- Elevance Health (Cerritos, CA)
- …plan medical policy and Medicare Coverage Determinations. The **Associate Medical Director , Clinical Operations** is responsible for supporting the ... reviews of high-tech diagnostic imaging, cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical … more
- AmeriHealth Caritas (Newtown Square, PA)
- …Medicare Care Management and the Chief Medical Officer, the Corporate Director , Population Health Medicare Clinical Operations is responsible for ... **Corporate Director , Population Health Clinical Operations, Medicare ** Location: Newtown Square,... as well as throughout the enterprise to represent Medicare Medical Management interests. + Responsible for… more
- Humana (Columbus, OH)
- …analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides ... caring community and help us put health first** The Medical Director relies on medical ...hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Prefer Medical … more
- Elevance Health (Atlanta, GA)
- ** Medicare Medical Director ** Location:...Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** + ... of one of our Elevance Health PulsePoint locations. The ** Medicare Medical Director ** is responsible...external committees. + May chair company committees. + Interprets medical policies and clinical guidelines. + May… more
- Molina Healthcare (Long Beach, CA)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- CVS Health (Salem, OR)
- …based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on part ... of experience in a Health Care Delivery System eg, Clinical Practice or Health Care Industry * Medical...* Board Certified in ABMS Recognized Specialty **Preferred Qualifications** Medical Management - Medicare Complaints, Grievance &… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- Elevance Health (Columbus, OH)
- …(formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. In this pivotal ... role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of developing, preserving and… more
- Point32Health (Canton, MA)
- …are approved by senior leadership, the Senior Manager, in collaboration with the Director , is responsible for all necessary product filings with CMS and other ... timelines. The Senior Manager works closely with claims, membership operations, clinical services, care management, customer relations, sales, marketing, and other… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …(HCMC) is seeking a highly motivated individual for a full-time on-site opportunity as Medical Director of Clinical Chemistry and Point-of-Care Testing. This ... understanding of diverse academic, socioeconomic, gender, cultural, and ethnic backgrounds **Title:** * Medical Director of Clinical Chemistry and Point of… more
- Aveanna (York, PA)
- Clinical Director - Registered Nurse ApplyRefer a FriendBack Job Details Requisition #: 197355 Location: York, PA 17402 Category: Clinical Care and Support ... at $90,000.00 per year Position Details Position Overview The Clinical Director is responsible and accountable for...or without notice. Vaccine Requirement As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Aveanna (Fort Wayne, IN)
- Clinical Director - RN - Home Care - $5k sign on bonus! ApplyRefer a FriendBack Job Details Requisition #: 196515 Location: Fort Wayne, IN 46825 Category: ... you when you come to Aveanna. Position Overview The Clinical Director is responsible and accountable for...or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- The Arc Erie County NY (Williamsville, NY)
- …services for over 65 years. The Arc Erie County is looking for an Associate Director of Clinical Treatment Who we are: A local non-profit organization that ... quality services! What you'll be doing: As our Associate Director of Clinical Treatment, you will be...County can offer: Annual salary of $68,000-$78,000, Affordable benefits ( medical , dental & vision insurance), excellent PTO, 10 paid… more
- Brookdale Senior Living (Littleton, CO)
- …in accordance with Medicare /Medicaid reimbursement levels. + Assists the Director , Clinical Services in ensuring comprehensive and accurate documentation by ... within 30 days of the date of the posting. Responsibilities Assists the Director , Clinical Services in planning, organizing, developing and directing the… more
- Pennsylvania State University (Hershey, PA)
- …CTO empowers our study teams to excel in their research endeavors. The Assistant Director , College of Medicine Clinical Trials Office (CTO Assistant Director ... budgets. Develop COM CTO strategic plan with COM CTO Director . + Evaluate and review clinical trials... Clinical research budget development and negotiation + Clinical research budget and/or finance management + Medicare… more
- UT Health (Houston, TX)
- Director of Clinical Performance Improvement - Behavioral Sciences Campus **Location:** Houston, Texas **Category:** Executive UTHealth Houston Behavioral ... Sciences Campus Requisition #: 240002Y5 ** Director of Clinical Performance Improvement - Behavioral...education support to all of the Center's departments including medical staff with regards to quality improvement, accreditation standards,… more
- ChenMed (Memphis, TN)
- …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage...to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model,… more
- Indian Health Service (Winterhaven, CA)
- Summary This position serves as the Clinical Director /Chief of Medical Staff for the Fort Yuma Service Unit. The facility is a AAAHC accredited community ... receives advice from the Phoenix Area Chief Medical Officer. Responsibilities Serves as Clinical Director /Chief of Medical Staff is a member of the… more
- BrightSpring Health Services (Arlington, TX)
- …+ Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical Hub Manager + Provide clinical support to ... This vital role serves as a key point of contact for the Clinical Hub and proactively communicates with Pharmacists, Facilities, Physicians and PDP's regarding… more
- Jet Health (Denton, TX)
- Director of Clinical Services - Hospice Denton, TX, TX (http://maps.google.com/maps?q=2214+Emery+Street,+Suite+410+Denton+TX+USA+76201) Job Type Full-time ... times. We are seeking an experienced and dynamicDirector of Clinical Services (RN)to join our team and lead our...with regulatory standards while delivering excellent patient care. The Director will manage the activities of the nursing team,… more
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