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 ...
Lead the strategic transformation toward value-based care models as our Practice Medical Director. Medical degree from an accredited medical school. Active medical license and DEA registration in at least one state and willing to get licensed in multiple states in the region. Monogram’s innovative, ...
Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review. ...
Serves as a member of the executive leadership team and works collaboratively with the Chief of Clinical Operations, Chief of Quality and Compliance, Senior Directors, System of Care Director, medical staff, nursing staff, and site leaders. Participates in health plan Medical Director, statewide pro...
Responsibilities of this Medical Director role are related to Medicare Appeals. An Active state medical license without encumbrances. Medical Management - Medicare Complaints, Grievance & Appeals experience. The Company offers a full range of medical, dental, and vision benefits. ...
As Medical Director, this position is responsible for decisions related to medical care and day-to-day availability for consultation regarding services provided to the AHCCCS Managed care Acute Care, ALTCS, and special populations, as well as oversight of the care rendered to the AHCCCS population b...
The Medical Director (MD) for Aetna One Advocacy is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. The MD is a critical medical/business leader resource for ex...
Seeking Medical Director for Senior Behavioral Inpatient Unit - Tucson, Arizona!!. Group is seeking a Medical Director for their Senior Behavioral Inpatient Unit at the Hospital. The Director must demonstrate competency to provide services to a senior behavioral patient population as well as identif...
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 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...
Seeking Psychiatry Medical Director in Arizona!!. Health Center has an excellent opportunity for a Board Certified/Board Eligible Psychiatrist to be the Medical Director of a new Inpatient Adult Behavioral Health Unit. The Medical Director will hold a critical leadership position at the hospital and...
With a focus on delivering comprehensive, high quality person-centered care across the health care continuum, the Medical Director will provide clinical leadership and oversight of program team members and serve as an active medical provider. Provide primary medical care services to patients residin...
A Regional Medical Director Is Needed in Phoenix, Arizona. Serves as primary liaison between the health center and the chief medical officer. Assists with the recruitment of medical staff, including interviewing candidates. Leads regular meetings of the medical staff at their health center. ...
The Clinical Director supports the program and staff alignment with our core values and principles, and oversees delivery of the facilities scope of services, including the hiring, training, supervision and evaluation of clinical staff. The Clinical Director oversees a Quality Program that gathers e...
Mechanical Project Manager - Data Center Projects **. You are a dynamic and experienced Mechanical Project Manager with a strong background in HVAC, plumbing, and mechanical systems. You excel in project management, ensuring projects are completed on time, within budget, and to the highest quality s...
Project Planning: Develop comprehensive project plans, including scope, schedule, budget, resources, and risk management strategies. Budget Management: Develop and maintain project budgets, track expenses, and implement cost-control measures to ensure projects stay within budgetary constraints. Sche...
Create documentation protocols and ensure all records of operations are properly maintained and reviewed. Maintain a culture of accountability at every step of our process. Our recruiters have a proven track record of placing top-tier talent across industry verticals, with deep expertise in numerous...
Established practice in Yuma, AZ has been delighting patients for years.The practice is a full-service general dermatology, surgical, and cosmetics practice.You will be working alongside 2 dermatologists.You will be supported by an experienced administrative and clinical team that scribe and perform...
This position is responsible for providing leadership in the development, implementation, and oversight of standards, systems, policies, and procedures for the delivery of legal services for assigned areas of responsibility, in alignment and in furtherance of system strategic goals and ongoing opera...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care expe...
Perform overall project management responsibilities; manages multiple, complex projects with little required assistance from Project Principal. HILGARTWILSON, an affiliate of Colliers Engineering & Design is seeking a Senior Land Development Project Manager to become a part of our growing company. H...
In the Small Projects Sales Manager role, your responsibility will be to develop, train, mentor, and motivate our Service-Sales representatives (Client Partners) towards improving performance. During periods of project site visits, the employee will be exposed to outside weather conditions as well a...
Executive Search Associates is conducting a search for a Surgical Services Director. The Surgical Services Director will lead the department's efforts to meet both departmental and organizational goals, and ensure the delivery of exceptional patient care. At Executive Search Associates our mission a...
Worldwide Clinical Trials (Worldwide), a leading global contract research organization (CRO), works in partnership with biotechnology and pharmaceutical companies to create customized solutions that advance new medications – from discovery to reality. ...
RESPONSIBILITIES</strong></p> <ul> <li>Adherence to the Governance process by engaging stakeholders, preparing status reports and briefings</li> <li>Conduct project planning exercises to successfully deliver the project</li> <li>Vendor Management tasks...