• Medical Director , Clinical

    Highmark Health (Austin, TX)
    …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
    Highmark Health (07/29/25)
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  • Medical Director - OneHome

    Humana (Austin, TX)
    …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
    Humana (07/15/25)
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  • Physician (Home Based Primary Care Medical

    Veterans Affairs, Veterans Health Administration (Amarillo, TX)
    Director -Physician) within the Geriatric and Extended Care (GEC) Service . The HBPC Medical Director will provide clinical care within the GEC ... home setting and in other departments within the GEC Service line. In addition to their role as clinician,...audits, and review JC, LTCI, OIG, OMI, and others. Clinical Responsibilities: The HBPC Medical Director more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Medical Director (South Central…

    CVS Health (Austin, TX)
    …First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement ... of medical management programs through participation in clinical team activities. The Medical Director...providers and facilities to support the effective execution of medical services programs by the clinical more
    CVS Health (07/18/25)
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  • Medical Director - Commercial…

    CVS Health (Austin, TX)
    …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise ... directing case management when necessary. The Medical Director will act as a business and clinical...facilities if needed, to support the effective execution of medical services programs by the clinical more
    CVS Health (07/04/25)
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  • Medical Director

    Molina Healthcare (Fort Worth, TX)
    …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical more
    Molina Healthcare (07/25/25)
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  • Pathology Anatomic and Clinical

    HCA Healthcare (Weatherford, TX)
    …Healthcare Pathology Services and their North Texas Division is seeking a Pathology Medical Director to be based at Medical City Weatherford in ... CP Board Certification required + 2 years of hospital-based Medical Director experience preferred + Recent experience...staff represents more than 31 medical specialties. Medical City Weatherford's comprehensive health care services more
    HCA Healthcare (06/21/25)
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  • Pathology Anatomic and Clinical

    HCA Healthcare (Mckinney, TX)
    …Healthcare Pathology Services and their North Texas Division is seeking a Pathology Medical Director to be based at Medical City McKinney in McKinney, ... Texas. HCA Healthcare Pathology Services employs over 200 board certified multispecialty pathologists nationwide...CP Board Certification required + 2 years of hospital-based Medical Director experience preferred + Recent experience… more
    HCA Healthcare (07/03/25)
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  • Associate Medical Director - Dallas

    CenterWell (Arlington, TX)
    …our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... , financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and...Operations Director and/or Market President) and Shared Services partners to align on clinical and… more
    CenterWell (07/18/25)
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  • Clinical Research Nurse Manager

    Texas A&M University System (College Station, TX)
    …CPR, AED, Bloodborne Pathogens, licensure requirements, etc.). + Works closely with Medical Oversight/ Clinical Program Director to ensure abnormal research ... environment. The Research Nurse Coordinator/Manager, operating under the direction of the Clinical Program Director , is responsible for the planning, organizing,… more
    Texas A&M University System (07/15/25)
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