- CommuniCare Health Services Corporate (Charleston, WV)
- Medical Director - Physician Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and ... Communities throughout Ohio, Indiana, West Virginia, Virginia, Missouri, Pennsylvania and Maryland. As Medical Director , you will be part of an exciting new… more
- Genesis Healthcare (Charleston, WV)
- …balance flexibility (no weekends or on call)! We are seeking a Fee-For-Service Attending Physician / Medical Director for split position between several of our ... There is flexibility within the schedule. This is a Dual Role Attending Physician / Medical Director . It is clinical in nature. Must be BC/BE Internal… more
- Genesis Healthcare (Hurricane, WV)
- …and work-life balance flexibility, with no weekends! We are seeking a FFS Attending Physician / Medical Director for our Putnam Care Center, located in ... salary for this position is $215000 / year. This is a Dual Role Attending Physician / Medical Director . It is clinical in nature. There is flexibility with the… more
- Genesis Healthcare (Charleston, WV)
- …specific goals and priorities. The Advanced Practice Wound Provider collaborates with the Medical Director and/or Attending Physician for patient specific ... ArmadaCare Plan: supplemental plan which provides reimbursement for many out-of-pocket medical , wellness, and pharmacy expenses, with an eight thousand max… more
- Highmark Health (Charleston, WV)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP...as needed to interact/ communicate with the primary care physician as necessary for appropriate medical care.… more
- Evolent Health (Charleston, WV)
- …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 ... Directors, and health plan members and staff whenever a physician `s input is needed or required. Responsible for acting...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
- Humana (Charleston, WV)
- …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 (Charleston, WV)
- …operations team and healthcare organization. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, ... caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The… more
- Humana (Charleston, WV)
- …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 actively uses their medical background, experience, and judgement to make… more
- Elevance Health (Charleston, WV)
- **Clinical Operations Associate Medical Director ** **Carelon Health** **Genetics Testing Utilization Review** **Location** : The ideal candidate will live within ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical… more
- Highmark Health (Charleston, WV)
- …**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
- Evolent Health (Charleston, WV)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Cardiology, Physician Clinical Reviewer you will be a key member...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Cardinal Health (Charleston, WV)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- Genesis Healthcare (Charleston, WV)
- We are seeking a full-time (40 hours per week) Director of Physician Operations for our centers located in Florida, Alabama, Tennessee, North Carolina, Virginia, ... many services. AlignMed Partners utilizes a team of dedicated Medical Directors, full and part-time Attending Physicians and Nurse...resident outcomes. Join the AlignMed Partners team as the Director of Physician Operations! In this key… more
- Evolent Health (Charleston, WV)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- CVS Health (Charleston, WV)
- …care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic planning for ... to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and operations… more
- Cardinal Health (Charleston, WV)
- …team is passionate about helping oncology practices navigate the future. The Director , Business Development is responsible for driving complex, consultative sales of ... Navista memberships to new physician practice customers through face-to-face or telephone contact to...of benefits and programs to support health and well-being. Medical , dental and vision coverage Paid time off plan… more
- Takeda Pharmaceuticals (Charleston, WV)
- …best of my knowledge. **Job Description** **About the role:** Senior Regional Business Director - PI - Mountain meets or exceeds regional sales targets through ... - Primary Immunodeficiency who are responsible for calling on multiple physician specialties including Allergy/Immunology. Territory Consists of multiple states in… more
- Huron Consulting Group (Charleston, WV)
- …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
- Cardinal Health (Charleston, WV)
- …while having oversight of the entire integration & onboarding effort. The Director , Practice Integrations will be a seasoned operations leader with proven experience ... working experience in leadership roles for 7+ years in physician office services related organizations preferred + Proven track...of benefits and programs to support health and well-being. Medical , dental and vision coverage Paid time off plan… more