- Humana (Madison, WI)
- …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
- Marshfield Clinic (Eau Claire, WI)
- …most exciting missions in the world!** **Job Title:** Assistant Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations ... **Time Type:** Part time **Job Description:** **POSITION TITLE:** Assistant Service Line Medical Director for Hematology/Oncology **REPORTS TO:** Service Line … more
- Humana (Madison, WI)
- **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
- Conviva (Madison, WI)
- **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
- Wellpath (Franklin, WI)
- …training, education, and point of care support. **How you make a difference** As a Medical Director , you will be responsible for providing medical oversight ... documentation of services is provided to the Regional or Corporate Medical Director or designee to monitor services and compliance with facility/client contract.… more
- Humana (Madison, WI)
- **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 (Madison, WI)
- …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 (Madison, WI)
- **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
- CSL Plasma (Milwaukee, WI)
- …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 . + Determines donor suitability following adverse reactions in… more
- COH Holdings (Hudson, WI)
- Hospice Medical Director - Minnesota/Wisconsin Summary Olive Grove Hospice is seeking an experienced and flexible Hospice Alternate Medical Director . As ... the medical component of the hospice program in the absence of the Medical Director . When engaged, you will serve as a medical resource to the… more
- CVS Health (Madison, WI)
- …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 (Madison, WI)
- …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 (Appleton, WI)
- …to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** for **two of our Northeast Wisconsin hospitals (Fox Valley and ... Green Bay)** . The Medical Director will partner with hospital leaders and the regional leadership team to create a sense of community across the market while… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Physician - Service Line Medical Director Occupational Medicine **Cost Center:** 101651093 Employee Health ... a Board Certified Occupational Medicine Physician to serve as Service Line Medical Director - Occupational Health and Employee Health and Safety. This position… more
- Elevance Health (Waukesha, WI)
- **Clinical Operations Associate Medical Director ** **Interventional Pain** **Carelon Medical Benefits Management** **Location:** Alternate locations may be ... of one of our Elevance Health PulsePoint locations. The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical … more
- Elevance Health (Waukesha, WI)
- **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
- Humana (Madison, WI)
- …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
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Medical Director - SHP **Cost Center:** 682891386 SHP- Medical Director ... States of America) **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Medical Director will be a licensed physician who reports to the Chief … more
- Molina Healthcare (Milwaukee, WI)
- …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
- Takeda Pharmaceuticals (Madison, WI)
- …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