• Medical Director Utilization…

    AmeriHealth Caritas (Philadelphia, PA)
    ; **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership in the operational areas of care management , ... and related policy and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the Vice President,… more
    AmeriHealth Caritas (08/12/25)
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  • Medical Director - Utilization…

    UPMC (Pittsburgh, PA)
    The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including concurrent, prospective… more
    UPMC (06/12/25)
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  • Medical Director Utilization…

    Henry Ford Health System (Clinton Township, MI)
    GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford ... MD or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in good standing at Henry Ford Macomb Hospital… more
    Henry Ford Health System (08/13/25)
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  • Utilization Management Medical

    Elevance Health (Durham, NC)
    **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... candidate will live in North Carolina. Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case … more
    Elevance Health (08/08/25)
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  • Senior Medical Director - Sharp…

    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 for ... Management Program and Quality Improvement Program, in conjunction with the Director of PHM/ Medical Management and Quality Improvement Director . +… more
    Sharp HealthCare (07/19/25)
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  • Regional Medical Director , Care…

    UPMC (Pittsburgh, PA)
    The Regional Medical Director , CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This ... utilization, and length of stay (LOS) strategic oversight. The Medical Director will report to the Vice...hospital in their region. Key Responsibilities + Leadership & Management **: + Oversee Utilization Management (UM) across… more
    UPMC (07/11/25)
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  • Associate Medical Director

    Elevance Health (Costa Mesa, CA)
    **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management /Utilization Review** _A ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the... Director ** is responsible for supporting the medical management staff ensuring timely and consistent… more
    Elevance Health (08/08/25)
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  • Case Management Medical

    CVS Health (Hartford, CT)
    …full continuum of our members' health care and social determinant needs. The Case Management (CM) Medical Director will participate in executing and ... Duties and Responsibilities:** * Provides clinical oversight of the case management teams and the Interdisciplinary Care Team (ICT) processes by participating… more
    CVS Health (07/22/25)
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  • Clinical Director

    WestCare Foundation (Fresno, CA)
    …oversight and assistance to all treatment programs in the region; + To assist the Medical Director and management staff with the design of treatment ... Degree Salary Range $115000.00 - $135000.00 Salary/year Job Category Management Description Position Summary: Person in this position will...to identify clinical trends and provides analysis to the Medical Director ; + Assists in grant planning… more
    WestCare Foundation (07/25/25)
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  • Sourcing Director

    HCA Healthcare (Nashville, TN)
    …dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Sourcing Medical Device Management opening. Qualified ... an organization that invests in you as a Sourcing Director ? At HealthTrust, you come first. HCA Healthcare has...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (06/21/25)
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