• Medical Director - Florida

    Humana (Providence, RI)
    **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 (12/14/24)
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  • Medical Director - National Medicare…

    Humana (Providence, RI)
    …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 (11/08/24)
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  • Medical Director - South Central

    Humana (Providence, RI)
    **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 (11/08/24)
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  • Medical Director - Mid West Region

    Humana (Providence, RI)
    **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
    Humana (10/29/24)
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  • Contract Center Medical Director

    CSL Plasma (Warwick, RI)
    …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
    CSL Plasma (01/13/25)
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  • Field Medical Director , Cardiology

    Evolent (Providence, RI)
    …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 (11/15/24)
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  • Medical Director , Oncologist

    South County Hospital (Wakefield, RI)
    South County Hospital is seeking a Medical Director for its Division of Hematology and Oncology. The Medical Director is responsible for the overall ... and patient experience for all patients cared for within the Department. The Medical Director will work in partnership with the system CMO to recruit and retain… more
    South County Hospital (12/14/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Providence, RI)
    …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
    Humana (01/07/25)
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  • Medical Director

    Family Service Association - Fall River (Fall River, MA)
    We are searching for a Medical Director who can provide guidance, leadership, oversight, and quality assurance to the LTSS Community Partners program in a very ... and Responsibilities : + Collaborate with the Vice President of Care Coordination, Director of Care Coordination, Director and, Clinical Directors of LTSS… more
    Family Service Association - Fall River (11/13/24)
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  • Field Medical Director -Pulmonology

    Evolent (Providence, RI)
    …Evolent 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
    Evolent (12/09/24)
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  • Medical Director - Medicare Appeals

    CVS Health (Providence, RI)
    …a remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: * Direct daily work on ... System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state... License (MD) or (DO) * An Active state medical license without encumbrances * Board Certified in ABMS… more
    CVS Health (10/31/24)
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  • Oncology Regional Medical Scientific…

    Merck (Providence, RI)
    **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 (01/09/25)
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  • Oncology Regional Medical Scientific…

    Merck (Providence, RI)
    …This person _must_ reside in the territory. **Role Summary** + The Oncology Regional Medical Scientific Director - Head & Neck Cancers/Melanoma is a credentialed ... questions about company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
    Merck (12/24/24)
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  • Regional Medical Scientific Director

    Merck (Providence, RI)
    **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory ... our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director ( Medical Science Liaison) is a credentialed (ie,… more
    Merck (11/13/24)
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  • Director , Medical Oncology - East…

    Hartford HealthCare (Norwich, CT)
    …seeks a Medical Oncologist with demonstrated leadership experience to serve as Medical Director and lead the Cancer Institute's programs in our East Region. ... * Director , Medical Oncology - East Region* Hartford HealthCare (HHC), the most comprehensive integrated healthcare system in Connecticut,… more
    Hartford HealthCare (01/07/25)
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  • Oncology Regional Medical Scientific…

    Merck (Providence, RI)
    …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...patient care by engaging in scientific exchange with external medical experts and industry leaders ensuring the scientific value… more
    Merck (01/10/25)
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  • HIV Virology Regional Medical Scientific…

    Merck (Providence, RI)
    **Job Description** **Role Summary** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease ... expert who engages in bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
    Merck (12/20/24)
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  • Oncology Regional Medical Scientific…

    Merck (Providence, RI)
    **Job Description** **Role Summary** + The Oncology Regional Medical Scientific Director (Associate RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) ... expert who engages in bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
    Merck (01/10/25)
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  • Director , Medical Affairs Strategy…

    Sumitomo Pharma (Providence, RI)
    …website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The Director , Medical Affairs Strategy (Hematology/Oncology) will be a key ... member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. In this role, individuals are responsible for Medical more
    Sumitomo Pharma (11/27/24)
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  • Senior Director , Medical Affairs…

    Sumitomo Pharma (Providence, RI)
    …. **Job Overview** The Sr. Director , Medical Strategy (Rare ... Disease) will be a key member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. The job is responsible for strategic… more
    Sumitomo Pharma (11/21/24)
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