- Highmark Health (Indianapolis, IN)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Elevance Health (Indianapolis, IN)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management /Utilization Review** ... radiology, cardiology and oncology. _ 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
- Humana (Indianapolis, IN)
- …reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Indianapolis, IN)
- …reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Centene Corporation (Indianapolis, IN)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Centene Corporation (Indianapolis, IN)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Elevance Health (Indianapolis, IN)
- …The ** Medical Director , Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to ... **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This...member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health,… more
- Evolent (Indianapolis, IN)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Elevance Health (Indianapolis, IN)
- **Utilization Management Medical Director - Indiana Medicaid** **Location:** This role enables associates to work virtually full-time, with the exception of ... is granted as required by law. Alternate locations may be considered. The ** Medical Director ** is responsible for reviewing cases for IN Medicaid members.… more
- CenterWell (Indianapolis, IN)
- …Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review of the care ... **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… more
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