• Associate Director - Value-Based…

    Humana (Austin, TX)
    …part of our caring community and help us put health first** The Associate Director - Value-based Specialty and Vendor Support role builds templates, standard ... to contract templates, language negotiations, processes, and resources. The Associate Director for Value-Based Specialty and Vendor Support's decisions are… more
    Humana (03/04/25)
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  • National Deputy Medical Director

    Vighter Medical Group (Austin, TX)
    National Deputy Medical Director , Advertised in Austin, TX Job Details Job Location Austin, TX - Austin, TX Position Type 1099 Education Level Doctorate (DO or ... to 25% Job Shift Any Job Category Health Care Description Title:National Deputy Medical Director (NDMD) Location:San Antonio, TX (Advertised in Austin, TX)… more
    Vighter Medical Group (02/05/25)
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  • Physician Medical Director - LTSS

    Humana (Austin, TX)
    …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...DO degree + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills with… more
    Humana (01/25/25)
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  • Medical Director - Medicaid N.…

    Humana (Austin, TX)
    **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...Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted… more
    Humana (03/11/25)
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  • Medical Director - Care Plus…

    Humana (Austin, TX)
    **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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
    Humana (03/18/25)
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  • Field Medical Director , Cardiology

    Evolent (Austin, TX)
    …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 (02/14/25)
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  • Medical Director - National Medicare…

    Humana (Austin, TX)
    …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...Current and ongoing Board Certification in an approved ABMS Medical Specialty + A current and unrestricted… more
    Humana (03/11/25)
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  • Practicing Medical Director

    Ascension Health (Austin, TX)
    …50% administrative + **Practice Detail** : Ascension Texas has an immediate opening for a Medical Director of Population Health who will serve as a member of the ... **Details** + ** Specialty ** : Primary Care + **Schedule** :50% clinical,...We are seeking to recruit a full time, practicing Medical Director of Population Health to serve… more
    Ascension Health (03/04/25)
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  • Medical Director - Commercial…

    CVS Health (Austin, TX)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for… more
    CVS Health (03/20/25)
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  • Field Medical Director

    Evolent (Austin, TX)
    …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
    Evolent (01/30/25)
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  • Behavioral Health Medical Director

    Humana (Austin, TX)
    …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...of Osteopathy . **Board-certified in ABMS or ABPN recognized specialty ** **of Psychiatry** . A current and unrestricted license… more
    Humana (02/15/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Austin, TX)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
    Molina Healthcare (02/06/25)
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  • Remote Medical Director - Texas

    Centene Corporation (Austin, TX)
    …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
    Centene Corporation (03/15/25)
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  • Field Medical Director , Genetic…

    Evolent (Austin, TX)
    …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 ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining medical licenses… more
    Evolent (02/18/25)
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  • Associate Medical Director

    Evolent (Austin, TX)
    …for the mission. Stay for the culture. **What You'll Be Doing:** **Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you ... to drive meaningful change beyond the bedside? Evolent Health is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in… more
    Evolent (03/04/25)
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  • Medical Director - Regulated…

    CVS Health (Austin, TX)
    …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily ... license without encumbrances * Board Certified in ABMS Recognized Specialty **Preferred Qualifications** Medical Management - Medicare Complaints, Grievance… more
    CVS Health (03/13/25)
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  • Medical Director

    Highmark Health (Austin, TX)
    …Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the ... American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required… more
    Highmark Health (03/20/25)
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  • Field Medical Outcomes, Director

    Pfizer (Austin, TX)
    **ROLE SUMMARY** The Field Medical Outcome is a field medical colleague responsible for informing customer decision-making and improving population health ... through real-world data analytics, pharmacoeconomic analyses, outcomes evaluations and medical presentations. The role is responsible for educating customers on the… more
    Pfizer (03/09/25)
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  • Hospital Business Unit Trade National Account…

    Pfizer (Austin, TX)
    **ROLE SUMMARY** The Trade National Account Director in Pfizer's US Hospital Account Management Team is accountable to lead and manage the enterprise business ... relationship on behalf of Pfizer with assigned Wholesale, Distributors and Specialty Drug Distributor customers. In this position, the individual will reinforce the… more
    Pfizer (03/16/25)
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  • Emergency Medicine GME Program Director

    HCA Healthcare (Austin, TX)
    …faculty in an ACGME accredited Emergency Medicine residency program** + **The Program Director must possess the required specialty expertise, as well as ... Medicine **Job Summary:** **TeamHealth at St. David's South Austin Medical Center would like to recruit a GME Program... Center would like to recruit a GME Program Director of Emergency Medicine. This is a hybrid role… more
    HCA Healthcare (02/11/25)
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