- CVS Health (Austin, TX)
- …can be located anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for providing ... focused medical care with a focus on clinical and payment policy . This Medical Director provides subject matter expertise to provide clinical support and… more
- CVS Health (Austin, TX)
- …In the Medical Director role you will collaboratively implement medical policy . You'll participate in the development, implementation, and evaluation of ... clinical/ medical programs and promote Aetna's medical management programs and the Employer's (Plan Sponsor's) resources to address member needs across the… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- …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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- …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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **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...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Humana (Austin, TX)
- …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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Molina Healthcare (Austin, TX)
- …care team (ICT) activities. * Recruits, hires, trains, mentors and develops medical director staff as needed. * Ensures that authorization decisions ... including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management… more
- Sumitomo Pharma (Austin, TX)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Medical Director , Clinical Development - Oncology** . The medical ... of the overall product development plan, based on strong medical and scientific principles, knowledge of compliance and regulatory...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Danaher Corporation (Austin, TX)
- …System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Director , Regional Medical Affairs is our ... local markets to understand guidelines, standards of care, healthcare policy , and any regional medical practice differences. This position reports to the Chief … more
- Molina Healthcare (Austin, TX)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review, medical policy /procedure development, provider contracting experience. * Experience… more
- Sumitomo Pharma (Austin, TX)
- …dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Highmark Health (Austin, TX)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- HCA Healthcare (Austin, TX)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Director of Nursing Throughput with St. David's South Austin Medical ... is devoted to giving! **Benefits** St. David's South Austin Medical Center, offers a total rewards package that supports...vary by location._** Come join our team as a(an) Director of Nursing Throughput. We care for our communities… more
- Sumitomo Pharma (Austin, TX)
- …or follow us on LinkedIn. **Job Overview** The **Senior Director , Commercial Learning & Development (CL&D)** reports to the Executive ... Director of CL&D and is accountable for leading SMPA...short incentive plan participation, eligibility for our 401(k) plan, medical , dental, vision, life and disability insurances and leaves… more