- Evolent (Baton Rouge, LA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- BAYADA Home Health Care (Sterling, VA)
- …will have a strong background in healthcare administration, regulatory compliance ( Medicare Conditions of Participation), clinical coordination, and business ... **Join BAYADA as a Home Health Director - Falls Church, VA** Are you ready...Provide leadership and strategic direction to ensure compliance with Medicare regulations and state/federal laws governing home health services.… more
- CenterWell (Jacksonville, FL)
- …our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals… more
- Integrative Emergency Services (Lawton, OK)
- …+ Eligible to participate in Medicare and Medicaid + Prior experience as a Medical Director or Assistant Medical Director Preferred: + MBA or ... Site Medical Director - Emergency Department Southwestern...Site Medical Director - Emergency Department Southwestern Medical ...care team(s) + Ensure that team(s) are aware of clinical and quality objectives + Provide medical … more
- Albany Medical Center (Albany, NY)
- …regarding managed care contracting, as well as the provision and reimbursement of medical services including, but not limited, to Medicare and Medicaid. + ... required to attend and host in person meetings. The Director is responsible for overseeing as well as implementing,...AMHS including but not limited to physician and hospital clinical leadership, legal, compliance, billing, finance, IT, case and… more
- Evolent (Springfield, IL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... rationale for standard and expedited appeals. . Utilizes medical / clinical review guidelines and parameters to assure...timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …is preferred but not required\. In addition to the job responsibilities below, this Medical Director will be responsible for: + Medical necessity reviews ... **Join Our Team as a Medical Review Director \- Behavioral Health\!** Are...lead our team in ensuring the highest standards of medical necessity determinations and clinical metrics analysis\.… more
- Evolent (Lincoln, NE)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... rationale for standard and expedited appeals. + Utilizes medical / clinical review guidelines and parameters to assure...timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to… more
- Integrative Emergency Services (Andalusia, AL)
- …ACLS + Eligible to participate in Medicare and Medicaid + Prior experience as a Medical Director or Assistant Medical Director Preferred: + MBA or ... Site Medical Director - Emergency Department Andalusia...Site Medical Director - Emergency Department Andalusia Health - Andalusia,...care team(s) + Ensure that team(s) are aware of clinical and quality objectives + Provide medical … more
- Advocates (Framingham, MA)
- …ideas and contributions of our staff. The Behavioral Health Regional Medical Director (RMD) is a leadership and clinical role within Advocates' Behavioral ... Health Services Division. The RMD serves as Medical Director for the clinics of an...medical services in the region. The RMD provides clinical supervision for assigned medical staff and… more