- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...+ Achieves and maintains benchmarked utilization and cost management ( UM ) goals and clinical quality improvement (QI) objectives, in… more
- CVS Health (Sacramento, CA)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM...special clinical investigations and research as requested by the Senior Medical Director , Medical… more
- Magellan Health Services (Albuquerque, NM)
- …Medicare and Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health ... quality assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management ( UM ) functions for physical health ... federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic direction,… more
- Magellan Health Services (San Diego, CA)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May ... day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management...various committees or project teams as directed by the senior medical director or vice-president.… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… 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
- VNS Health (Manhattan, NY)
- …other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director meetings as stipulated by the State BH contract ... company holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement saving funds +… more
- Ascension Health (Nashville, TN)
- …initiatives in utilization management to optimize patient care, and partner with the National Senior Director of UM to align on organizational goals. Ready ... throughout the TN market. We're looking for an experienced Director of Utilization Management to join our team! In...16 hospitals and a network of affiliated joint ventures, medical practices, clinics and specialty facilities. Across the state,… more
- Dignity Health (Bakersfield, CA)
- …dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to ... benefits they want from a variety of options including medical dental and vision plans for the employee and...**within California** **.** Working in a collaborative environment, the Director will be a hands-on leader to the Enrollment… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …be an ideal match for this role if you have had experience as a Lead Medical Director or Chief Medical Officer in a Medicare Advantage program\. Knowledge ... leader to join us as Vice President and Chief Medical Officer on our Senior Products team\....experience required + 5 year \- Experience as a Medical Director in a risk based managed… more
- Healthfirst (NY)
- …and medical departments + Conducts ad hoc medical condition research per Medical Director and/or UM Clinical Director requests + Collaborates ... **Duties/Responsibilities:** + Develops, reviews, and updates medical policies and clinical guidelines to ensure they are evidence-based and aligned with best… more
- University of Michigan (Ann Arbor, MI)
- … technologist at a high level of expertise, and with assistance from Medical Technologist Specialists, the Senior Clinical Technologist is normally responsible ... Clinical Technologist Senior Apply Now **How to Apply** A cover...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Michigan (Ann Arbor, MI)
- …development scientist with their high level of expertise, and with assistance from Medical Laboratory Scientists (Specialists and Senior ) is responsible for and ... Clinical Technologist Senior Apply Now **Job Summary** The Assay Development...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Michigan (Ann Arbor, MI)
- …with staff to assure professional growth + Collaborate effective strategies with the Medical Director , the Senior Manager, and the Clinical Associate ... Allied Health Supervisor Intermediate or Senior Apply Now **Job Summary** The Department of...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Maine System (Orono, ME)
- …to, tuition benefits (employee and dependent), comprehensive insurance coverage including medical , dental, vision, life insurance, and short and long term disability ... life. Numerous cultural activities, excellent public schools, safe neighborhoods, high quality medical care, little traffic, and a reasonable cost of living make the… more
- Covenant Health Inc. (Louisville, TN)
- …treatment and authorizes sessions per guidelines. + Works collaboratively with Medical Director and accesses consultation and involvement whenever appropriate ... Peninsula offers care specifically designed for seniors with co-existing psychiatric and medical conditions at the Senior Behavioral Center located at Parkwest… more
- University of Maryland, Baltimore (Baltimore, MD)
- … level Neonatologist to join UM -SJMC as the level III NICU Medical Director . This position requires someone with strong clinical, operational, and leadership ... * Medical Director , Level III Neonatal Intensive Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The… more
- University of Miami (Miami, FL)
- …is currently seeking a full time Sr. Manager, Programs. The Senior Manager, Programs oversees the day-to-day administrative management of assigned program(s) ... to the University faculty and staff and other key stakeholders. Furthermore, the Senior Manager, Programs serves as the liaison to leadership, faculty, students, and… more
- University of Michigan (Ann Arbor, MI)
- …successful completion and submission of the following: + Completed application via the UM Careers website + Letter of Intent or Cover Letter + Updated curriculum ... care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School… more
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