- Lincoln County (Newport, OR)
- Medical Director / Physician Print (https://www.governmentjobs.com/careers/lincoln/jobs/newprint/4142276) Apply Medical Director / Physician Salary ... and skill. A stipend of 10% is provided for Medical Director functions Lincoln Community Health Center...MINIMUM QUALIFICATIONS Minimum Education Level Specifics: + For a physician : graduation from an accredited medical school… more
- Humana (Salem, OR)
- …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... medical necessity of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex… more
- PeaceHealth (Springfield, OR)
- … Center located in Springfield, OR is seeking a Neuroscience Medical Director . Our Neuroscience program includes Neurology, Neurohospitalists, Neurointensivists ... Northwest to live, work, and play. PeaceHealth Sacred Heart Medical Center at Riverbend is a state-of-the-art regional ...Medical Center at Riverbend is a state-of-the-art regional medical center. On the leading edge of evidence-based hospital… more
- Humana (Salem, OR)
- **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...Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional… more
- Humana (Salem, OR)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... 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… more
- Humana (Salem, OR)
- …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...resolution skills + May speak with contracted external physicians, physician groups, facilities, or community groups to support regional… more
- Evolent (Salem, OR)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Salem, OR)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Genetic Testing you will be a key member of the utilization ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to… more
- University of Oregon (Eugene, OR)
- …the well-being and life of the student/patient. This position reports to the Medical Director ; works with the Administrator on administrative situations; and ... management of staff. This position reports to the Assistant Director of Dental Services. Relief Physician : The...obtain by the agreed upon start date of employment. Physician : * Graduate of an accredited medical … more
- Highmark Health (Salem, OR)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Travelers Insurance Company (Salem, OR)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Sumitomo Pharma (Salem, OR)
- …highly motivated, and experienced individual for the position of **Senior Director , Commercial Strategy and Launch Lead, Heme/Onc.** **Job Duties and ... conduct market research to understand current treatment journey and identify customer ( physician , payer and patient) needs to support enzomenib adoption + Provide… more
- Huron Consulting Group (Salem, OR)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Highmark Health (Salem, OR)
- …years Familiarity with alternative care model designs (eg, patient centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider ... background and/or worked as part of a health system or large physician organization **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None… more
- Cardinal Health (Salem, OR)
- …to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Evaluates the appropriateness of billed services and procedures ... + Other duties as assigned. **_Qualifications_** + 4-8 years experience in physician and/or hospital technical coding/auditing, medical necessity reviews, or… more
- Evolent (Salem, OR)
- … Officer. The CCO will lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of clinical ... Services team, the CCO will also have dotted line oversight over field medical director (FMD) operational responsibilities, provide strategic input into … more
- PeaceHealth (Florence, OR)
- …is a mission minded health care system looking for a compassionate physician interested in serving the underserved populations in Florence, centrally located on ... the Oregon coast. Practice Highlights: + Medical Assistant is assigned to each clinician. + Daily...caring while working within the scope of practice of Physician to provide safe and efficient care to patients… more
- Highmark Health (Salem, OR)
- …disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on ... accordance with our regulatory guidelines. The incumbent develops and implements physician , pharmacy, account, and member educational initiatives that promote the… more
- PeaceHealth (Florence, OR)
- …agreement, seniority, etc. **Job Summary** Under the direction of the Director of Pharmacy Services or designee, this position provides operational oversight ... Supervises departmental staff on assigned campus including assisting Pharmacy Director with performance evaluation, performance management, and corrective action. +… more
- Cardinal Health (Salem, OR)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... responsible for supporting all regional programming in collaboration with our Director , Member Development. This person will assist in presenting Specialty Networks… more