- CVS Health (Santa Fe, NM)
- …**Position Summary** CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
- Genesis Healthcare (Santa Fe, NM)
- …or on call)! We are seeking a part-time (16-24 hours per week) Attending Physician/ Medical Director for our Casa Real Center located in Albuquerque, NM, with ... potential float to nearby centers. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family… more
- Humana (Santa Fe, NM)
- **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 (Santa Fe, NM)
- **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...an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical… more
- Humana (Santa Fe, NM)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
- Humana (Santa Fe, NM)
- **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 (Santa Fe, NM)
- **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
- Highmark Health (Santa Fe, NM)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director reviews cases of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical … more
- Genesis Healthcare (Santa Fe, NM)
- …or on call)! We are seeking a full-time (40 hours per week) Attending Physician/ Medical Director for split position between our Casa Real Center, located in ... is $250000 - $300000 / year. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family… more
- CVS Health (Santa Fe, NM)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... role can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty,… more
- CVS Health (Santa Fe, NM)
- …preferably resides in North Carolina and have a NC License without encumbrances.** In the Medical Director role you will provide oversight for medical policy ... implementation. You'll participate in the development, implementation, and evaluation of clinical/ medical programs and expand Aetna's medical management programs… more
- CVS Health (Santa Fe, NM)
- …**This is a remote based (work from home) role.** In this role has Medical Director (Behavioral Health) you will: * Provide comprehensive behavioral health care ... utilization management team, including the management of high-risk cases and medical necessity decisions * Participate in the development, implementation, and… more
- Bausch + Lomb (Santa Fe, NM)
- …and clinical expert to field medical teams, brand teams and R&D partners. The Medical Director reports directly to the Executive Director , Medical & ... advancement of eye health in the future. **Position** **Summary** The Medical Affairs Director provides support to the Medical Affairs/Clinical Affairs Group… more
- Merck (Santa Fe, NM)
- **Job Description** **Role Summary:** + The Field Medical Alignment Director (FMAD) supports the achievement of our scientific and medical strategies across ... the portfolio of Company Products, serving as part of the Country Field Medical Affairs Leadership Team. + Key responsibilities include working on the continuous… more
- Merck (Santa Fe, NM)
- **Job Description** **Role Summary:** + The Global Senior Director Medical Affairs (GDMA), Oncology is responsible for driving execution of scientific & ... At least 3 years regional medical affairs experience (eg, Regional Director Medical Affairs) with proven track record of contribution to medical affairs… more
- Merck (Santa Fe, NM)
- **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that guides TA scientific… more
- CenterWell (Santa Fe, NM)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Santa Fe, NM)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Evolent Health (Santa Fe, NM)
- …objectives **Qualifications - Required** + 5-9 years of experience in a consulting, medical economics, or strategic analytics role + BS or BA in Business, ... Statistics, Economics, Computer Science, or equivalent years of experience with a quantitative emphasis + Experience using a variety of data visualizations and PowerPoint to deliver business insights clearly and succinctly + Strong analytical abilities, with a… more