- Humana (Lansing, MI)
- …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... medical necessity of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex… more
- Humana (Lansing, MI)
- **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 (Lansing, MI)
- …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 (Lansing, MI)
- **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 (Lansing, MI)
- …our caring community and help us put health first** The Behavioral Health Medical Director 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 in-depth… more
- CSL Plasma (Grand Blanc, MI)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . 12 Determines donor suitability following adverse reactions… more
- Evolent (Lansing, MI)
- …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 (Lansing, MI)
- …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 (Lansing, MI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Genetic Testing 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
- Evolent (Lansing, MI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you ... change beyond the bedside? Evolent Health is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance… more
- Pfizer (Lansing, MI)
- **ROLE SUMMARY** The Specialty Care Field Medical , Director is responsible for providing therapeutic area/product expertise for the designated therapeutic area ... across a broad range of external medical stakeholders ("EMS") and initiatives in an assigned territory...US states). **ROLE RESPONSIBILITIES** + Plan and execute independent Medical strategies and engagements for appropriate assigned external … more
- Merck (Lansing, MI)
- **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
- Merck (Lansing, MI)
- **Job Description** The Hematology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, or PharmD) therapeutic and disease expert who ... engages in scientific exchange with leaders in the external medical and scientific community. Scientific exchange does not include promotional claims about any drug,… more
- Sumitomo Pharma (Lansing, MI)
- …. **Job Overview** The **Associate Director , Medical Strateg** **y ... **Hematology/Oncology** **)** will be a key member of the Medical Affairs team reporting to the Executive Director... Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. In this role,… more
- Sumitomo Pharma (Lansing, MI)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. The job is responsible… more
- Merck (Lansing, MI)
- **Job Description** The Executive Director (ED) for Field Medical Affairs in the US understands our Company's corporate and products/portfolio strategies and ... provides strategic and tactical direction to the field Regional Medical Scientific Director (RMSD) is accountable for ensuring field teams execute on Integrated… more
- Highmark Health (Lansing, MI)
- …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
- Travelers Insurance Company (Lansing, MI)
- …**What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical ... for Travelers: Develop strategies and direction to advance Travelers medical capabilities to keep Travelers at the leading edge...at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to… more
- Highmark Health (Lansing, MI)
- …as assigned or requested. . **Q** **UALIFICATIONS:** **Required** + Doctorate degree in Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree. + 10 years ... of extensive experience in medication safety and clinical pharmacology. **Preferred** + None **SKILLS:** + Strong leadership, communication, and interpersonal skills. + Ability to work independently and as part of a team. + Excellent organizational and time… more
- Intermountain Health (Lansing, MI)
- …on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health ... ongoing support and coordination; being a liaison between the Medical Staff, Medical Directors, and Administration. The...Normal Business Hours** . **Fully Remote.** **Scope** As a Medical Staff Coordinator, you need to know how to:… more