- Rady Children's Hospital San Diego (San Diego, CA)
- …accountable for establishing quality standards and measuring outcomes as directed by the RCHN Senior Medical Director , and VP, Network Ops & Clinical ... is part time with full benefits with a remote work option. The Medical Director , UM is a clinical subject-matter expert for the Utilization Management… more
- University of Miami (Miami, FL)
- …abdominal organs in approximately 50% of cases. + In conjunction with the Medical Director assumes ultimate responsibility for donor management and the process ... medical record. + Shares on-call responsibility with Medical Director to oversee clinical evaluation and...organs for clinical transplantation. + Collaborates with the Executive Director and the Senior Leadership Team to… more
- Evolent (Augusta, ME)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director ... and write clearly. + Reviews adverse determinations against criteria and medical policies + Creates adverse determination notifications that meet all accreditation,… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...+ Achieves and maintains benchmarked utilization and cost management ( UM ) goals and clinical quality improvement (QI) objectives, in… more
- CVS Health (Springfield, IL)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and… more
- The Cigna Group (Bloomfield, CT)
- …solutions. **Essential Functions:** + Ability to manage development and execution of clinical UM strategy. This would include both the ongoing updates to existing ... UM solutions and the evolution of UM ...relationship development capabilities with ability to work effectively with Senior Management. + Strong detail orientation, organization, and management… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Professor*level (non-tenure track) to join our dynamic team and serve as* Medical Director *of our vibrant community-based academic radiation oncology practice ... **Faculty* **Organization:** **School of Medicine - Clinical Departments* **Title:** * Medical Director - Assistant or Associate Professor Community-Based… more
- University of Maryland, Baltimore (Baltimore, MD)
- *The University of Maryland Institute for Health Computing ( UM -IHC)*is a $70M initiative in North Bethesda funded by Montgomery County and the University of Maryland ... Strategic Partnership: MPowering the State. The UM -IHC aims to build a learning health system for...the State of Maryland that leverages advanced computation and medical innovation to advance health equity and improve quality… more
- Evolent (Raleigh, NC)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... programs that include improvements to clinical effectiveness of utilization management ( UM ) and risk-based models.** + Process improvement and enhancement of… more