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 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...
Wound Care Medical Director, Corrections. The Corrections Medical Director is responsible for providing direct care and overseeing advanced practice nurses and registered nurses who provide virtual consultations to practitioners treating inmates in corrections facilities. The Medical Director is res...
Supports senior medical director in designing and implementing medical action plans. Provides clinical leadership to the interdisciplinary Medical Management team, which includes clinical/medical oversight of clinical team members and consultation and training with care managers in order to address ...
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...
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...
Collects meaningful medical insights and communicates to the medical and commercial organizations to support strategy development and business decisions. The primary role of Medical Engagement Lead (MEL) is to engage in meaningful peer-to-peer scientific dialog with healthcare system National Though...
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...
We are looking for physicians who have expertise in Cardiology and Vascular medical topics to deliver on Coheres Cardiology program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Medical Director, Card...
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...
Director of Commercial Operations. 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 ...
Requisition Number7793Employment Type:Regular.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.Anc...
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...
This unique team — inclusive of dozens of artists and PhDs/PharmDs/MDs specifically trained in turning complex scientific messages into simple, memorable illustrations, animations, apps, decks, and medical congress booth experiences. We are seeking an Account Director to join our team with the goal ...
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...
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...
Cultivate and mentor a high-performing team of Medical Directors, guiding them in the design and execution of clinical studies, while fostering their professional growth and development. Provide visionary leadership and medical oversight for ongoing and planned clinical trials, ensuring the Clinical...
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...
As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Gastroenterology, Allergy, and Rhinology to support the clinical and business objectives across the product life cycle. Engaging in scientific discussions with medical and scientific sp...
We are searching for an experienced Medical Director of Clinical Quality & Safety (Part Time) to lead clinical leadership and play a key role on the leadership team at Cerebral. As our Medical Director of Clinical Quality & Safety, you will serve as a key clinical expert, working with cross-function...
As Associate Director, Medical Writing, you will serve as an expert Medical Writer who is responsible for planning, developing, and writing clinical documents to support medical and regulatory activities across the Genmab portfolio by ensuring that scientifically robust messages and arguments are de...
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...
Director of Sales, Digital Oncology Solutions (DOS). The position will report directly to the Managing Director, Digital Oncology Solutions. Director of Sales, Digital Oncology Solutions. The individual will maintain relationships with senior program leaders across the service line, but primarily wi...
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 Associate Medical Director, Global Medical Affairs Strategy (Nephrology and Immunology) supports Medical Directors and Franchise Leads to drive strategic and tactical excellence for assigned Otsuka assets. Part of this responsibility includes ensuring that medical content aligns with Medical Aff...