- Humana (Bismarck, ND)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- CareOregon (Portland, OR)
- …full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This Hospice Medical Director role is primarily remote, with 60% clinical and ... month across the Portland metro area. Job Summary The Hospice Medical Director is responsible for providing clinical leadership and expertise to the hospice… more
- RWJBarnabas Health (Oceanport, NJ)
- …reports filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- Sharp HealthCare (San Diego, CA)
- …legal and regulatory requirements. + Assists CMO in continued builds strong partnerships with Medical Director PMGs and their clinical teams. + Assists CMO ... employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and...care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical… more
- Evolent (Dover, DE)
- …non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Alameda Health System (San Leandro, CA)
- Medical Director , John George Psychiatric Hospital + San Leandro, CA + John George Psychiatric Hospital + Physicians JGP ER + Full Time - Day + Management + ... / Hour + Req #:42565-31593 + FTE:1 + Posted:Today **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible for the… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Medical Director -Associate Professor/Professor in the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology. Clinical ... Maintain an active clinical practice in Gynecologic Oncology including medical and surgical management and chemotherapy. Assume leadership role in maintaining… more
- Molina Healthcare (FL)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- Evolent (Jackson, MS)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... a physician`s input is needed or required. Responsible for clinical audits for quality and education regarding the results...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
- Mount Sinai Health System (New York, NY)
- …environments + Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing physicians, medical … more