• Medical Director - Medical

    CVS Health (Des Moines, IA)
    …4 company, has an outstanding opportunity for a Medical Director ( Medical Affairs). The Medical Affairs department provides clinical business support ... Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs....or the District of Columbia * Required annual Continuing Medical Education (CME) up to date and… more
    CVS Health (08/31/24)
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  • Medical Director - Florida

    Humana (Des Moines, IA)
    **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...or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as… more
    Humana (09/06/24)
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  • Behavioral Health Medical Director

    Humana (Des Moines, IA)
    …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...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc.$219,400 - $301,800 per yearThis job is… more
    Humana (08/07/24)
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  • Medical Director Aetna Duals Center…

    CVS Health (Des Moines, IA)
    …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located...least one state where we have an Integrated plan. ** Education ** MD (Doctor of Medicine) or DO (Doctor of… more
    CVS Health (09/13/24)
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  • Medical Director - South Central

    Humana (Des Moines, IA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (09/17/24)
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  • ED Medical Director

    Veterans Affairs, Veterans Health Administration (Des Moines, IA)
    …permanent ED Medicine Director position located in Des Moines, IA. The ED Medical Director will be responsible for the management and care provided ... health care that improves their health and well-being. The ED Medical Director will maintain...fee basis. Works collaboratively with VISN Emergency Department leaders to ensure VISN-wide ED policies,… more
    Veterans Affairs, Veterans Health Administration (08/27/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Des Moines, IA)
    …and monitoring to identify medical education needs in cooperation with the Executive Medical Director + Serve as a clinical champion in the community ... provided to the interdisciplinary team in cooperation with the Executive Medical Director + Evaluate...off + Other duties as assigned or requested. ​ ** EDUCATION ** + Doctorate, Medical Doctor or Doctor… more
    Highmark Health (06/25/24)
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  • Medical Director -Musculoskeletal…

    Evolent Health (Des Moines, IA)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department , you will be a key ... Customer, Clinical quality, and/or confirmation of process changes. + Holds Field Medical Director forums for education and question/issue resolution on a… more
    Evolent Health (09/10/24)
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  • Medical Director - Mid West Region

    Humana (Des Moines, IA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical more
    Humana (08/27/24)
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  • Medical Director - Acute Inpatient…

    Humana (Des Moines, IA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (08/27/24)
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  • Behavioral Health Medical Director

    CVS Health (Des Moines, IA)
    …the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider education regarding best clinical ... clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to… more
    CVS Health (08/31/24)
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  • Medical Director - Grievances…

    Humana (Des Moines, IA)
    …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...interaction, etc. + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, and General Surgery clinical specialists **Work at… more
    Humana (09/17/24)
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  • Behavioral Health Medical Director

    Humana (Des Moines, IA)
    …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...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc.$219,400 - $301,800 per yearThis job is… more
    Humana (09/20/24)
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  • Psychiatry- Field Medical Director

    Evolent Health (Des Moines, IA)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management team. ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...verbal, and written communication skills. + Consistently completes continuing education activities relevant to practice area and needed to… more
    Evolent Health (09/20/24)
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  • Medical Director - (Cardiology)

    CVS Health (Des Moines, IA)
    …**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 (08/31/24)
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  • Medical Director Case Management

    CVS Health (Des Moines, IA)
    …members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our ... behavioral and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals...and quality objectives are met. * Consults with plan medical staff regarding adverse determinations, addresses issues related to… more
    CVS Health (09/20/24)
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  • Medical Director (National Accounts)

    CVS Health (Des Moines, IA)
    …role and have a current state medical license without encumbrances.** In the Medical Director role you will provide oversight for medical policy ... patient care experience. **Preferred Qualifications** *Health plan/payor experience. *Electronic medical systems/record experience *Managed Care experience ** Education **… more
    CVS Health (09/20/24)
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  • Executive Director , Global…

    Merck (Des Moines, IA)
    **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...Value and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that… more
    Merck (08/27/24)
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  • Director of Quality Management

    Select Medical (Des Moines, IA)
    …Calendar + Receiving and reviewing quarterly quality improvement reports. + Assisting the Medical Director and Quality Program Director with development and ... **Overview** **Critical Illness Recovery Hospital** ** Director of Quality Management** At Select Specialty/Regency Hospitals, a division of Select Medical , we… more
    Select Medical (09/10/24)
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  • Associate Director , Clinical Coding…

    CenterWell (Des Moines, IA)
    …with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding ... Education , and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine… more
    CenterWell (08/27/24)
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