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...
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should meet authorization requirements. The Medical Director provides medical interpretation and determi...
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 ...
Currently, our team is comprised of our Medical Director and one Associate DVM. Experienced Medical Directors are highly encouraged to apply, however, we’re also open to emerging leaders and experienced Associates (3+ years of clinical experience). Medical, dental, and vision with HSA option. Though...
CSL Plasma Center Medical Director (CMD) Warr Acres, Oklahoma. CSL offers the following benefits for this full-time position: Options for health care benefits, including choices of plans for medical, dental, and vision, prescription drug coverage; Company-provided basic life insurance and Short- and...
The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The M...
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 for utilization management team, including the management of high-...
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The Medical Director provides medical interpretation and determinations whether se...
Medical Director Management & Coaching: The Senior Medical Director will lead and mentor the health center Medical Directors in his/her region. The Senior Medical Director will report to the Executive Medical Director for the region. Support Organizational Strategy: The Senior Medical Director’s dut...
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should meet authorization requirements. Medical Directors will learn Medicare and Medicare Advantage req...
Aetna is looking for a Medical Director to be part of a centralized team that supports the Medical Management staff ensuring timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request. The Medical Director is a work-at-home position lo...
The Global Senior Director Medical Affairs (GDMA), Oncology is responsible for driving execution of scientific & medical affairs plans for the assigned therapeutic area (Prostate Cancer) in key countries and regions. Regional Director Medical Affairs) with proven track record of contribution to ...
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 Executive Director, Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of scientific & medical affairs Value and Implementation (V&I) plans for their assigned Therapy Areas (TA). Leads the annual scientific & medical Value a...
The Medical Director reports directly to the Executive Director, Medical & Scientific Affairs. The Medical Affairs Director provides support to the Medical Affairs/Clinical Affairs Group for the Pharma and Consumer products portfolio. Actively contributes to and drives Medical planning including...
Currently, our team is comprised of our Medical Director and one Associate DVM. Experienced Medical Directors are highly encouraged to apply, however, we’re also open to emerging leaders and experienced Associates (3+ years of clinical experience). Medical, dental, and vision with HSA option. Though...
Korzen Health is working withHealogics and Integris Baptist Health Medical Center to employ aWound Care Physician. ...
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...
Merz Therapeutics is seeking an Area Director, Medical Science Liaisons for the West Area. This is a 60% travel role leading Medical Science Liaisons including MI, N. To manage the activities of the Medical Science Liaison (MSL) team to develop and implement strategies. The Director of the US MSL te...
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...
As part of the leadership team of the sixth largest independent blood center in the United States, the Associate Medical Director will work with a team of nationally recognized physicians including the Chief Medical Officer and other Medical Directors to direct and supervise key staff and processes ...
Physician-led group of physiatrists is seeking a BC Medical Director physiatrist based out of free standing inpatient rehab facility. ...
We are seeking a visionary and dynamic Medical Director to lead our clinical services for our Program of All-Inclusive Care for the Elderly (PACE). Join Valir PACE, where we're on a mission to empower our seniors, unlocking their full potential through integrated medical and social services. Compreh...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). Medical Directors will ...
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 ...