- Humana (Sacramento, CA)
- …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...Current and ongoing Board Certification in an approved ABMS Medical Specialty + A current and unrestricted… more
- Elevance Health (Walnut Creek, CA)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefit Management** **Radiology Benefit Management** Surgery (Including: General, ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the...necessity determinations for grievance and appeals appropriate for their specialty . + Ensures consistent use of medical … more
- Elevance Health (Los Angeles, CA)
- **Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management** **Virtual** : This role enables associates to work ... of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical … more
- Evolent (Sacramento, CA)
- …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
- Evolent (Sacramento, CA)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- CVS Health (Sacramento, CA)
- …day. **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a ... anywhere in the United States. In this role as Medical Director MPO ( Medical Policy...*M.D. or DO, Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience **Preferred Qualifications**… more
- Alameda Health System (Hayward, CA)
- Site Medical Director - Hayward Wellness Center...care. HWC is known for offering individual and group medical visits. HWC also provides specialty care ... mission! We are currently recruiting for a Full Time Medical Director to join our team at...Maintains an active clinical practice in one of the specialty areas that the individual is overseeing. 7. Leads… more
- Evolent (Sacramento, CA)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Sacramento, CA)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... utilization management while working in conjunction with the Senior Medical Director . May assist the Senior ...+ Current, unrestricted clinical license in medicine or required specialty - **Required** + Obtaining and maintaining medical … 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more