- AccentCare, Inc. (Norwood, MA)
- Overview Why You'll Love Being the Northeast Regional Medical Director at AccentCare Do you take great pride in achieving the best possible outcomes for ... about providing exceptional care? Join the AccentCare team today as the Regional Medical Director for our New England sites. As the Regional Medical … more
- Humana (Providence, RI)
- …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 (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 (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 (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 (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 (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
- Elevance Health (Smithfield, RI)
- …candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. ** Medical Director ** The ** Medical Director ** will be responsible ... cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. **How will… more
- 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
- CVS Health (Boston, MA)
- …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 (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
- Brockton Hospital (Abington, MA)
- …a difference in the lives and health of our patients. Position Summary: The medical director for Signature Addiction Medicine (SAM) service leads the development ... of the SUD program, including the hospital-based Addiction Consult Service. The medical director ensures optimal function of all facets of the program across all… more
- Elevance Health (Smithfield, RI)
- **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
- Chiesi (Boston, MA)
- Associate Medical Director , Hematology and Immunology Date: Dec 16, 2024 Department: GRD Global Medical Affairs Job Type: Direct Employee Team: Mktg, Market ... Type: Permanent Location: Boston, MA, US **Purpose** The position of Associate Medical Director reports to the Head of Medical Affairs Hematology- Immunology… more
- ICON Clinical Research (Boston, MA)
- Medical Director (Endocrinology), Blue Bell, PA, Home-Based ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud ... to shape the future of clinical development. We are currently seeking a ** Medical Director (Endocrinology)** to join our diverse and dynamic team. As a … more
- 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
- Takeda Pharmaceuticals (Providence, RI)
- …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
- Rhythm Pharmaceuticals (Boston, MA)
- …to adapt, learn, and our tenacity to overcome barriers, together. Opportunity Overview As Medical Director in North America Medical Affairs, you will be ... the North America Medical team, reporting to the Senior Medical Director , North America, you will be accountable for advancing Rhythm's scientific leadership… more
- Takeda Pharmaceuticals (Boston, MA)
- …company that will inspire you and empower you to shine? Join us as a Medical Director in our Neuroscience Therapeutic Area Unit in our Cambridge, MA office. ... to our inspiring, bold mission **POSITION OBJECTIVES** : The Medical Director leads and drives strategy for the overall global clinical development… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …with a passion for medical education for a full time position as Medical Director at our Jamaica Plain location in Boston, Massachusetts. This full-time ... access to multiple specialties, radiology, laboratory services and Urgent Care. The Medical Director is responsible for ensuring that excellent, high quality… more