- CVS Health (Topeka, KS)
- …license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy implementation. + You will ... timely and consistent responses to members and providers. + As a Medical Director you will focus primarily on overseeing utilization review and quality assurance… more
- University of Maryland, Baltimore (Baltimore, MD)
- …administrator of the Radiology practice to provide high quality imaging services. The medical director would report to the chief of the Body radiology service and to ... the system Vice Chair for UM Community Radiology. They would act as a liaison...with time specifically allotted for administrative duties. The medical director would work with UMMC-MTC leadership in developing and… more
- CVS Health (Charleston, WV)
- …with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this ... the Southeast Region (FL, KY and LA). This Medical Director will be a "Work from Home" position primarily...Medicine, Emergency Medicine, Internal Medicine-Pediatrics Specialty Preferred. - Prior UM experience working at Health Plan / Insurer or… more
- University of Miami (Coral Gables, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Director , Faculty Affairs supports the Vice Provost for ... promotion and tenure, and leading process improvement initiatives for the OFA. The Director engages with the Vice Provost for Faculty Affairs, the Associate Provost… more
- Molina Healthcare (Ann Arbor, MI)
- …appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Molina Healthcare (Layton, UT)
- …appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Blue KC (MO)
- …assistance** **Employee discount program** **Job Description Summary:** The Lead Medical Director actively uses their clinical training, experience, and judgement to ... of care, and/or requested site of service should be authorized. The Medical Director will apply various clinical policies, state and federal guidance, and contracts… more
- University of Miami (Miami, FL)
- …logistical knowledge of organ donation/recovery process in a timely manner. + Keeps UM LAORA Clinical Operations Director and Organ Allocation and Recovery ... + Maintains a current list of contact numbers, of all appropriate UM LAORA/Transplant/Research/Transportation personnel and updates list as needed. + This list will… more
- Molina Healthcare (Chandler, AZ)
- …costs. * Provide regional medical necessity reviews and cross coverage * Standardizes UM practices and quality and financial goals across all LOBs * Responds to ... Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program… more
- Sharp HealthCare (San Diego, CA)
- …physician executive in a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical Board of CA ... other sources. + Achieves and maintains benchmarked utilization and cost management ( UM ) goals and clinical quality improvement (QI) objectives, in conjunction with… more