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 ...
Key Responsibilities:Conduct clinical case reviews and provide recommendations for appropriate admission statusAudit short-stay inpatient encounters for compliance with Medicare regulationsManage client systems access to review medical records remotelyRequired Qualifications:MD or DO degree with str...
We are looking for a Director, Agile Product Management. ...
Key Responsibilities:Represent Medical Affairs on the content review committee as the lead Medical ReviewerConduct medical review and provide guidance on rigor of data used in medical and promotional contentCollaborate with various business partners to provide strategic input and drive alignmentRequ...
Continuing their growth, the team are excited to bring on someone new to join their Director-level leadership team, in the form of an Client Services Director! As Client Service Director, you'll bring a wealth of experience in the medical communications industry, leading and driving multiple account...
Review and analyze medical treatment services provided by contractors. Review individual medical cases and charts as necessary. Monitor medical services for unusual patterns of utilization or denial. Attend meetings and act as the Occupational Health Medical Consultant. ...
Medical, Dental, Vision, Life insurance - with company contribution HSA account. ...
The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and...
As our current Medical Director plans for his upcoming retirement, you will have the opportunity to lead an. As our Medical Director, you’ll lead a close-knit practice that serves pets from Phoenix to Paradise Valley and beyond. Wayne Lipovitch has developed North Phoenix Animal Hospital into a com...
Must possess a strong knowledge and understanding of managed care operations, reimbursement models, medical protocols and criteria including Medicare criteria, and peer review statutes as normally obtained through seven years of medical practice experience, including two years management level exper...
Maintain all American Veterinary Medical Association records and prepare annual reports. ...
Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals. Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers. Participate on the Medical Advisory Board. Curr...
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...
Dignity Health Medical Group is actively seeking a highly patient-centric physician to serve as a Hospitalist Medical Director at our hospitals Chandler Regional Medical Center and Mercy Gilbert Medical Center. In this role the Medical Director has overall responsibility for day-to-day operations an...
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...
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...
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 Cardiology specialty, including post-graduate direct patient care experi...
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 ...
RN – Clinical Director – To $114K – Scottsdale, AZ – Job # 2895. We seek to fill an RN – Clinical Director role in the Scottsdale, AZ area. RN – Clinical Director responsibilities include:. ...
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 ...
Maintain all American Veterinary Medical Association records and prepare annual reports. ...
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...
As an IM physician and medical director, you will lead and work collaboratively with advanced practice clinician (APC), social workers, physical, occupational, and speech therapists setting realistic goals to help patients return to their prior level of function. To thrive in this position, we ask t...
Modeling high ethical, customer care, and confidentiality standards always, this person serves a vital role for assuring compliance with current policies, programs, and directives and providing medical support for the Blood Services Division and Vitalant Clinical Services. Provides medical direction...