- Highmark Health (Denver, CO)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Humana (Denver, CO)
- …reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical ... 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… more
- Humana (Denver, CO)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Evolent (Denver, CO)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- HCA Healthcare (Englewood, CO)
- …is hired below midpoint of the range. **Job Summary and Qualifications** The Director of Graduate Medical Education is responsible for maintaining oversight of ... the administrative operations and maintain appropriate oversight and daily management of all medical education programs, which...of colleagues. Do you want to work as a(an) Director of Graduate Medical Education where your… more
- Humana (Denver, CO)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **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 … more
- University of Colorado (Aurora, CO)
- **Blood Bank/Transfusion Medicine Associate Medical Director (Open Rank- Assistant, Associate, Professor)** **Description** **University of Colorado Anschutz ... Campus** **Department of Pathology** **Blood Bank/Transfusion Medicine Associate Medical Director ** **(** **Open Rank- Assistant, Associate, Professor**… more
- University of Colorado (Aurora, CO)
- **Ambulatory Associate Medical Director ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Psychiatry** **Job Title:** ... **Ambulatory Associate Medical Director ** **Position #00829062 - Requisition #35593** **Job Summary:** **Key Responsibilities:** **Examples of Work Performed** +… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- University of Colorado (Aurora, CO)
- …and financial responsibility for the 16-bed (PICU). The Medical Director 's scope of responsibility will include practice management , operational efficiency, ... **Open Rank-Instructor-Professor of Clinical Practice Medical Director , CHCO Colorado Springs Pediatric Intensive Care Unit** **Description** **University of… more
- University of Colorado (Aurora, CO)
- ** Medical Director for the Heart Institute Quality and Patient Safety** **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Pediatrics - Cardiology** **Job Title:** ** Medical Director for the Heart Institute Quality and Patient Safety** **Position #:** **00660708 - Requisition… more
- Humana (Denver, CO)
- …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 ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
- Evolent (Denver, CO)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
- Evolent (Denver, CO)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Intermountain Health (Wheat Ridge, CO)
- **Job Description:** Scope: The Medical Director of Minimally Invasive Gynecologic Surgery at (Acute Care Facility) serves as a physician leader for the care ... and works collaboratively in partnership with operational, nursing, and clinical leadership. The Medical Director will report to the respective Medical … more
- Otsuka America Pharmaceutical Inc. (Denver, CO)
- As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of ... capabilities aligned with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead… more
- Humana (Denver, CO)
- **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...or clinical group practice management + Utilization management experience in a medical management… more
- Evolent (Denver, CO)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS- Required ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Parexel (Denver, CO)
- …we are expanding our esteemed Medical Sciences Team and seeking an Associate/ Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with...protocol Note that this does not include any direct medical advice on patient care or management … more
- Otsuka America Pharmaceutical Inc. (Denver, CO)
- …functional lead for publication operations within the Nephrology & Immunology Medical Communications team, the Director partners closely with cross-functional ... across the portfolio. The position reports to the Senior Director , Nephrology & Immunology Medical Communications Lead...ensuring consistency across core content, field materials, and other medical channels **Vendor & Budget Management ** +… more