Medical Directors. Opportunity to be involved in additional responsibilities such as special projects, focus groups, new Medical Director training, or organizational committees. We organize our Med...
In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical management programs to address member needs across the continuum of care You will s...
The Director in the Global Medical Affairs Program Management Office (GMA PMO) will serve as a Franchise Program Manager for the Global and US Medical Teams of Hematology, partnering with the Hematology Medical Directors and Franchise Lead on all aspects of medical strategy development and execution...