• Medical Director - Florida

    Humana (Madison, WI)
    **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 (10/29/24)
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  • Medical Director - South Central

    Humana (Madison, WI)
    **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 (10/29/24)
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  • Medical Director at Dane Co Jail…

    Wellpath (Madison, WI)
    …training, education, and point of care support. **How you make a difference** As a Medical Director , you will be responsible for providing medical oversight ... documentation of services is provided to the Regional or Corporate Medical Director or designee to monitor services and compliance with facility/client contract.… more
    Wellpath (10/23/24)
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  • Medical Director - Mid West Region

    Humana (Madison, WI)
    **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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  • Part-time/Remote Medical Director

    Highmark Health (Madison, WI)
    **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
    Highmark Health (09/24/24)
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  • Medical Director -Musculoskeletal…

    Evolent Health (Madison, WI)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
    Evolent Health (09/10/24)
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  • Medical Director - Pharmacy Appeals

    Humana (Madison, WI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case by case… more
    Humana (11/02/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Madison, WI)
    …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
    Humana (10/29/24)
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  • Senior Medical Director

    Takeda Pharmaceuticals (Madison, WI)
    …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
    Takeda Pharmaceuticals (10/18/24)
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  • Global Medical Director , Allergy

    ThermoFisher Scientific (Middleton, WI)
    …is seeking a highly motivated and experienced individual to join our team as Global Medical Director , Allergy on the Medical and Scientific Affairs (MSA) ... developing a global strategy to drive growth within the medical domain of allergy. You will play a crucial...frequent trips to Uppsala, Sweden. **What will you do?** ** Medical , Scientific and Clinical Strategy** + Develop a comprehensive… more
    ThermoFisher Scientific (09/27/24)
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  • Regional Medical Scientific Director

    Merck (Madison, WI)
    **Job Description** **Role Summary** + The Cardiovascular & Metabolism Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) ... questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
    Merck (10/25/24)
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  • Oncology Regional Medical Scientific…

    Merck (Madison, WI)
    …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 (10/22/24)
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  • Oncology Regional Medical Scientific…

    Merck (Madison, WI)
    **Job Description** The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
    Merck (10/30/24)
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  • Associate Director , Medical Writing…

    Takeda Pharmaceuticals (Madison, WI)
    …order to bring life-changing therapies to patients worldwide. Join Takeda as a Associate Director Medical Writing where you will be responsible for medical ... presentation and interpretation. In addition to project responsibilities, the Associate Director , Medical Writing is responsible for non-project related… more
    Takeda Pharmaceuticals (10/05/24)
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  • Director , Medical Affairs, Cardiac…

    J&J Family of Companies (Madison, WI)
    …Senior Director , Global Medical Affairs & Clinical Research, the Director Medical Affairs North America will manage and support academic educational ... of cardiac unloading and cardiac recovery in the specialist community. The Director Medical Affairs will be an integral part of the Global Medical more
    J&J Family of Companies (10/15/24)
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  • Medical Director

    Highmark Health (Madison, WI)
    …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
    Highmark Health (10/23/24)
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  • Physician Clinical Reviewer, Hematology…

    Evolent Health (Madison, WI)
    …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more
    Evolent Health (10/04/24)
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  • Clinical Program Supervisor - Child/Adolescent…

    Meriter-UnityPoint Health (Madison, WI)
    …staff in the delivery of programing, with the support of the Manager and Medical Director . + The Clinical Program Supervisor utilizes advanced clinical expertise ... clinical leadership to the interdisciplinary team in conjunction with the Medical Director , and in coordination with the Manager. This includes demonstrating and… more
    Meriter-UnityPoint Health (08/11/24)
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  • Cardiology Physician Clinical Reviewer

    Evolent Health (Madison, WI)
    …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for… more
    Evolent Health (08/29/24)
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  • Medical Science Liaison, Hematology, Texas

    Takeda Pharmaceuticals (Madison, WI)
    …best. As part of the Oncology Field Medical team, you will report to Medical Science Liaison Director and work with internal and external partners. **How you ... a specific territory engagement plan which aligns to and supports the US Field Medical priorities and objectives that are aligned with the integrated medical more
    Takeda Pharmaceuticals (10/31/24)
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