• Medical Director

    Genesis Healthcare (Santa Fe, NM)
    …weekends or on call)! We are seeking a part-time (16-24 hours per week) Attending Physician/ Medical Director for our Casa Real Center, located in Santa Fe, NM. ... position is $115 - $145 / hour. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family… more
    Genesis Healthcare (09/20/24)
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  • Medical Director - Medical

    CVS Health (Santa Fe, NM)
    …**Position Summary** CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
    CVS Health (08/31/24)
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  • Medical Director - Florida

    Humana (Santa Fe, NM)
    **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (09/06/24)
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  • Behavioral Health Medical Director

    Humana (Santa Fe, NM)
    …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
    Humana (08/07/24)
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  • Medical Director - South Central

    Humana (Santa Fe, NM)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (09/17/24)
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  • Medical Director -Musculoskeletal…

    Evolent Health (Santa Fe, NM)
    …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 ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
    Evolent Health (09/10/24)
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  • Medical Director - Acute Inpatient…

    Humana (Santa Fe, NM)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (08/27/24)
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  • Medical Director - Mid West Region

    Humana (Santa Fe, NM)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (08/27/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Santa Fe, NM)
    **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
    Highmark Health (06/25/24)
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  • Medical Director

    Genesis Healthcare (Santa Fe, NM)
    …or on call)! We are seeking a full-time (40 hours per week) Attending Physician/ Medical Director for split position between our Casa Real Center, located in ... is $250000 - $300000 / year. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family… more
    Genesis Healthcare (09/20/24)
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  • Medical Director - Grievances…

    Humana (Santa Fe, NM)
    …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 scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (09/17/24)
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  • Behavioral Health Medical Director

    Humana (Santa Fe, NM)
    …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth… more
    Humana (09/20/24)
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  • Psychiatry- Field Medical Director

    Evolent Health (Santa Fe, NM)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management team. ... to jeans. **Collaboration Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of the Evolent clinical team. As a… more
    Evolent Health (09/20/24)
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  • Medical Director - (Cardiology)

    CVS Health (Santa Fe, NM)
    …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... role can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty,… more
    CVS Health (08/31/24)
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  • Medical Director (National Accounts)

    CVS Health (Santa Fe, NM)
    …role and have a current state medical license without encumbrances.** In the Medical Director role you will provide oversight for medical policy ... implementation. You'll participate in the development, implementation, and evaluation of clinical/ medical programs and expand Aetna's medical management programs… more
    CVS Health (09/20/24)
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  • Director , Regulatory Medical

    J&J Family of Companies (Santa Fe, NM)
    Director , Regulatory Medical Writing (1 of 4) - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical ... can reach their potential. At Johnson & Johnson, we all belong. The Director , Regulatory Medical Writing (RegMW) is a highly experienced medical writer and… more
    J&J Family of Companies (09/17/24)
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  • Executive Director , Global Medical

    Merck (Santa Fe, NM)
    **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that guides TA scientific… more
    Merck (08/27/24)
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  • Associate Director , Clinical Coding…

    CenterWell (Santa Fe, NM)
    …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
    CenterWell (08/27/24)
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  • Medical Director , Medicaid (Remote…

    Highmark Health (Santa Fe, NM)
    …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
    Highmark Health (08/23/24)
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  • Associate Director , Medical

    Evolent Health (Santa Fe, NM)
    …objectives **Qualifications - Required** + 5-9 years of experience in a consulting, medical economics, or strategic analytics role + BS or BA in Business, ... Statistics, Economics, Computer Science, or equivalent years of experience with a quantitative emphasis + Experience using a variety of data visualizations and PowerPoint to deliver business insights clearly and succinctly + Strong analytical abilities, with a… more
    Evolent Health (09/05/24)
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