- Humana (Trenton, NJ)
- …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 (Trenton, NJ)
- **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 (Trenton, NJ)
- **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 (Trenton, NJ)
- …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 (Trenton, NJ)
- **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 (Trenton, NJ)
- **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
- Spectrum Health Services (Philadelphia, PA)
- …+ Nurse Practitioner + Three years minimum managerial experience + FQHC experience preferred Keyword: Senior Medical Director From: Spectrum Health Services, Inc ... Job Descriptions: Job Summary: The Senior Clinical Director under the direction of the Chief ... Director under the direction of the Chief Medical Officer and in collaboration with the Chief Operating… more
- University of Pennsylvania (Philadelphia, PA)
- …for the Department of Infection Prevention and Control as an Associate Medical Director . The department supports the Philadelphia campus hospital, newly ... and an expansive primary care and specialty care network. The Associate Medical Director collaborates with and supports the System Director of Infection… more
- University of Pennsylvania (Philadelphia, PA)
- …of health and wellness programs and resources, and much more. Posted Job Title Medical Director Job Profile Title Director F, Healthcare Job Description ... Summary The Medical Director will be responsible for overseeing clinical care, a...with a team of professionals across various disciplines. The Medical Director is a senior leader within… more
- CVS Health (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- BluePearl (Langhorne, PA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in ... and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance… more
- Publicis Groupe (Philadelphia, PA)
- …| Facebook: www.facebook.com/digitashealth| Twitter: www.twitter.com/digitas_health **Overview** The Associate Medical Director is a medical ... to be used in marketing to HCPs. In this capacity, the Associate Medical Director has oversight for the accuracy and relevance of content crafted for… more
- YesCare Corp (Philadelphia, PA)
- …regular physicians. Below is a list of your responsibilities as a **Site Medical Director with YesCare at the Philadelphia Industrial Correctional Center, ... to validate need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is ordered. + Utilizes… more
- Elevance Health (Wilmington, DE)
- **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
- BluePearl (Conshohocken, PA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . As Medical Director you will partner in ... offer a competitive salary and relocation assistance. Your primary responsibilities as Medical Director include **upholding medical quality standards**… more
- Humana (Trenton, NJ)
- …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
- Takeda Pharmaceuticals (Trenton, NJ)
- …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
- Evolent (Trenton, NJ)
- …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 (Wilmington, DE)
- **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