- 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
- 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 (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
- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- Evolent (Providence, RI)
- …Evolent 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 (Smithfield, RI)
- **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
- CVS Health (Providence, RI)
- …a remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: * Direct daily work on ... System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state... License (MD) or (DO) * An Active state medical license without encumbrances * Board Certified in ABMS… more
- VCA Animal Hospitals (Uxbridge, MA)
- Join us as a Medical Director at VCA Blackstone Valley and you'll quickly discover that you're well supported by world-class medicine, technology, facilities and ... offer competitive compensation along with a comprehensive benefits package, including medical , dental, vision and paid vacation/sick days, 401(k), generous employee… more
- Merck (Providence, RI)
- **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
- Merck (Providence, RI)
- …This person _must_ reside in the territory. **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 (Providence, RI)
- **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 (Providence, RI)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...patient care by engaging in scientific exchange with external medical experts and industry leaders ensuring the scientific value… more