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. ...
Pathology Anatomic and Clinical Market Medical Director
HCA Healthcare Pathology Services and their Capital Division is seeking a Pathology Market Medical Director to be based at and oversee LewisGale Medical Center in Salem, Virginia. Medical directorship experience with desire to provide mentorship required. Our network of hospitals consistently ranks ...
Clinical Research Medical Director
A company is looking for a Clinical Research Medical Director - Cardiology/Heart Failure, US - Remote. ...
New: Clinical + Medical Director Opportunity in Southwest Virginia!!
New: Clinical + Medical Director Opportunity in Southwest Virginia!!. ...
Pathology Anatomic and Clinical Market Medical Director
HCA Healthcare Pathology Services and their Capital Division is seeking a Pathology Market Medical Director to be based at and oversee LewisGale Medical Center in Salem, Virginia. Medical directorship experience with desire to provide mentorship required. Our network of hospitals consistently ranks ...
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...
Associate Director Field Medical Affairs
A company is looking for an Associate Director, Field Medical Affairs specializing in Solid Tumor Cutaneous Oncology. ...
RN Unit Director - Medical Step Down Unit
Hospitalist Medicine patients with a focus on renal and a variety of other medical diagnoses. Accurately administer and document treatments and medications for patients of all ages using automated computer systems, including electronic medical records. Licensure and/or certification in medical or ma...
Medical Director Physician
Serve as Chief Facility Medical Director for one hospital and Associte Facility Medical Director for the other. Chief Medical Director Emergency Medicine Chopportunity in Northern Virginia. ...
Medical Director - Aetna One Advocate
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...