- Humana (Washington, DC)
- …our caring community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Washington, DC)
- **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 (Washington, DC)
- **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 (Washington, DC)
- …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 (Washington, DC)
- **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 (Washington, DC)
- **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
- CSL Plasma (Halethorpe, MD)
- …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 . Determines donor suitability following adverse reactions in… more
- CVS Health (Washington, DC)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
- Evolent (Washington, DC)
- …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
- Mindoula Health (Silver Spring, MD)
- Lead Our Psychiatric Care Team as the Adult Psychiatrist & Inpatient BHU Medical Director Location: Peninsula Regional Medical Center, Salisbury, Maryland ... leader to join our team as the Inpatient Behavioral Health Unit (BHU) Medical Director for Adult Psychiatry at Peninsula Regional Medical Center in beautiful… more
- System One (Rockville, MD)
- Job Title: Medical Director / Senior Medical Director , Clinical Development (Oncology) Location: Rockville, MD (No Remote) Company Overview: Our client ... to patients in need. Position Overview: We are seeking a dynamic and experienced Medical Director or Senior Medical Director to join our Clinical… more
- Mindoula Health (Silver Spring, MD)
- Lead Our Psychiatric Care Team as the Adult Psychiatrist & Inpatient BHU Medical Director Location: University of Maryland Capital Region Medical Center, ... leader to join our team as the Inpatient Behavioral Health Unit (BHU) Medical Director for Adult Psychiatry at University of Maryland Capital Region Medical … more
- Elevance Health (Washington, DC)
- **Clinical Ops Associate Medical Director ** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... analytics to improve the delivery of care. The **Clinical Ops Associate Medical Director ** is responsible for supporting the medical management staff… more
- Takeda Pharmaceuticals (Washington, DC)
- …knowledge. **Job Description** **About the role:** Join Takeda as a Senior Medical Director , Pharmacovigilance in Gastrointestinal and Inflammation (GI2). You ... for presentations to the Takeda Safety Board and similar forums. The Senior Medical Director will be a key player in the preparation and presentation of… more
- Amgen (Washington, DC)
- …that can turn the tide of serious, life-interrupting illnesses. **Clinical Research Medical Director , Endocrinology/Sleep Apnea** **What you will do** Let's do ... this. Let's change the world. The Obesity organization is seeking a Medical Director that will work with a team of physician-scientists that support evidence… more
- Amgen (Washington, DC)
- …It's time for a career you can be proud of. Join us. **Clinical Research Medical Director - Cardiology/Heart Failure, US - Remote** **What you will do** The ... Cardiovascular/Metabolic Therapeutic Area is seeking a Clinical Research Medical Director to play a leadership role on one or more studies within the maridebart… more
- Evolent (Washington, DC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Elevance Health (Washington, DC)
- **Clinical Ops Associate Medical Director ** **Orthopedic Surgery** **Location:** This is a virtual position. Candidates must reside within 50 miles of an ... to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and providing quality… more
- Amgen (Washington, DC)
- …us and transform the lives of patients while transforming your career. Clinical Research Medical Director **What you will do** Let's do this. Let's change the ... to the development, execution, and communication of the global scientific/ medical evidence plan for thoracic oncology + Serve as...evidence plan for thoracic oncology + Serve as the medical monitor on key clinical trials in lung cancer… more
- Amgen (Washington, DC)
- …us and transform the lives of patients while transforming your career. **Clinical Research Medical Director ** **What you will do** Let's do this. Let's change ... knowledge into the development, delivery and communication of the global scientific/ medical evidence plan for the indication(s). + Provide oversight of LCM… more