- CenterWell (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...data requires an in-depth evaluation of variable factors. The Medical Director relies on medical … more
- CVS Health (Springfield, IL)
- …Michigan, Kansas and Oklahoma. Support for other regions may occasionally be required. The UM Medical Director will ensure timely and consistent responses to ... that primarily supports the Aetna Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from Home" position… more
- Humana (Little Rock, AR)
- **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Pierre, SD)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... other weekend with compensated days off during the work week The Medical Director 's work includes reviewing of all submitted medical records, synthesizing… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team ( UM Nurses/ Medical Director ) with administrative and non-clinical tasks related to processing ... with authorization requests + Contact requesting providers to obtain medical records or other necessary documentation related to specific...& external sources + Other duties as assigned by UM Director + Strong organizational skills, ability… more
- Dignity Health (Bakersfield, CA)
- …across the managed care populations. This leader will have direct oversight of the Medical Director of Utilization Management ( UM ) and the Medical ... as providing clinical leadership and guidance to other physician medical directors within the UM department, ensuring...and Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care… more
- Insight Global (Boston, MA)
- …will fall within the Clinical Performance, Operations, and Innovation organization. The UM Director is responsible for reviewing and providing guidance for ... Description Insight Global is sourcing for a Utilization Management Director to join a not-for-profit community based healthcare organization...will start on day one of employment and include medical , dental, and vision insurance, as well as HSA,… more
- Centene Corporation (Jefferson City, MO)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... perspective on workplace flexibility. **Position Purpose:** Lead a team of medical directors and supervises MD's responsible for utilization management and appeals… more
- University of Maryland, Baltimore (Baltimore, MD)
- The University of Maryland School of Medicine is seeking a Chair and Medical Director of Critical Care for the UM Capital Region Health Medical Center ... Associates, PA They will work closely and in collaboration with the Trauma Medical Director , Chief of Cardiac Surgery, Surgery, Medicine, Neurocritical Care. The… more
- CVS Health (Springfield, IL)
- …support to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization ... Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs...review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to… more
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