- Commonwealth Care Alliance (Boston, MA)
- …with the needs of the populations. + Evaluate the effectiveness of the company's medical policies and prior authorization program in collaboration with other ... 011200 CCA-Central Clin Ops Leadership **Position Summary:** Reporting to the Sr. Medical Director of Utilization Management (UM) and Policy, the Medical … more
- CVS Health (Springfield, IL)
- …physicians for their clinical quality and effective use of health care resources. In the Medical Director role you will + Provide oversight for medical ... and consistent responses to members and providers. As a Medical Director you will + Focus primarily...reviews and reviews of claim determinations. + This includes Prior Authorization / Pre Certification / Concurrent… more
- CVS Health (Topeka, KS)
- … medical license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy ... consistent responses to members and providers. + As a Medical Director you will focus primarily on...reviews and review of claim determinations. + This includes Prior Authorization / Pre Certification / Concurrent… more
- CVS Health (Charleston, WV)
- …do it all 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 ... and the Southeast Region (FL, KY and LA). This Medical Director will be a "Work from...This position is primarily responsible for Utilization Management, including prior authorization and pre certification as well… more
- Pfizer (Bothell, WA)
- ** Medical Director , Late Development, Oncology** **ROLE SUMMARY** This position is for a Medical Director within the PD-1/VEGF bispecific program. This ... late stage clinical trial(s). The successful candidate should ideally have prior experience in clinical trials and supporting development programs. **ROLE… more
- CVS Health (Springfield, IL)
- …do it all 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 ... Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from...This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.… more
- CVS Health (Trenton, NJ)
- …do it all 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 ... support other plans when needed. This UM (Utilization Management) Medical Director will be a "Work from...This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.… more
- Molina Healthcare (Columbus, GA)
- …team in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review, discharge planning, case management ... and interdisciplinary care team activities. + Ensures that authorization decisions are rendered by qualified medical ...Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality… more
- Wolters Kluwer (Wilmington, DE)
- . We have an amazing opportunity for an Associate Director of Compliance and Assurance, available within our Global Business Services division! Wolters Kluwer Global ... time to market for products and applications. The Associate Director will be working with a team to manage...their efforts towards achieving self- or third-party attestation or authorization , such as FedRAMP, GovRAMP, NIST 800-53, NIST 800-171,… more
- YMCA of Central New York (Manlius, NY)
- … Director is responsible for the primary implementation of the camp's medical plan including proper authorization and distribution of medication, daily health ... in the medical log and handling all medical emergencies. The First Aid Director assures...Health Department within 24 hours. + Reviewing all campers' medical history prior to arrival at camp… more