- Parexel (Providence, RI)
- …Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to ... remo** t **ely in the US or Canada.** The Medical Director is a medical ...contracted) and according to the assigned role (Global Lead Physician or Regional Lead Physician ). ** Medical… more
- Parexel (Providence, RI)
- …we are expanding our esteemed Medical Sciences Team and seeking an Associate/ Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with...(Global Lead Physician GLP or Regional Lead Physician RLP). Medical support includes but is… more
- Genesis Healthcare (Middletown, RI)
- …balance flexibility, with no on call! We are seeking a Fee-For-Service Attending Physician / Medical Director for our Grand Islander Center, located in ... Middletown, RI. This is a Dual Role Attending Physician / Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family Medicine with… more
- Genesis Healthcare (Middletown, RI)
- …balance flexibility, with no on call! We are seeking a Fee-For-Service Attending Physician / Medical Director for our Grand Islander Center, located in ... Middletown, RI. This is a Dual Role Attending Physician / Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family Medicine with… more
- University Medicine (East Providence, RI)
- …independently without direct supervision. SUPERVISORY RESPONSIBILITY: None. Reports to: Pulmonary Medical Director / Physician Lead & Practice Manager ... to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance… more
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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
- Evolent (Providence, RI)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be...utilization management while working in conjunction with the Senior Medical Director . May assist the Senior … more
- 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. ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Providence, RI)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Providence, RI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to… more
- Dana-Farber Cancer Institute (Foxborough, MA)
- In collaboration with the Senior Director of Network Operations, site Medical Director and Nurse Director , the Operations Director will oversee daily ... _Strategy/Business Development_ * In collaboration with the VP Network Operations, Senior Director , Network Operations, site Medical Director and Nurse… more
- Evolent (Providence, RI)
- …we're redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal ... a focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates… more
- Evolent (Providence, RI)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Highmark Health (Providence, RI)
- …**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
- Travelers Insurance Company (Providence, RI)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Fallon Health (Dartmouth, MA)
- …+ Participate in after hours on call arrangements as determined by the PACE Medical Director . + Provide care and assessments of participants in the most ... tour and meet the team! + **Position:** Primary Care Physician - PACE Program + **Salary Range:** $275,000-$300,000/year, based...in committees and work teams as requested by the Medical Director . + Work in partnership with… more
- HCA Healthcare (Lincoln, RI)
- …colleagues invested over 156,000 hours impacting our communities. As a(an) Home Health Director with TriStar Healthcare at Home, you can be a manager in an ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...location._** Come join our team as a(an) Home Health Director . We care for our communities and employees! HCA… more
- Point32Health (Canton, MA)
- …we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development, ... negotiation, and implementation for hospitals, physician groups, and integrated delivery systems across multiple markets and products. The Director will lead a… more
- CenterWell (Providence, RI)
- …in a clinical or in-practice role (eg, Center Administrator, Front Office, Scheduling, Medical Assistant, Physician , or Physician Extender). + Two or ... of our caring community and help us put health first** The Associate Director , Product Management Conceives of, develops, delivers, and manages products for customer… more
