A company is looking for a Clinical Coverage Review Medical Director to support pharmacy operations and clinical review processes.
Key ResponsibilitiesReview and approve proposed pharmacist denials for outpatient medication requestsConduct coverage reviews and render determinations based on medical necessity and policy guidelinesCollaborate with clinical staff and providers to ensure accurate and timely benefit determinationsRequired QualificationsActive, unrestricted physician licenseCurrent board certification in an ABMS or AOA specialty5+ years of clinical practice experience post-residencyExperience with electronic clinical systemsAbility to participate in rotational call coverage
Clinical Coverage Review Medical Director
A company is looking for a Clinical Coverage Review Medical Director to support pharmacy operations and clinical review processes. ...
Clinical Medical Director opportunity near Fort Myers, Florida
Clinical Medical Director opportunity near Fort Myers, Florida. Ideal candidate focuses on people development, specifically mentoring, training and developing clinical staff and colleagues. Competitive base salary along with a FULL comprehensive benefits plan including health, dental, vision, CME, M...
Senior Director of Clinical Review
A company is looking for a Senior Director Operations - Clinical Review - Remote. ...
Medical Director | Academic Developmental Pediatrics | 70% Clinical | Dallas, TX
Opportunity Details:• The Medical Director of the Developmental Disabilities Division provides leadership, direction and teaching in an academic, integrated, interdisciplinary pediatric environment • Academic rank, based on experience, offered through the hospital's academic partner, UT Southwestern...
Medical Director - Clinical Advocacy
A company is looking for a Medical Director - Clinical Advocacy and Support. Board certification in an ABMS specialty (preferred: Internal Medicine, Hematology-Oncology, General Surgery, Rheumatology, or PM&R)5+ years of clinical practice experience post-residency trainingSound understanding of Evid...
Associate / Medical Director, Clinical Neurosciences
As an Associate / Medical Director at Parexel, you will provide medical monitoring for assigned projects, function as medical representative on the project team, provide medical consultation as required or requested to client/sponsor or to other Parexel service groups, and assume the role of Senior ...
Claims Clinical Specialist – Medical Review Team
Claims Clinical Specialist – Medical Review Team. Bring your nursing knowledge and experience, and Genworth will provide the training necessary to succeed as a Medical Review Nurse. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You wi...
Executive Medical Director
A company is looking for an Executive Medical Director to advance clinical research initiatives in oncology. ...
Director Of Throughput
Coordinate Medical City Dallas Patient Flow responsibilities with the Case Management Director for Medical City Dallas Adult Services and the division Revenue Integrity Department Director to ensure all patient flow needs of the Medical Center are met and to ensure similar policies and procedures ar...
Rehabilitation Services Program Director
Do you want to join an organization that invests in you as a Rehabilitation Services Program Director? At Medical City Arlington, you come first. This includes leadership in developing a strong rehab team and partnership with the Medical Director and staff to ensure the operational performance of th...