• Physician

    Louisiana Department of State Civil Service (Jackson, LA)
    …Supervision Received: Direct from the Medical Director Examples of Work The medical physician is responsible for provision of medical care and the ... diets and medications as indicated by patient's condition ,etc. Collaboration with Medical Director and discuss patient's condition with psychiatrists and other… more
    Louisiana Department of State Civil Service (03/07/25)
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  • Field Medical Director , Cardiology

    Evolent (Baton Rouge, LA)
    …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 (02/14/25)
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  • Field Medical Director , Genetic…

    Evolent (Baton Rouge, LA)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Genetic Testing you will be a key member of the utilization ... 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
    Evolent (02/18/25)
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  • Nurse Practitioner or Physician Assistant…

    Ochsner Health (Baton Rouge, LA)
    …clinic patients of the organization. This job works under the supervision of the Medical Director or approved staff physician and in association with ... nurses, and discharge coordinator in the planning, implementation and evaluation of medical and nursing care; and assumes responsibility for primary and urgent … more
    Ochsner Health (03/09/25)
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  • Director , Quality Improvement

    Humana (Baton Rouge, LA)
    …part of our caring community and help us put health first** The Director , Quality Improvement implements quality improvement programs for all lines of business ... including annual program description, work plan, and annual evaluation. The Director , Quality Improvement requires an in-depth understanding of how organization… more
    Humana (03/04/25)
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  • Nurse Practitioner or Physician Assistant…

    Ochsner Health (Baton Rouge, LA)
    …inpatient psychiatry patients. This job falls under the supervision of the Medical Director , additionally, there are collaborating physicians and approved ... that includes psychiatrists, residents, psychologists, social workers, nurse practitioners, physician assistants, nurses, and staff who care for child/adolescent… more
    Ochsner Health (02/20/25)
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  • Consulting Senior Director - Healthcare,…

    Huron Consulting Group (Baton Rouge, LA)
    …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
    Huron Consulting Group (03/04/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Baton Rouge, LA)
    …Plan, organize, staff, direct and control the day-to-day operations of the department ; develop and implement policies and programs as necessary; may have budgetary ... years Familiarity with alternative care model designs (eg, patient centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider… more
    Highmark Health (03/04/25)
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  • Clinical Manager Registered Nurse - RN - Dialysis

    Fresenius Medical Center (Denham Springs, LA)
    …the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... Human Resources on employee matters. + Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues… more
    Fresenius Medical Center (03/13/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Baton Rouge, LA)
    …to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Evaluates the appropriateness of billed services and procedures ... + Other duties as assigned. **_Qualifications_** + 4-8 years experience in physician and/or hospital technical coding/auditing, medical necessity reviews, or… more
    Cardinal Health (03/18/25)
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  • Medical Management Outpatient Pre-Auth…

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …call-backs for approvals and providing other types of non-clinical support to the Medical Management Department . **NATURE AND SCOPE** + This role does not ... Management Outpatient RN Coordinator, and the occasional supervision of the Director of Medical Management **QUALIFICATIONS** **Education** + High School… more
    Blue Cross and Blue Shield of Louisiana (03/18/25)
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  • Senior Pharmacist

    Highmark Health (Baton Rouge, LA)
    …disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on ... accordance with our regulatory guidelines. The incumbent develops and implements physician , pharmacy, account, and member educational initiatives that promote the… more
    Highmark Health (02/21/25)
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  • General Pediatrician

    Ochsner Health (Baton Rouge, LA)
    …position with Dr. James Wayne, Associate Medical Director , Department of Pediatrics, please contact Courtney Lawhun, Physician Recruiter, at** ... comprehensive Pediatrics Program including primary care pediatricians and pediatric medical and surgical subspecialists (Ochsner Children's (TM) ) represents over… more
    Ochsner Health (02/02/25)
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  • Regional Sales Manager - South Central

    Fujifilm (Baton Rouge, LA)
    …Report all product, marketplace or staff related matters of concern to Zone Director . + Establish and nurture luminary physician relationships within assigned ... sales technique and territory management. This position requires previous capital medical equipment sales experience. **To best serve the territory, prefer… more
    Fujifilm (03/07/25)
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