Ability to network and partner with important external customers, including medical thought leaders, academic institutions, large group practices, medical directors and pharmacy directors is required. The Field Medical Director (FMD) is a field-facing representative of the Medical Affairs Department...
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 ...
A company is looking for a Medical Director (Behavioral Health) - Remote. ...
As both Medical Director and physician, the HBPC Medical Director is expected to be trained in and demonstrate a high degree of knowledge in evidence-based geriatric medicine to include knowledge and application of geriatric principles, knowledge and use of geriatric assessments, primary care manage...
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 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...
The Market Medical Director for Utilization Management will support WellMed Medical Management, Inc. WellMed, part of the Optum family of businesses, is seeking a Market Medical Director, Utilization Management to join our team in Dallas, Austin, San Antonio, El Paso, Tampa, Orlando, Miami, Atlanta,...
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 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 (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...
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...
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 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...
Curriculum Design and Implementation Oversight in collaboration with NIMAA’s Clinical DirectorEnsure that course content reflects the desired content for NIMAAWork with instructors and guest faculty to shape content and format of all curriculum for NIMAAEnsure that content reflects appropriate hours...
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...
Still University's Kirksville College of Osteopathic Medicine - Arizona Region (ATSU-KCOM) seeks a part-time Director of Student Medical Education. This position is the primary faculty at the core clinical training site responsible to supervise and direct the clinical education of KCOM third and fou...
We are looking for physicians who have expertise in gastroenterology, hepatology, general surgery, bariatric surgery, as well as general medical topics including medical and surgical clinical areas to deliver on Coheres program by determining the medical appropriateness of services by reviewing clin...
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...
We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US. Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals. Respond to clinical inquiries and serve as a no...
Partner with designated departments and business units within Lexington Medical Center (LMC) to understand their Human Resources (HR) priorities, strategic business objectives, and other related needs, as well as communicate existing house-wide HR programs and offerings. Actively participates in Dir...
The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. Enhance clinical expertise of the radiation oncology team t...
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 Senior Medical Director, Hematology will support BeiGene Clinical and Medical Hematology assets by successful execution of clinical development programs and deliverables in partnership across the organization; with external vendors; and with external academicians and collaboration partners. Prov...
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...
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...