- Humana (Jackson, MS)
- **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 (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
- Humana (Jackson, MS)
- **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 (Jackson, MS)
- **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
- STG International (Tupelo, MS)
- THIS IS FOR A FUTURE OPENING STGi is currently seeking a Medical Director to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The general ... duty of the Medical Director is to provide oversight for the CBOC and comprehensive professional outpatient primary medical services to enrolled patients of… more
- Humana (Jackson, MS)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Evolent (Jackson, MS)
- …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
- Evolent (Jackson, MS)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Jackson, MS)
- …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 ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Valor Health (Natchez, MS)
- Clinic Medical Director MD/DO - VA Clinic - Residents Welcome Natchez, MS (http://maps.google.com/maps?q=105+Northgate+Road+Natchez+MS+USA+39120) * Clinical - ... to apply! * Recruitment incentive authorized * Relocation assistance available * Medical Director Title with stipend Benefits: Valor offers competitive benefits… more
- Humana (Jackson, MS)
- **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
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- The Medical Director , Rheumatology and/or Dermatology Medical Strategy is a critical role responsible for shaping the strategic processes and planning for ... ability to balance competing priorities. This position reports directly to the Senior Director , Immunology Lead, who in turn reports to the Executive Director ,… more
- Parexel (Jackson, MS)
- …Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to ... role can be based remo** t **ely in the US or Canada.** The Medical Director is a medical expert with specialized therapeutic expertise and some experience… more
- Evolent (Jackson, MS)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in… more
- Parexel (Jackson, MS)
- ** Medical Director - Gastroenterology Specialty** **Location:** Remote - United States / **Travel:** 15-20% **About This Opportunity** Parexel is seeking an ... exceptional ** Medical Director ** with specialized expertise in **Gastroenterology** to join our Medical Sciences team. This is an outstanding opportunity for… more
- Evolent (Jackson, MS)
- …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 ... a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Jackson, MS)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Sumitomo Pharma (Jackson, MS)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate** ** Medical Director , Clinical Development - Oncology** . The associate ... medical director is responsible for the leadership, development, and management...of the overall product development plan, based on strong medical and scientific principles, knowledge of compliance and regulatory… more
- Highmark Health (Jackson, MS)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical … more
- STG International (Holly Springs, MS)
- THIS IS FOR A FUTURE OPENING Physician/ Medical Director STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient ... Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs... services to enrolled patients of the Veterans Affairs Medical Center (VAMC) in accordance with the terms and… more