- Elevance Health (Grand Prairie, TX)
- ** Medical Director -Dermatology Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law. The ** Medical Director -Dermatology Appeals** is responsible for the...Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** +… more
- Elevance Health (Grand Prairie, TX)
- **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Friday. Half day Saturday rotation, once a month.** The **Behavioral Health Medical Director -Psychiatrist Appeals** is responsible for the administration of… 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...hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Molina Healthcare (Austin, TX)
- …3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice . + Current clinical knowledge. + ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director ,...corrective actions if needed. + Fosters Clinical Practice Guideline implementation and evidence-based medical … more
- CVS Health (TX)
- …First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement ... of medical management programs through participation in clinical team activities. The Medical Director...years of experience in Health Care Delivery System eg, Clinical Practice and Health Care Industry. *Active… more
- HCA Healthcare (Mcallen, TX)
- …promote, develop, and assist with fostering innovation and excellence in nursing practice throughout the organization. The Director is responsible for advancing ... organizational shared decision-making councils, unit practice councils, evidence-based practice , and nursing research. The Director for Nursing Excellence… more
- Baylor Scott & White Health (Mckinney, TX)
- …based on position type and/or level **Job Summary** Looking for an experienced medical director to lead our palliative care practice at Baylor Scott & White ... the hospital departments and leadership. The medical director will enjoy the well-established practice and...prevention and health maintenance. The Physician HTPN supervises the clinical activities of allied health and advanced practice… more
- Evolent (Austin, TX)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... within the regulatory timeframe of the request. + Utilizes medical / clinical review guidelines and parameters to assure...utilization management while working in conjunction with the Senior Medical Director . May assist the Senior … more
- CenterWell (Fort Worth, TX)
- …our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... combining clinical practice with leadership and operational management to ensure high-quality..., financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and… more
- CenterWell (Arlington, TX)
- …our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... combining clinical practice with leadership and operational management to ensure high-quality..., financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and… more