A company is looking for a Behavioral Health Medical Director - Medicaid.Key ResponsibilitiesMake determinations on service authorizations based on clinical evaluations and regulatory complianceConduct reviews of clinical scenarios and communicate decisions to internal associatesEngage with external physicians to gather information and resolve conflicts as neededRequired QualificationsDoctor of Medicine or Doctor of OsteopathyBoard certified in Psychiatry and in an ABMS or ABPN recognized specialtyA current and unrestricted medical license in at least one jurisdictionAt least five years of post-training clinical experienceExperience in utilization management review and case management in a health plan setting
Hawaii Licensed Behavioral Health Medical Director
A company is looking for a Medical Director (Behavioral Health) - Hawaii Licensed, Remote. ...
Medical Director (South Central Market)
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. Every one of us at...
Behavioral Medical Director
A company is looking for a Behavioral Medical Director for Care Coordination and Engagement. ...
Medical Director - Medicare Appeals
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Part-time/Remote Medical Director - Community-Based Care (Palliative Care)
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician a...
Medical Director - (Cardiology)
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel emp...
Medical Director, Utilization Management
Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within esta...
Primary Care Behavioral Health Consultant
The Integrated Behavioral Health Consultant (IBHC) is responsible for the diagnosis, treatment, and maintenance of a diverse behavioral health and medical population, utilizing the primary care behavioral health model of care through close collaboration with primary care providers and other team mem...
Medical Director - Spine
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowere...
Medical Director - (Pain Management SME)
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to fee...