- CVS Health (Springfield, IL)
- …**Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director ( Medical Affairs). This is a remote based, work ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
- Evolent Health (Columbus, OH)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of ... complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director , Hospitalist Services is responsible for assisting the Medical ... The Associate director will report to LGHP Medical Director and have a reporting relationship...with the administrative and clinical staff of LRH. The primary function of the Associate director is… more
- Molina Healthcare (Phoenix, AZ)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff....experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Magellan Health Services (Albuquerque, NM)
- …Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by overseeing ... staff and physician advisors. Ensures adequate physician resources. Develops and manages medical director and physician advisor budgets, travel budgets, and… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...management, etc. + Plans, organizes, and directs the professional medical services program, consisting of all primary … more
- LA Care Health Plan (Los Angeles, CA)
- Medical Director , Community Health Job Category: Clinical Department: Community Health Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... net required to achieve that purpose. Job Summary The Medical Director , Community Health, acts as key...age population. Licenses/Certifications Required Board Certified, preferably in a primary or medical specialty - Active, current… more
- Elevance Health (Tampa, FL)
- …the state of Florida. Residency in Florida not required.** The **Behavioral Health Medical Director Associate - Psychiatrist - Florida** is responsible for ... clinical and/or quality activities under the guidance of a Medical Director . May be responsible for supporting...contributor in addition to direction received from immediate manager. Primary duties may include but are not limited to:… more
- Magellan Health Services (San Diego, CA)
- …quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May participate in various ... + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the...committees or project teams as directed by the senior medical director or vice-president. + Supports senior… more
- City and County of San Francisco (San Francisco, CA)
- …reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director . Appeals must be submitted directly to the Executive Officer of ... Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public… more
- AdventHealth (Maitland, FL)
- …Site position** **The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members ... related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization,… more
- CVS Health (Hartford, CT)
- …issues, and coding is preferable, but a willingness to learn is essential. The Primary Responsibilities of the Medical Director include support of the ... Summary** Aetna, a CVS Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a Fortune… more
- State of Colorado (Denver, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... Deputy Director , Division of Universal Preschool Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4696055) Apply...This position is open only to Colorado state residents. Primary Physical Work Address 710 S. Ash St., Denver,… more
- FlexStaff (New York, NY)
- **Req Number** 138917 FlexStaff is seeking a Regional Medical Director for our client, a non-profit healthcare organization providing home and community-based ... Ridgewood. JOB RESPONSIBILITIES Under the direction of the Chief Medical Officer, the Regional Medical Director... medical care and treatment patients and have primary medical responsibility in overseeing and supporting… more
- Elevance Health (Durham, NC)
- …will preferably hold a Child & Adolescent Board Certification.** The **Behavioral Health Medical Director - Psychiatrist - North Carolina** is responsible for ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...Associates. May be responsible for an entire clinical program. Primary duties may include, but are not limited to:… more
- Fairview Health Services (Burnsville, MN)
- **Overview** **M Health Fairview** seeks a Medical Director - Fairview Health Medical Group (FHMG) for the Obstetrics and Gynecology Specialty Practices. The ... Medical Director responsibilities will be at a...for emergencies. + **Established referral base** of Fairview employed primary care and sub specialty physicians **Leadership Job Summary:**… more
- State of Colorado (CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... Associate Director of Training, Court Services (Psychologist II) -...will be considered from residents and non-residents of Colorado. Primary Physical Work Address CMMHIP: 1600 W. 24th Street… more
- Stanford Health Care (Palo Alto, CA)
- …America) **This is a Stanford Health Care job.** **A Brief Overview** The Executive Director for GME plays a crucial role in advancing and managing Graduate ... Medical Education (GME) programs at Stanford Medicine. Reporting directly...department ecosystem for their education and training. The Executive Director is responsible for managing and providing leadership direction… more
- State of Colorado (Denver, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... Finance Director Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4714676) Apply Finance Director...This position is open only to Colorado state residents. Primary Physical Work Address 710 S. Ash Street Denver,… more
- Mount Sinai Health System (New York, NY)
- …collection, data received from external agencies, Physician Advisors and the Medical Director . 11.Works collaboratively with Admitting, Transfer Services and ... **Job Description** The Director of Case Management is responsible for the...on strategies to reduce denials. Works collaboratively with the Medical Centers Appeals Management Program. 13.Presents and… more