- Grifols Shared Services North America, Inc (Modesto, CA)
- …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. The...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
- HCA Healthcare (San Jose, CA)
- …typical candidate is hired below midpoint of the range. **Introduction** We are seeking a Director of Medical Staff Services with Good Samaritan Hospital to ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...benefits may vary by location._** We are seeking a Director of Medical Staff Services … more
- Evolent (Sacramento, CA)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...management, etc. + Plans, organizes, and directs the professional medical services program, consisting of all primary… more
- Humana (Sacramento, CA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Sacramento, CA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Wellpath (Sonora, CA)
- …that required documentation of services is provided to the Regional or Corporate Medical Director or designee to monitor services and compliance with ... benefits varies based on employee type and length of service . **Why Us** **Now is your moment to make...will be responsible for notifying the Regional or Corporate Medical Director and Health Services … more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to make determinations whether requested services , requested level of care, and/or...knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of… more
- Humana (Sacramento, CA)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on medical ...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...medical interpretation and decisions regarding the appropriateness and medical necessity of services provided by other… more
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