- Humana (Sacramento, CA)
- **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...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc. $223,800 - $313,100 per year This… more
- Humana (Sacramento, CA)
- **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 ... reviewing home health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether… more
- Merck (Sacramento, CA)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Wellpath (Woodland, CA)
- … education , and point of care support. **How you make a difference** As a Medical Director , you will be responsible for providing medical oversight and ... of services is provided to the Regional or Corporate Medical Director or designee to monitor services...- totaling 36+ hours per week. **Qualifications & Requirements** Education + Medical school graduate. Experience +… more
- CSL Plasma (Fairfield, CA)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... are given. Submits monthly report to Divisional (or Corporate) Medical Director . + Determines donor suitability following...additional services as and when requested by the company. ** Education ** + MD or DO degree from an accredited… more
- Elevance Health (Walnut Creek, CA)
- **Plan Performance Medical Director - Washington Medicaid** **Location:** This role enables associates to work virtually full-time, with the exception of required ... PST. Weekend rotation: once a month.** The **Plan Performance Medical Director ** is responsible for serving as...10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.… more
- The County of Los Angeles (Los Angeles, CA)
- …summarizes their education , training, and relevant experience for the Chief Medical Director (Senior Physician) position. The CV should clearly highlight ... CHIEF MEDICAL DIRECTOR (SENIOR PHYSICIAN) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4859049) Apply CHIEF MEDICAL DIRECTOR … more
- CVS Health (Sacramento, CA)
- …be based anywhere in the United States.** ** The Behavioral Health (BH) Medical Director (Special Investigations Unit) will be responsible for performing reviews ... approved by Legal. The expectation is that the BH Medical Director will have a high level...business analytic building process. - Child and Adolescent Psychiatrist ** Education ** - Active and current state medical … more
- CVS Health (Sacramento, CA)
- …and more compassionate. And we do it all with heart, each and every day. Medical Director - SIU (Special Investigations Unit) CVS Health - Special Investigations ... safeguard healthcare integrity and protect patient well-being. As the Medical Director of Healthcare Fraud Investigations, you'll...or related field + Board Certification in Emergency Medicine Education : + Active and current state medical … more
- CVS Health (Sacramento, CA)
- …(work from home) role preferably resides in Pacific or Mountain Time Zone. In the Medical Director role you will provide oversight for medical policy ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...Certification in Internal Medicine, Family Medicine, Surgery Specialty Preferred. ** Education :** MD or DO **Pay Range** The typical pay… more