• Medical Director - Medicare Appeals

    CVS Health (Hartford, CT)
    …* Board Certified in ABMS or AOA Recognized Specialty **Preferred Qualifications** * Medical Management - Medicare Complaints, Grievance & Appeals experience. * ... home) based anywhere in the US. **Responsibilities of this Medical Director role are related to Medicare Appeals:** *...appeals work * IRE monitoring and tracking and Utilization Management Strategy support * Develop subject matter expertise on… more
    CVS Health (09/18/25)
    - Related Jobs

  • Sr. Manager, Risk Management

    University of Miami (Miami, FL)
    …and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk ... of risk management and patient safety standards and procedures to medical and hospital staff; counsels staff and physicians in sensitive situations involving… more
    University of Miami (10/01/25)
    - Related Jobs

  • Director, Risk Management

    University of Miami (Miami, FL)
    … of UHT shall provide consultation to UM leadership that includes: Senior Management , Faculty and Staff, Medical Leadership and the Board of Governors. ... agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer. Facilitate… more
    University of Miami (09/23/25)
    - Related Jobs

  • Manager, Case Management , MD

    Carnival Cruise Line (Miami, FL)
    …legal and regulatory risks, and logistical constraints. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure ... assess fitness for duty per International Maritime Health standards. + **Crew Medical Claims Management ** + Escalate high-risk crew cases to risk management ,… more
    Carnival Cruise Line (08/29/25)
    - Related Jobs

  • Manager, Case Management , RN

    Carnival Cruise Line (Miami, FL)
    …at domicile or regional centers of excellence. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure appropriate, ... assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management ** + Review crew cases of high risk and escalate to the… more
    Carnival Cruise Line (08/29/25)
    - Related Jobs

  • Medical Director, Behavioral Health…

    MVP Health Care (Rochester, NY)
    …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Medical Management /Clinical** **Pay Type** **Salary** **Hiring Min Rate** **86,424 ... thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director, Behavioral Health Children's Services** , to join #TeamMVP. If you… more
    MVP Health Care (09/24/25)
    - Related Jobs

  • Medical Director ( Medical Policy…

    CVS Health (Austin, TX)
    …be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, ... **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune… more
    CVS Health (10/19/25)
    - Related Jobs

  • Certified Medical Assistant II

    Catholic Health Initiatives (Lexington, KY)
    …+ Maintains a positive, caring attitude towards patients. + Good computer skills using a medical management application. + Possess a strong work ethic and a high ... hires **Job Summary / Purpose** Under the direction of the health care provider, Medical Assistant II is responsible for the delivery of patient care that promotes… more
    Catholic Health Initiatives (10/17/25)
    - Related Jobs

  • Physician Assistant - Surgical, Thoracic Surgery

    Albany Medical Center (Albany, NY)
    …safety standards, and institutional guidelines for patient care. General Inpatient Medical Management :* Conduct comprehensive patient assessments and physical ... in a high-acuity surgical setting while also contributing to broader hospital-based medical care. The Physician Assistant (PA) is a credentialed position required to… more
    Albany Medical Center (09/05/25)
    - Related Jobs

  • National Senior Medical Executive

    The Cigna Group (Bloomfield, CT)
    …clinical practice experience. * At least 15 years of progressive leadership in medical management , including roles in insurance, consulting, health systems, or ... **National Senior Medical Executive** **Role Summary** The National Senior ...trends, including digital health, value-based care, and population health management , to inform strategy and client engagement. * Build… more
    The Cigna Group (10/18/25)
    - Related Jobs