• Medical Director

    Genesis Healthcare (Cumberland, RI)
    …or on call)! We are seeking a full-time (40 hours per week) Attending Physician/ Medical Director for our Grandview Center, located in Cumberland, RI. The annual ... this position is $215000 / year. This is a Dual Role Attending Physician/ Medical Director . This role is clinical in nature. Must be BC/BE Internal Medicine or… more
    Genesis Healthcare (01/10/25)
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  • Regional Medical Director - New…

    AccentCare, Inc. (Norwood, MA)
    Overview Why You'll Love Being the Northeast Regional Medical Director at AccentCare Do you take great pride in achieving the best possible outcomes for ... about providing exceptional care? Join the AccentCare team today as the Regional Medical Director for our New England sites. As the Regional Medical more
    AccentCare, Inc. (12/26/24)
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  • Medical Director - OneHome/Home…

    Humana (Providence, RI)
    …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 (12/21/24)
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  • Medical Director - Florida

    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 (12/14/24)
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  • Medical Director - National Medicare…

    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 (11/08/24)
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  • Medical Director - South Central

    Humana (Providence, RI)
    **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 (11/08/24)
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  • Behavioral Health Medical Director

    Generations Family Health Center (Putnam, CT)
    Behavioral Health Medical Director / Psychiatrist Job Details Level Management Job Location GEN Putnam - Putnam, CT Remote Type N/A Position Type Full Time ... Undisclosed Job Shift Day Job Category Health Care Description Behavioral Health Medical Director / Psychiatrist (MD/DO) Location: Putnam & Willimantic, CT… more
    Generations Family Health Center (12/28/24)
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  • Medical Director -Internal…

    Elevance Health (Smithfield, RI)
    …candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. ** Medical Director ** The ** Medical Director ** will be responsible ... cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. **How will… more
    Elevance Health (12/18/24)
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  • Medical Director - Mid West Region

    Humana (Providence, RI)
    **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
    Humana (10/29/24)
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  • Primary Care Medical Director

    Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
    …in helping people live healthier lives. Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director will provide leadership and ... all aspects of Kennedy Community Health's Milford MA primary care clinic. The Medical Director will spend part of their time overseeing the Provider staff as… more
    Edward M. Kennedy Community Health Center, Inc. (12/26/24)
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  • Medicare Medical Director

    Elevance Health (Smithfield, RI)
    **Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one of ... must be able to work Eastern Time Zone hours. The **Medicare Medical Director ** is responsible for the administration of physical and/or behavioral health … more
    Elevance Health (01/08/25)
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  • Contract Center Medical Director

    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
    CSL Plasma (10/14/24)
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  • Medical Director - Commercial…

    CVS Health (Boston, MA)
    …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
    CVS Health (11/13/24)
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  • Field Medical Director , Cardiology

    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 (11/15/24)
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  • Newborn Nursery Medical Director

    Boston University (Boston, MA)
    The Newborn Nursery Medical Director (NMD) works collaboratively and in partnership with the Chair/Chief, Administrative Director , Nursing Director , ... of the inpatient services and will support the strategic plan and goals of Boston Medical Center, the department/section, and BU Medical Group. The NMD will be… more
    Boston University (01/11/25)
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  • Behavioral Health Services Regional Medical

    Advocates (Framingham, MA)
    …that values the ideas and contributions of our staff. The Behavioral Health Regional Medical Director (RMD) is a leadership and clinical role within Advocates' ... Behavioral Health Services Division. The RMD serves as Medical Director for the clinics of an assigned region. The RMD, in conjunction with and at the direction… more
    Advocates (11/29/24)
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  • Medical Director (Neurology)

    ICON Clinical Research (Boston, MA)
    Medical Director (Neurology), United States, Remote ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster ... to shape the future of clinical development. We are currently seeking a Medical Director (Neurology) to join our diverse and dynamic team. As a Medical more
    ICON Clinical Research (01/08/25)
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  • Associate Medical Director

    Chiesi (Boston, MA)
    Associate Medical Director , Hematology and Immunology Date: Dec 16, 2024 Department: GRD Global Medical Affairs Job Type: Direct Employee Team: Mktg, Market ... is Chiesi." **_Who we are looking for_** **Purpose** The position of Associate Medical Director reports to the Head of Medical Affairs Hematology- Immunology… more
    Chiesi (12/17/24)
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  • Medicare Grievances and Appeals Corporate…

    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. The ... Corporate Medical Director works on problems of diverse scope and complexity...and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation… more
    Humana (01/07/25)
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  • Medical Director , North America

    Rhythm Pharmaceuticals (Boston, MA)
    …to adapt, learn, and our tenacity to overcome barriers, together. Opportunity Overview As Medical Director in North America Medical Affairs, you will be ... the North America Medical team, reporting to the Senior Medical Director , North America, you will be accountable for advancing Rhythm's scientific leadership… more
    Rhythm Pharmaceuticals (12/18/24)
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