- Humana (Des Moines, IA)
- **Become a part of our caring community and help us put health first** 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 (Des Moines, IA)
- …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 (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 ... 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 (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 ... 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 (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 ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Highmark Health (Des Moines, IA)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- CVS Health (Des Moines, IA)
- …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 Health (Des Moines, IA)
- …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
- 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 scope and complexity ranging from moderate to substantial. The Corporate … more
- Takeda Pharmaceuticals (Des Moines, IA)
- …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
- ThermoFisher Scientific (Johnston, IA)
- …is seeking a highly motivated and experienced individual to join our team as Global Medical Director , Allergy on the Medical and Scientific Affairs (MSA) ... developing a global strategy to drive growth within the medical domain of allergy. You will play a crucial...frequent trips to Uppsala, Sweden. **What will you do?** ** Medical , Scientific and Clinical Strategy** + Develop a comprehensive… more
- Merck (Des Moines, IA)
- …in the assigned territory (Boston area). **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 (Des Moines, IA)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** The Health Systems Oncology Medical Affairs Director (HSO MAD) is a therapeutic and disease expert who develops ongoing professional… more
- Merck (Des Moines, IA)
- **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 (Des Moines, IA)
- **Job Description** The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical affairs plans for their ... At least 3 years regional medical affairs experience (eg, Regional Director Medical Affairs) with proven track record of contribution to medical affairs… more
- Merck (Des Moines, IA)
- **Job Description** **Role Summary:** The Regional Director Medical Affairs (RDMA) is responsible for driving execution of scientific & medical affairs plans ... or regional hub) in Our Company Research Laboratories Global Medical and Scientific Affairs (Research Division GMSA). **Responsibilities and...Division GMSA staff to execute the annual scientific & medical plan for their assigned TA + Chairs the… more
- 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
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take ... health care that improves their health and well-being. The Medical Directory (Home Based Primary Care) serves as the...by the HBPC team. Collaborating with the HBPC Program Director to: Provider leadership to the HBPC program, including,… more
- Highmark Health (Des Moines, IA)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …exceptional health care that improves their health and well-being. The Specialty Care Medical Director has oversight of the following services: Acute Inpatient ... Chief of Staff -Specialty Care (ACOS-SC) Integrated Clinical Community Director position located in Des Moines, IA. The incumbent...Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that… more