- Humana (Washington, DC)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex ... caring community and help us put health first** The Medical Director actively uses their medical...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more
- MetroHealth (Cleveland, OH)
- …programs that support reduced recidivism, and provide pharmacy licensure and medication practice review . The Medical Director will work collaboratively with ... and more than 20 health centers.** **The MetroHealth System is seeking a Medical Director to lead the provider team and clinical direction of the Cuyahoga County… more
- Humana (Topeka, KS)
- …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 scope and complexity...and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation… more
- Koniag Government Services (Dock Junction, GA)
- …+ Monitor appropriate levels of care for clinic patients + Meet regularly with Medical Director to review policies, procedures, and outcomes **Supervision:** ... Practical Nurses, and Medical Assistants + Collaborate with the Medical Director and clinical leadership team + Assist with orientation of new clinical… more
- HCA Healthcare (Manchester, NH)
- …and personal growth, we encourage you to apply for our Director Medical Staff Services opening. We promptly review all applications. Highly qualified ... We care like family! Jump-start your career as a Director Medical Staff Services today with Catholic...reviews. Complete a summary of FPPE, OPPE, and peer review results for evaluation by medical staff… more
- HCA Healthcare (San Antonio, TX)
- …personal growth, we encourage you to apply for our Director of Medical Surgical opening. We promptly review all applications. Highly qualified candidates ... incentive eligible. **Introduction** Do you have the career opportunities as a(an) Director of Medical Surgical you want with your current employer? We have an… more
- LA Care Health Plan (Los Angeles, CA)
- …within required turnaround times specific to the case type. Identifies requests needing medical director review or input and presents for second ... Works with UM leadership, including the Utilization Management Medical Director , on requests where determination requires extended review . Collaborates with… more
- Health Advocates Network (Albany, NY)
- …Reviewer Quality Assurance assignments and assisting with package reports for submission to Medical Director for review + Participating in administrative ... personnel, and fiscal services. **PREFERRED QUALIFICATIONS:** - Experience with the medical conduct process. - Experience with the Statewide Financial System (SFS).… more
- Datrose (Albany, NY)
- …Reviewer Quality Assurance assignments and assisting with package reports for submission to Medical Director for review Participating in administrative unit ... Law requests, including researching and drafting responses for OPMC Director approval, and tracking assignments Coordinating Executive Correspondence for OPMC… more
- Knowledge Builders Inc. (Albany, NY)
- …Reviewer Quality Assurance assignments and assisting with package reports for submission to Medical Director for review . - Participating in administrative ... personnel, and fiscal services. PREFERRED QUALIFICATIONS: - Experience with the medical conduct process. - Experience with the Statewide Financial System (SFS).… more