- Humana (Austin, TX)
- …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 (Austin, TX)
- **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
- Ascension Health (Austin, TX)
- …50% administrative + **Practice Detail** : Ascension Texas has an immediate opening for a Medical Director of Population Health who will serve as a member of the ... **Responsibilities** We are seeking to recruit a full time, practicing Medical Director of Population Health to serve as a part-time practicing primary… more
- Humana (Austin, TX)
- …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 (Austin, TX)
- **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
- Texas Health Action (Austin, TX)
- …accessibility throughout the state. Read more about THA here: http://texashealthaction.org. This Medical Director position is a Contract position and is eligible ... for Relocation Assistance. Our Medical Director will provide leadership in providing preventive healthcare in a safe and supportive environment, with an interest… more
- Humana (Austin, TX)
- **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
- CVS Health (Austin, TX)
- …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 (Austin, TX)
- …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
- BluePearl (Austin, TX)
- …Help us build this new multi-disciplinary hospital opening in 2025!** **Join us as Medical Director , where you will have a meaningful and lasting impact on ... to lead our team of emergency and specialty clinicians in the role of** ** Medical Director ** . As Medical Director you will partner in leadership… more
- Humana (Austin, TX)
- …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
- Molina Healthcare (Austin, TX)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Evolent (Austin, TX)
- …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
- CVS Health (Austin, TX)
- …health care resources. **This is a remote based (work from home) role** In the Medical Director role you will provide oversight for medical policy ... implementation. You'll participate in the development, implementation, and evaluation of clinical/ medical programs and expand Aetna's medical management programs… more
- CVS Health (Austin, TX)
- …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
- Merck (Austin, TX)
- **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 (Austin, TX)
- …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 (Austin, TX)
- **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 (Austin, TX)
- …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 (Austin, TX)
- **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