- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to ... Health Plan members. This fully remote role will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC… more
- Commonwealth Care Alliance (Boston, MA)
- 023520 Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the ... Utilization Review Medical Director will be responsible for providing leadership and subject...preferred. + Primary care discipline, prior experience as Associate Medical Director (or equivalent) or physician… more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director , CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This ... role focuses on improving patient flow, resource utilization , and length of stay (LOS) strategic oversight....hospital VPMAs and presidents. The Regional Medical Director will have direct reports, including Physician … more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational… more
- Henry Ford Health System (Clinton Township, MI)
- GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford ... or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in good standing at Henry Ford Macomb Hospital… more
- AdventHealth (Altamonte Springs, FL)
- …assists in drafting and submitting clinical denial appeals, as needed + Develops Medical Director relationships with payors to have open communication and ... Altamonte Springs, FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization ...and medical staff, as well as, the medical liaison for payor escalations. The Physician … more
- AdventHealth (Tampa, FL)
- …heart failure, cancer and other diseases. **The role you'll contribute** **:** The Physician Advisor provides primary support for Utilization Management (UM) and ... and medical staff, as well as, the medical liaison for payor escalations. The Physician ...patient safety, and quality outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible… more
- Veterans Affairs, Veterans Health Administration (Springfield, IL)
- Summary This position will serve as a Primary Care Physician and Medical Director at our Springfield CBOC location. This is an open continuous announcement. ... Rewards. This position will serve as a Primary Care Physician and Medical Director at...addition, coordinates and promotes service level Quality Improvement and Utilization Review by stimulating parent services. Ensures that overall… more
- Lincoln County (Newport, OR)
- Medical Director / Physician Print (https://www.governmentjobs.com/careers/lincoln/jobs/newprint/4142276) Apply Medical Director / Physician Salary ... and skill. A stipend of 10% is provided for Medical Director functions Lincoln Community Health Center...MINIMUM QUALIFICATIONS Minimum Education Level Specifics: + For a physician : graduation from an accredited medical school… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement...for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of… more