- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- **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
- Conviva (St. Paul, MN)
- **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
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …is seeking a highly motivated individual for a full-time on-site opportunity as Medical Director of Clinical Chemistry and Point-of-Care Testing. This ... complexity laboratories. This individual will work collaboratively with an Associate Medical Director of Clinical Chemistry as part of a dynamic leadership team.… more
- Humana (St. Paul, MN)
- **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 (St. Paul, MN)
- …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 (St. Paul, MN)
- **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
- CSL Plasma (Minneapolis, MN)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . 12. Determines donor suitability following adverse reactions… more
- COH Holdings (St. Paul, MN)
- Hospice Medical Director - Minnesota/Wisconsin Summary Olive Grove Hospice is seeking an experienced and flexible Hospice Alternate Medical Director . As ... the medical component of the hospice program in the absence of the Medical Director . When engaged, you will serve as a medical resource to the… more
- CVS Health (St. Paul, MN)
- …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 (St. Paul, MN)
- …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
- Fairview Health Services (Burnsville, MN)
- **Overview** **M Health Fairview** seeks a Medical Director - Fairview Health Medical Group (FHMG) for the Obstetrics and Gynecology Specialty Practices. The ... Medical Director responsibilities will be at a .25 FTE. The clinical portion of the role will be a .75 FTE practicing with our M Health Fairview Clinic -… more
- Elevance Health (Mendota Heights, MN)
- **Clinical Ops Associate Medical Director ** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... analytics to improve the delivery of care. The **Clinical Ops Associate Medical Director ** is responsible for supporting the medical management staff… more
- Humana (St. Paul, MN)
- …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
- AccentCare, Inc. (St. Paul, MN)
- Overview Why You'll Love Being a Team Physician Associate Medical Director at AccentCare We are AccentCare Medical Group - A family of Physicians and Nurse ... on Years of Experience What You Need to Know Team Physician - Associate Medical Director Responsibilities The Team Physician - Associate Medical Director … more
- AccentCare, Inc. (St. Paul, MN)
- Overview Find Your Passion and Purpose as a Hospice Medical Director Reimagine Your Career in Hospice As a medical professional, you know that what you do ... for your first AccentCare-branded scrubs for patient-facing employees Qualifications Hospice Medical Director Qualifications: Maintains an active license and DEA… more
- Takeda Pharmaceuticals (St. Paul, MN)
- …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
- ThermoFisher Scientific (Minneapolis, MN)
- …Schedule** Standard (Mon-Fri) **Environmental Conditions** Office **Job Description** ** Medical Director , Transplant Diagnostics** **Position Summary:** ... Transplant Diagnostics has an excellent opportunity for a Medical Director to lead our Medical Affairs function. This includes all aspects of clinical… more
- Evolent (St. Paul, MN)
- …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 (Mendota Heights, MN)
- **Clinical Ops Associate Medical Director - Ortho** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health ... to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and providing quality… more