- Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
- …of the EDRP application. Responsibilities The incumbent will be responsible as the Physician for the Care of veterans enrolled in the Home-Based Primary Care (HBPC) ... Program in Tuskegee, Alabama. The Physician will act as both a consultant and provide medical advice to peers and other staff related to medical direction… more
- Prime Therapeutics (Montgomery, AL)
- …of utilization management decisions. + On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability ... fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI- REMOTE **Job Description Summary** Key member of the… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …delineated approved privileges; Participates actively in delivering in-service training for medical center disciplines and services; in teaching of medical ... budget plan consistent with guidance and goals from the Director 's office and of financial management service; Develops and...chiefs in the development and execution of the overall Medical Center strategic and business plan; Plans initiatives and… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …and the other health services we offer at our Central Alabama VA Medical Center-Montgomery. VA offers a comprehensive total rewards package. VHA Physician ... Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Must… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …(P&LMS), and is responsible for the overall operation of P&LMS at this multi-divisional Medical System that includes two (2) Medical Centers, six Community Based ... Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): Authorized Permanent… more
- Genesis Healthcare (Elmore, AL)
- …Medicine with LTC Experience. The Attending Physician works with the Center Medical Director to ensure that delivery of clinical services achieves the ... Physician 's Primary reporting relationship is to the AlignMed Partners Regional Medical Director . The Attending Physician is also accountable to both the… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …Care System (CAVHCS) is a consolidated health care system that includes VA Medical Centers in Montgomery and Tuskegee Alabama as well as Community Based Outpatient ... quality healthcare and outcomes. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Some of the specific duties include, but, are not… more
- Evolent Health (Montgomery, AL)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Oncology, Physician Clinical Reviewer you will be a key member...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Evolent Health (Montgomery, AL)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- YesCare Corp (Elmore, AL)
- …to validate need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is ordered. + Utilizes ... Below is a list of your responsibilities as a ** Physician with YesCare at Staton Correctional Facility. 20 hours...assistants or nurse practitioners as required. + Notifies Regional Medical Director and Site Health Services Administrator… more
- Highmark Health (Montgomery, AL)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP...as needed to interact/ communicate with the primary care physician as necessary for appropriate medical care.… more
- Evolent Health (Montgomery, AL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of ... Directors, and health plan members and staff whenever a physician `s input is needed or required. Responsible for acting...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
- Humana (Montgomery, AL)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... 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… more
- Humana (Montgomery, AL)
- …operations team and healthcare organization. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, ... caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The… more
- Humana (Montgomery, AL)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Evolent Health (Montgomery, AL)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management team. ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- Highmark Health (Montgomery, AL)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CVS Health (Montgomery, AL)
- …license without encumbrances in one (1) of those five (5) states. + In the Medical Director role you will provide oversight for medical policy ... consistent responses to members and providers. + As a Medical Director you will focus primarily on...Health Plan / Payor. Previous UM experience as a Physician Advisor in a Health / Hospital system. Board… more
- Humana (Montgomery, AL)
- …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...resolution skills * May speak with contracted external physicians, physician groups, facilities, or community groups to support regional… more
- Fresenius Medical Center (Prattville, AL)
- …communication of company initiatives. + Responsible for developing and maintaining strong Medical Director and physician relationships. + Presides over ... + Acts as the primary liaison between the company and the Medical Directors, Medical Advisory Board members, and referring physicians, ensuring appropriate… more