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. ...
Open Rank Professor of Pathology; Associate Medical Director of the Section of Clinical Chemistry
The Department of Pathology at the University of Virginia invites applications for an academically oriented clinical chemist to serve as Associate Medical Director of the Section of Clinical Chemistry. Responsibilities will include clinical service (oversight over one or more of the clinical chemist...
Clinical Research Medical Director
A company is looking for a Clinical Research Medical Director specializing in Endocrinology and Obesity. ...
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...
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...
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 Leadership Position for OBGYN Hospitalist Program in Fort Worth, TX - 50K Bonus
Envision Physician Services is seeking a full-time OB Hospitalist Medical Director for a physician-led program with Medical City Alliance in Fort Worth, Texas. Currently Hiring Leadership Position for OB/GYN Hospitalist Site Medical Director at Our Physician-Led Program in Dallas-Fort Worth, TX. The...
Medical Director - NC Licensed
A company is looking for a Medical Director (National Accounts) to oversee medical policy implementation and support clinical programs. ...
PHYSIATRIST Medical Director Opening in Austin, TX
PHYSIATRIST Medical Director Opening at Baylor Scott & White. Medical Director Stipend + Sign On Bonus. MIPS & compliance, billing, payors, medical malpractice, full insurance benefits, CME money & time off, coverage, and access to the entire USP community of physiatrists, so you can spend more time...
Senior Medical Director
We are seeking a highly experienced and dynamic Senior Medical Director to join the executive leadership team and to lead clinical operations for Palm Medical Centers (Palm). The Senior Medical Director will be responsible for setting the strategic direction of Palm’s clinical practices, ensur...