- Humana (Providence, RI)
- …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
- Humana (Providence, RI)
- **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 (Providence, RI)
- **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 (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth… more
- Humana (Providence, RI)
- …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
- CSL Plasma (Warwick, RI)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . 12. Determines donor suitability following adverse reactions… more
- Evolent (Providence, RI)
- …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. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Providence, RI)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- South County Hospital (Wakefield, RI)
- South County Hospital is seeking a Medical Director for its Division of Hematology and Oncology. The Medical Director is responsible for the overall ... and patient experience for all patients cared for within the Department. The Medical Director will work in partnership with the system CMO to recruit and retain… more
- Humana (Providence, RI)
- …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
- Evolent (Providence, RI)
- …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 ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- State of Massachusetts (Taunton, MA)
- …* Participate in statewide clinical and leadership activities, assisting the State Medical Director with department goals. */_Required Qualifications:_/* * Board ... Medical Services* **Organization:** **Department of Mental Health* **Title:** * Medical Director - Office of Inpatient Management* **Location:**… more
- Evolent (Providence, RI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you ... change beyond the bedside? Evolent Health is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance… more
- CVS Health (Providence, RI)
- …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily ... System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state... License (MD) or (DO) * An Active state medical license without encumbrances * Board Certified in ABMS… more
- Merck (Providence, RI)
- **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
- Merck (Providence, RI)
- **Job Description** The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... scientific exchange with leaders in the external medical and scientific community. RMSDs provide to Scientific Leaders...with national and regional SLs to ensure access to medical and scientific information on areas of therapeutic interest… more
- Merck (Providence, RI)
- **Job Description** The Hematology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, or PharmD) therapeutic and disease expert who ... engages in scientific exchange with leaders in the external medical and scientific community. Scientific exchange does not include promotional claims about any drug,… more
- Merck (Providence, RI)
- **Job Description** **Role Summary:** + The Global Medical Excellence Associate Director (GMEAD) reports to the Sr Director , Global Medical Excellence ... in General and Specialty Medicine. + The GMEAD supports the Sr Director Global Medical Excellence in overseeing and driving Value and Implementation Medical … more
- Sumitomo Pharma (Providence, RI)
- …. **Job Overview** The **Associate Director , Medical Strateg** **y ... **Hematology/Oncology** **)** will be a key member of the Medical Affairs team reporting to the Executive Director... Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. In this role,… more
- Merck (Providence, RI)
- **Job Description** **Role Summary:** + The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... At least 3 years regional medical affairs experience (eg, Regional Director Medical Affairs) with proven track record of contribution to medical affairs… more