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...
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 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 is dually accountable to the Center Administrator and the AlignMed Partners Regional Medical Director for clinical care within the Center, accountable to the Center Administrator for delivery of clinical services as stipulated in the Medical Director Agreement, and accountable t...
The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, a...
Highmark Health Medical Director Charleston, West Virginia Apply Now. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Conduct electronic review of escalated cases ...
The medical director will develop, implement, support, and promote Medical Affairs strategies, tactics, policies, and programs that drive the delivery of quality behavioral healthcare to establish competitive business advantage for Aetna. CVS Health Behavioral Health Medical Director Charleston, Wes...
Highmark Health Medical Director, Medicaid (Remote PA, DE or WV) Charleston, West Virginia. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Conduct electronic revi...
CVS Health Medical Director - (Cardiology) Charleston, West Virginia. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Ca...
The Medical Director is responsible for leadership, quality assurance, oversight, and overall medical management of the hospital within the boundaries of state and federal regulations and accreditation standards. Responsibilities include planning, organizing medical and clinical practices, medical s...
CVS Health - Medical Director (Ortho/Total Joint) - Charleston, West Virginia. Aetna, a CVS Health Company, is looking for a Medical Director (Ortho/Total Joint) who will be a Subject Matter Expert (SME) with a background in Orthopedic specialty. This role expands Aetna's medical management programs...
Highmark Health Medical Director, Medicaid (Highmark Health Options - West Virginia). The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Conduct electronic review of ...
Medical Director -Psychiatrist- Behavioral Health page is loaded Medical Director -Psychiatrist- Behavioral Health Apply locations Highland Hospital time type Full time posted on Posted 2 Days Ago job requisition id JR108720 Medical Director -Psychiatrist- Behavioral Health | Highland Hospital | Cha...
Health System, located in Charleston WV, is seeking a BC OBGYN to join a multi-specialty physician group made up of over 80 providers in a Medical Director role. ...
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...
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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...
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 (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...
Whether you are caring for our patients at one of the critical access hospitals, community sites, regional or academic medical centers, we are all one WVU Health System. ...
Merck Global Senior Director, Medical Affairs - Atherosclerosis. The Global Senior Director, Medical Affairs (GDMA) is responsible for driving execution of value and implementation plans for atherosclerosis programs in key countries and regions. They consolidate actionable medical insights from coun...
Health System, located in Charleston WV, is seeking a BC OBGYN to join multi-specialty physician group made up of over 80 providers in Medical Director role. ...
Whether you are caring for our patients at one of the critical access hospitals, community sites, regional or academic medical centers, we are all one WVU Health System. ...
WEST VIRGINIA PSYCHIATRY (MEDICAL DIRECTOR) OPPORTUNITY!!. Client is seeking a Medical Director for one of its West Virginia Psychiatric inpatient units. The hospital is offering a competitive base salary, incentive bonus, medical director stipend and complete benefits package. This area qualifies a...
Medical Director – Physician. Assume the administrative authority, responsibility, and accountability of implementing our medical services, policies, and procedures according to federal, state and local regulations; and current practice of post-acute and long-term care medicine. Coordinate med...