Other key responsibilities include medical assessment of adverse events reported from post-marketing experience and clinical trials, the detection and evaluation of safety signals and risk management activities. Additional responsibilities include contribution to the development of Global Medical Sa...
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...
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 Dermatology Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’...
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 ...
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 role is a Medical Principal who also manages 2 or more direct reports. A Medical Principal performs medical review and case management activities. Serves as a mentor or coach to other Medical Directors and other colleagues in quality and performance improvement processes. Direct...
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...
Regional Education Medical Director. Regional Education Medical Director. We are looking for a Regional Education Medical Director who will develop, implement, and deliver clinical documentation and Quality support and education; and provide direction and oversight for both internal and external res...
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...
Reporting to the Senior Medical Director for Cohere Health, and part of the review team that includes non-clinical intake specialists and nurses, this is a critical role in a company that is rapidly scaling, impacting millions of patients. We are looking for physicians who have expertise in Pain Man...
The Medical Director will dedicate approximately 20 hours per week to clinical care of patients; in the course of clinical duties, MD/CD will display exemplary levels of professionalism and clinical quality in all dealings with patients, and will maintain and complete charting and documentation in a...
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 Medical Director collaborates with the Sentara Health Plans Chief Medical Director, Senior Medical Director(s) and Clinical Care Services (CCS) teams to establish, implement, and evaluate effectiveness of clinical programs to support members and meet the department goals. MD - Doctor of Medicine...
The purpose of the Associate Medical Director position is to provide leadership and clinical expertise to operations on all medical aspects relating to the peer review process, utilization review activities, case management, and/or other activities requiring clinical leadership and consultation. Ace...
Director Medical Excellence will set the direction and ensure the organization is focused on achieving medical excellence critical priorities. Director has a proven track of success in driving unprecedented changes that reflect medical excellence trends in industry and inspires and motivates towards...
As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within dermatology. Engaging in scientific discussions with medical and scientific specialists, including Healthcare Professionals and population health decision makers (“payers”) consistent w...
The Medical Director will then transition the client to a Client Medical Director after approximately 30 days post go-live. Experience in Health plan operations as a Medical Director, with focus on medical policy, medical coding, payment integrity and/or fraud/waste/abuse. The Medical Director focus...
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...
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...
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...
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...
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...
Serves as Director supporting company operations and initiatives by:. Providing medical and scientific support to Clario study teams and departments for the delivery of services in ongoing projects. Training the study team on the medical and scientific details of the project. Working with Senior Man...
In the Medical Director role you will provide oversight for medical policy implementation. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. You will participa...