- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical ... reviews and may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on...and medical criteria. + Assists with training medical director colleagues and nursing staff ,… more
- CVS Health (Springfield, IL)
- …with heart, each and every day. **Position Summary:** The ABHIL Chief Psychiatrist (Senior Medical Director ) will serve as a strategic and operational partner to ... including critical success factors, metrics, and targets. Collaborating with the Medical Management stakeholders both internally ( UM /CM, Pharmacy, Quality,… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …clear path toward Chief Medical Officer responsibilities\.** **This is more than a medical director role\. It's an opportunity to shape the future of care ... experienced clinical leader to join our team as Lead Medical Review Director -a pivotal role with a...physician review to ensure timeliness, accuracy and reliability of UM and Appeals reviews\. + Lead and serve on… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 + ... time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- University of Miami (Coral Gables, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Executive Director of the Office of Research Administration ... and management of ORA's mission for the Coral Gables, Rosenstiel, and Medical Campuses for Pre-award, Post-award, and the Strategic Initiatives divisions. The… more
- Blue KC (MO)
- …financial assistance** **Employee discount program** **Job Description Summary:** The Lead Medical Director actively uses their clinical training, experience, ... level of care, and/or requested site of service should be authorized. The Medical Director will apply various clinical policies, state and federal guidance,… more
- University of Michigan (Ann Arbor, MI)
- NURSING SERVICES SENIOR DIRECTOR (CS Mott Children's Hospital: 8W Brandon Newborn Intensive Care Unit) Apply Now **Job Summary** The Senior Nursing Director for ... services within the Level IV NICU. The senior nursing director is responsible for developing and maintaining an environment...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- ChenMed (Margate, FL)
- …We're rapidly expanding and we need great people to join our team. The Medical Director , Center is specifically responsible for executing the ChenMed Way and ... assigned center. Under the direction of the Market Chief Medical Officer (MCMO), the Medical Director...assigned center, he/she will also assist the MCMO in managing day-to-day clinical and business operations and building positive… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic ... Physician Association (IPA) network. This leader oversees a high-performing team managing the full contract lifecycle for physicians, facilities, and ancillary… more
- Catholic Health Services (Melville, NY)
- …the monthly Physician Advisor meeting. Attends hospital Utilization Management ( UM ) committees. Supervises the Facility Physician Advisors. Observes Catholic Health ... Physician Advisor meeting. 3. Training and Education Responsible for hiring and managing Physician Advisors, along with developing and monitoring compliance with an… more