- Humana (Providence, RI)
- …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 (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
- Hartford HealthCare (Mansfield Center, CT)
- *_Associate Medical Director - Inpatient Services, Natchaug Hospital - Mansfield, CT_* Work where every moment matters. Every day, almost 30,000 Hartford ... part of Connecticut's most comprehensive healthcare network. *_Job Description_* The Associate Medical Director of Psychiatric Services at Natchaug Hospital is… 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)
- **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...requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical… more
- Generations Family Health Center (Putnam, CT)
- Behavioral Health Medical Director / Psychiatrist Job Details Level Management Job Location GEN Putnam - Putnam, CT Remote Type N/A Position Type Full Time ... Undisclosed Job Shift Day Job Category Health Care Description Behavioral Health Medical Director / Psychiatrist (MD/DO) Location: Putnam & Willimantic, CT… 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
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …in helping people live healthier lives. Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director will provide leadership and ... all aspects of Kennedy Community Health's Milford MA primary care clinic. The Medical Director will spend part of their time overseeing the Provider staff as… more
- Humana (Providence, RI)
- …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
- Open Sky Community Services (Worcester, MA)
- …seeking an experienced and innovative clinical leader to join our leadership team as the Medical Director and make a profound impact on the clinical care we ... provide to the individuals and families we serve. The Medical Director leads the design and implementation of all medical practices within the organization,… 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
- Evolent (Providence, RI)
- …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
- Generations Family Health Center (Willimantic, CT)
- Medical Director / Physician Job Details Level Experienced Job Location GEN Willimantic - Willimantic, CT Remote Type N/A Position Type Full Time Education Level ... Percentage Undisclosed Job Shift Day Job Category Health Care Description Medical Director / Physician Family or Internal Medicine (MD/DO) Location: Willimantic,… 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 and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
- Evolent (Providence, RI)
- …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 (Providence, RI)
- …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
- CVS Health (Providence, RI)
- …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily ... 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
- VCA Animal Hospitals (Uxbridge, MA)
- Join us as a Medical Director at VCA Blackstone Valley and you'll quickly discover that you're well supported by world-class medicine, technology, facilities and ... offer competitive compensation along with a comprehensive benefits package, including medical , dental, vision and paid vacation/sick days, 401(k), generous employee… more
- 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 (Providence, RI)
- **Job Description** The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... scientific exchange with leaders in the external medical and scientific community. RMSDs provide to Scientific Leaders...with national and regional SLs to ensure access to medical and scientific information on areas of therapeutic interest… more