- CenterWell (Boston, MA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... clinical group practice management. + Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managedMedicaid,… more
- Molina Healthcare (San Antonio, TX)
- …work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical ... member services review assessment processes. Responsible for verifying that services are...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Intermountain Health (Murray, UT)
- …Marketplace Qualified Health Plans and fully funded and self-funded Commercial plan. The Medical Director leads the achievement of physician review goals of ... Reviews physician review operation and provides high-level consultation, review and medical direction. + Provides medical consultation in the development… more
- Globus Medical, Inc. (FL)
- …insurance carrier, etc. + Verify all patient information uploaded is accurate. + Review medical documents and patient information to ensure insurance criteria is ... NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative...support in the billing and collections function of the medical revenue cycle process. Prepare new charges, complete insurance… more
- MTA (Brooklyn, NY)
- …for hearings and trials. + Interact with Designated Employer Representatives (DERs), Medical Review Officers (MROs), and Physicians. + Performs diagnostic tests ... Medical Technician l Job ID: 13759 Business Unit:...Services Date Posted: Nov 14, 2025 Description JOB TITLE: Medical Technician I DEPT/DIV: Occupational Health Services WORK LOCATION:… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …leading study start-up, directing and guiding study team execution, data cleaning, medical review , database locks, handling health authority responses are also ... The Executive Medical Director, Hematology, will provide overall clinical scientific...scientific knowledge applicable to hematology clinical research. The Executive Medical Director, Hematology reports directly to the SVP, Hematology.… more
- Amgen (Washington, DC)
- …+ Extensive experience monitoring, cleaning, reviewing clinical trial data and developing medical data review plans. + Experience serving on cross functional ... us and transform the lives of patients while transforming your career. Associate Medical Science Director - Late Development, Oncology **What you will do** Let's do… more
- Bristol Myers Squibb (Princeton, NJ)
- …and status updates + Identify Medical data generation strategies, collaborate with Medical Evidence Generation (MEG) to review and oversee execution of the ... in Phase IIIb/IV trials and real-world evidence programs across Global Medical Affairs + Review and develop study concepts, protocols and reports aligned with… more
- Humana (Juneau, AK)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Elevance Health (Chicago, IL)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefit Management** **Genetic Testing Utilization Management/ Review ** **Virtual:** This ... decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director ...attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum… more