• Associate Medical Director - Dallas

    CenterWell (Arlington, TX)
    …a part of 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 patient care and alignment with Value-Based Care (VBC) principles. This… more
    CenterWell (07/18/25)
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  • Market Case Management Director

    Ascension Health (Austin, TX)
    …M-F Days + **Location:** Ascension Seton Administrative Offices The Regional Case Management Director has the overall responsibility for managing and ... coordinating case management department activities. The Director ensures staff...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    Ascension Health (08/08/25)
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  • Medical Director (South Central…

    CVS Health (Austin, TX)
    …timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality assurance ... or willing to obtain a Texas License. In the Medical Director role you will provide oversight...clinical / medical programs and expand Aetna's medical management programs to address member needs… more
    CVS Health (07/18/25)
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  • Director , Practice Management

    Community Health Systems (Longview, TX)
    **Job Summary** The Director , Practice Management is responsible for the operational, financial, and clinical oversight of physician practices within the ... marketing efforts, and public relations. **Licenses and Certifications** + Certification in Medical Group Management (CMPE) or Fellow of the American College… more
    Community Health Systems (07/24/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Austin, TX)
    … will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical more
    CVS Health (08/08/25)
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  • Regional Field Director , RNS Program…

    United Therapeutics (Austin, TX)
    …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
    United Therapeutics (08/10/25)
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  • Medical Director - Medicare…

    Humana (Austin, TX)
    …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with ... 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… more
    Humana (08/08/25)
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  • Associate Medical Director

    Elevance Health (Grand Prairie, TX)
    …Associate Medical Director ** **Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: 10:00-7:00 ... for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the... Director ** is responsible for supporting the medical management staff ensuring timely and consistent… more
    Elevance Health (08/08/25)
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  • Medical Director - Spine

    CVS Health (Austin, TX)
    …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides… more
    CVS Health (08/08/25)
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  • Associate Medical Director

    Evolent (Austin, TX)
    …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a **Cardiologist** to shape… more
    Evolent (06/03/25)
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