- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … more
- CVS Health (Madison, WI)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... Better Health Plan of Oklahoma. This UM (Utilization Management) Medical Director will be a "Work from..."Work from Home" position primarily supporting the Aetna Oklahoma Medicaid plan and the UM team ; but… more
- CVS Health (Richmond, VA)
- …we do it all with heart, each and every day. **Position Summary** Aetna's Medicaid Capture Director role leads strategy and capture planning activities in ... strengths and weaknesses to help develop win strategies. Leads a cross-functional team of growth partners, health plan leaders, division presidents, and product to… more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- Humana (Jefferson City, MO)
- …outcomes, consumer experiences and a highly engaged team culture **Additional Information** The medical director reports to a Lead Medical Director . ... caring community and help us put health first The Medical Director actively uses their medical...of integrity, professionalism, resourcefulness, and enjoy working in a team -based environment. Medical Directors support Humana value… more
- Integra Partners (Troy, MI)
- …& Oversight + Provide day-to-day clinical leadership and oversight to the Utilization Review Medical Director (s) and clinical UM team . + Ensure consistent, ... The Senior Medical Director (Senior MD) serves as...medical license + Eligible for participation in Medicare, Medicaid , and all federally funded programs; no OIG sanctions… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support ... to workflow timelines, clinical accuracy standards, and productivity expectations. The Medical Director ensures determinations are made in accordance with… more
- Humana (Carson City, NV)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Harrisburg, PA)
- …home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...consistency in outcomes, consumer experiences, and a highly engaged team culture + Knowledge and experience with national guidelines… more
- Humana (Charleston, WV)
- …home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...consistency in outcomes, consumer experiences, and a highly engaged team culture** + **Knowledge and experience with national guidelines… more
- Albany Medical Center (Albany, NY)
- … to possess exceptional leadership, organizational, analytic, and communication capabilities. The Director ensures the team is leveraging multiple sources of ... leads in meetings, negotiations, presentations, and other contracting related functions. The Director mentors and coaches the team building on competencies… more
- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...an Administrative Law Judge, support for CMS audits, cross-functional team activities, and other responsibilities as determined necessary to… more
- CenterWell (Las Vegas, NV)
- …the lives of our patients, and the healthcare industry as a whole. The Associate Medical Director serves as a health-care professional and capable of handling a ... variety of health-related problems. The Associate Medical Director requires a solid understanding of...with panel management + Oversight of quality of assigned team members + May be assigned to organizational committees… more
- Gentiva (Milwaukee, WI)
- …Compassionate Hospice Leadership.** We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert clinical oversight ... jobs, palliative care director , hospice physician MD DO, end-of-life care medical director , interdisciplinary hospice team , medical director… more
- Dignity Health (Bakersfield, CA)
- …offices, primarily in the Bakersfield/Central CA region.** **Position Summary:** The Medical Director of Physician Engagement is responsible for developing ... drive efficiency, and address impactable variation. - Serve as the physician medical director for the Population Health Services Organization (PHSO) quality… more
- Provider Solutions & Development (Seattle, WA)
- …& Vascular Institute | Salary is between $550,000 and $670,000 per year_ The Medical Director will perform clinical duties as a general Non-Invasive Cardiologist ... Program. They will collaborate closely with the echo lab medical director to ensure high-quality standards for...staff + Flexible, adaptable, and effective in leading the team and the program under time-sensitive conditions + Strong… more
- Dartmouth Health (Bennington, VT)
- Overview Medical Director , Hospital Medicine Dartmouth Hitchcock Clinic is seeking a Medical Director to lead our Hospital Medicine service at ... practice providers. SVMC provides a great culture and collaborative team environment. The average daily census is 45 and...45 and includes a 10-bed ICU. The Hospital Medicine Medical Director leads and oversees the … more
- Centene Corporation (Baton Rouge, LA)
- …a fresh perspective on workplace flexibility. **We're Hiring: Full-time Behavioral Health Medical Director ** Centene Corporation is a leading provider of ... 28 million members as a clinical professional on our Medical Management/Health Services team . Centene is a...years of post-residency experience **Position Purpose:** Assist the Sr Medical Director to direct and coordinate the… more
- Centene Corporation (Salem, OR)
- …including a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director for Trillium Community Health Plan, our Oregon market. ... 28 million members as a clinical professional on our Medical Management/Health Services team . Centene is a...accreditation standards highly preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the… more
Related Job Searches:
Director,
Medicaid,
Medical,
Medical Director,
Medical Director Medicaid,
Team