- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** 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 (Columbia, SC)
- **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 (Columbia, SC)
- …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 (Columbia, SC)
- **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 (Columbia, SC)
- **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
- Highmark Health (Columbia, SC)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- CVS Health (Columbia, SC)
- …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 Health (Columbia, SC)
- …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
- Humana (Columbia, SC)
- …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
- Takeda Pharmaceuticals (Columbia, SC)
- …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
- Merck (Columbia, SC)
- …in the assigned territory (Boston area). **Role Summary** + The Oncology Regional Medical Scientific Director - Head & Neck Cancers/Melanoma is a credentialed ... questions about company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
- Merck (Columbia, SC)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** The Health Systems Oncology Medical Affairs Director (HSO MAD) is a therapeutic and disease expert who develops ongoing professional… more
- Merck (Columbia, SC)
- **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory ... our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director ( Medical Science Liaison) is a credentialed (ie,… more
- Merck (Columbia, SC)
- **Job Description** The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical affairs plans for their ... At least 3 years regional medical affairs experience (eg, Regional Director Medical Affairs) with proven track record of contribution to medical affairs… more
- Merck (Columbia, SC)
- **Job Description** **Role Summary:** The Regional Director Medical Affairs (RDMA) is responsible for driving execution of scientific & medical affairs plans ... or regional hub) in Our Company Research Laboratories Global Medical and Scientific Affairs (Research Division GMSA). **Responsibilities and...Division GMSA staff to execute the annual scientific & medical plan for their assigned TA + Chairs the… more
- Highmark Health (Columbia, SC)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Merck (Columbia, SC)
- **Job Description** **Role Summary:** + The US Director , Payor and Access Strategy Lead, Medical Affairs (DPASL) is responsible for regional Field Medical ... + Collects, analyzes, and communicates scientific insights from US HS Medical Affairs Director (MAD) field engagements to inform company strategies across the… more
- Merck (Columbia, SC)
- **Job Description** The Executive Director , Value & Implementation (V&I), Global Medical and Scientific Affairs (GMSA) is accountable for the development and ... execution of scientific & medical affairs plans for Ophthalmology). They build and lead...global and regional directors and associate directors. The Executive Director , Value & Implementation (referred to as EDMA) engages… more
- Fresenius Medical Center (Columbia, SC)
- …oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality ... PATIENT CARE: + Collaborates closely with the Charge RN, the Medical Director , and physicians regarding the direct patient care responsibilities within the… more
- CSL Plasma (Columbia, SC)
- …to determine suitability to donate plasma * In conjunction with the Center Medical Director , responds to medically related questions and provides information to ... donor suitability for automated pheresis procedures * Provides limited emergency medical care to donors and staff including administering medication or treatments… more