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 ...
Job Description - Site Medical Director for Infection Control/Infectious Disease Specialist (3303426). Site Medical Director for Infection Control/Infectious Disease Specialist - (3303426). Elevate Your Career: Site Medical Director of Infection Control and Infectious Disease Specialist at Cooley Di...
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...
We have a new opening for a committed and dedicated Regional Clinic Medical Director in the beautiful Pacific Northwest. An opportunity to participate in a four-week Medical Spanish Immersion Program in Guatemala. Medical, dental, and vision benefits at no out-of-pocket cost to employees. ...
Obtain Idaho medical licensure and Medical Staff privileges at Saint Alphonsus Regional Medical Center. Saint Alphonsus Medical Group is a physician-led, 500+ provider multispecialty group with an excellent opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in B...
AVP Stars and Risk Adjustment National Medical Director. Board Certified in an approved ABMS Medical Specialty. Prior experience leading teams focusing on the accuracy of medical record documentation and diagnosis coding. Medical management experience, working with health insurance organizations, ho...
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...
CVS Health - Medical Director (Ortho/Total Joint) - Boise, Idaho. The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background in Orthopedic specialty, including post-graduate direct patient care experience specifically. This role expands Aetna's medical managemen...
Medical Director - Gulf South at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experien...
Johnson & Johnson's Family of Companies, is recruiting for a Medical Director/Senior Medical Director-Clinical Research-Prostate. Med Director, Clinical Research - Prostate at J&J Family of Companies in Boise, Idaho, United States Job Description Medical Director/ Sr. C, a member of the Johnson & Jo...
US Associate Medical Director, Respiratory/Allergy (Non-Alliance) at Sanofi Group in Boise, Idaho, United States Job Description This position will report into the North America Medical Immunology team which is a segment of the Medical Specialty Care organization. Main job responsibilities: + In par...
Medical Director - North Central Medicaid Markets at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical neces...
Executive Medical Director, Therapeutic Area Lead at Takeda Pharmaceuticals in Boise, Idaho, United States Job Description """"""""""""""""""""""""""""""""""""""""""""""""""" """ To view full details and how to apply, please login or create a Job Seeker account. ...
Director Finance Global Manufacturing, Medical Segment at Cardinal Health in Boise, Idaho, United States Job Description SUMMARY OF POSITION: Director, Finance Global Manufacturing for the Medical Segment supporting 8 Manufacturing locations throughout Tijuana, Costa Rica, United States, and Europe ...
Saint Alphonsus Medical Group (SAMG) has an excellent full-time employment opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in Boise, Idaho. Enjoy a spacious, recently renovated clinic setting adjacent to the campus of Saint Alphonsus Regional Medical Center (...
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'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 ...
Train and oversee site Research Medical Directors and investigators within the Research Center of Excellence ensuring the quality and scientific integrity of all aspects of clinical research. Licenses/Certifications: Upon hire, Idaho medical licensure and previous Board certification for Medical Doc...
The Statewide Medical Director will also mentor, clinically supervise and evaluate the team-delivered medical services for the patients at all facilities of the contract and promote the culture of quality medical care using evidence-based standard of care. Additionally, the Statewide Medical Directo...
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...
Luke's Health System Research System Medical Director Boise, Idaho Apply Now. Train and oversee site Research Medical Directors and investigators within the Research Center of Excellence ensuring the quality and scientific integrity of all aspects of clinical research. Licenses/Certifications: Upon ...
Associate Medical Director Behavioral Health or UM Medical Director. As a member of the Utilization Management team, our Associate Medical Director Behavioral Health and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all lines of business wit...
Plus we have a Medical Excellence& Education platform including a Clinical ResearchCommittee Specialty Directors Board Doctor Mentorship Committee andmore. Health Insurance (Basic Plans Medical DentalVision). ...
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...
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...