- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** Accountable for managing Health Plan medical costs and assuring appropriate health care delivery for plans and members. Is accountable to ... relations, member services, benefits, claims management, etc. Carries out medical policies at the Health Plan...managed care performance. + Partner with Provider Networks and Medical Director team in creating and maintaining… more
- Geisinger (Scranton, PA)
- …and observation management performance including outcomes of medical necessity justification with health plan medical director staff. Job Duties + ... use of technology where possible to improve quality and enhance efficiency. The Medical Director will direct providers, faculty, residents and other clinicians,… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. Position Summary The Behavioral Health Medical Director is a key position on Aetna Better ... participating in market leadership and strategy meetings The Behavioral Health Medical Director will report...adherence to regulatory requirements. - W ork closely with health plan leadership, the Chief Medical… more
- Generations Family Health Center (Putnam, CT)
- Behavioral Health Medical Director / Psychiatrist...ongoing care plan for all patients. As Medical Director for the BH Department, you are ... Day Job Category Health Care Description Behavioral Health Medical Director / Psychiatrist...Employee Assistance & Wellness Programs + 403(b) retirement savings plan with employer contributions + 5 weeks Paid time… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …Position Description/PD#: Health Systems Administrator (Associate Medical Center Director )/PD393920 Relocation/Recruitment Incentives: Authorized Financial ... the top management team of the Central Alabama Veterans Health Care System (CAVHCS). The system includes two general...administrative operation support services. May serve as the Acting Medical Center Director in the absence of… more
- CVS Health (Trenton, NJ)
- …to make health care more personal, convenient and affordable. Position Summary The Behavioral Health Medical Director is a key position on Aetna Better ... oversee the implementation of BH integration efforts. The Behavioral Health Medical Director will report...collaboration and adherence to regulatory requirements.* Work closely with health plan leadership, the Chief Medical… more
- The Mount Sinai Health System (NJ)
- …and direct a new Stem Cell Transplantation and Cellular Therapy Service at the Valley Health System.** The Medical Director will be based initially at Mount ... anticipated that over the course of 3 years the Medical Director will progressively spend more clinical,...Health System and the leadership of The Valley Health System to plan and develop the… more
- Martin's Point Health Care (Portland, ME)
- …Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible the overall development, refinement, maintenance, monitoring and ... medical record documentation. Working closely with the Health Plan 's Risk Adjustment Data Analytics and...Data Architecture team on data gathering, suspect identification, and health plan reporting, the Sr. Director… more
- CVS Health (Overland Park, KS)
- …Position Summary Aetna, a CVS Health company has an outstanding opportunity for a Medical Director - Behavioral Health . Ready to take your career to the ... KDADS + Shall work closely with the behavior supports director and other medical officers to ensure...and adherence to regulatory requirements. + Work closely with health plan leadership, the Chief Medical… more
- Corewell Health (Grand Rapids, MI)
- …efficiency. Essential Functions + In a collaborative relationship with leadership, the Medical Director assumes accountability for the delivery of quality ... of care effecting patients. In a collaborative relationship with leadership, the Medical Director maintains accountability for the development of capital and… more
- Elevance Health (Indianapolis, IN)
- **Medicaid Quality Management Health Plan Director Sr.** **Location:** This position will work a hybrid model (remote and office) out of the Indianapolis, ... miles of the Indianapolis office. The **Medicaid** **Quality Management Health Plan Director Sr.** will...of current industry standards, quality improvement activities, and strong medical management skills. + Serves as a resource for… more
- Elevance Health (Woodland Hills, CA)
- **Government Business Quality Management Health Plan Director -California** **Location** : This position will work a hybrid model (remote and office). The ... Health PulsePoint location. The **GB Quality Management Health Plan Director ** is responsible...of current industry standards, quality improvement activities, and strong medical management skills. + Serves as a resource for… more
- Corewell Health (Royal Oak, MI)
- JOB DESCRIPTION EXECUTIVE POSITION TITLE: Corewell Health East Medical Director of Quality REPORTS TO: Corewell Health East Senior Vice President, Chief ... (CQO) JOB CODE: GENERAL SUMMARY: The role of the Medical Director of Quality (MDQ) is to...hospitals, 300+ outpatient locations and several post-acute facilities-and Priority Health , a provider-sponsored health plan … more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- Medical Director of the Robert G. Kardashian Center for Esophageal Health Apply now to Medical Director of the Robert G. Kardashian Center for ... or full Professor ranks for the recruitment of a gastroenterologist to serve as the Medical Director of the Robert G. Kardashian Center for Esophageal Health… more
- LA Care Health Plan (Los Angeles, CA)
- …discussions to evolve and innovate CRC strategies, programming and operations to best serve health plan members. The Director will also support building and ... (Mid.) - $216,218.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency...County with an emphasis on affecting social drivers of health . The Director will direct all aspects… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Medical Director of Mental Health is a psychiatrist who oversees mental health services in the Medical Network and provides ... health needs of patients cared for across the Medical Network. The Medical Director ...are not improving as expected under their current treatment plan . + Works with behavioral health specialists… more
- CVS Health (Tallahassee, FL)
- …to make health care more personal, convenient and affordable. Senior Clinical Solutions Medical Director - Behavioral Health Quality Aetna, a CVS ... use of health care resources. The Senior Medical Director - Behavioral Health ...employees may enroll in the Company's 401(k) retirement savings plan , and an Employee Stock Purchase Plan … more
- CVS Health (Springfield, IL)
- …Summary CVS Health , a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified Oncologist ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients.The Medical Director ( Medical Affairs) will report into… more
- Highmark Health (Wilmington, DE)
- …to NCQA, URAC, CMS, DOH, and DOL regulations at all times, and the Senior Medical Director will be responsible for ensuring that those measures are met. In ... care of our members. As the leader of these physicians, the Senior Medical Director will manage performance accordingly, delegate projects, and determine which… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …reviews. The Associate Medical Director will also work closely with the Medical Director to plan and conduct weekly meetings for the Medical ... the Homeless Program (BHCHP) is seeking a talented Associate Medical Director of Medical Respite...health , dental and vision insurance, 403B retirement savings plan and employer retirement contribution, and pre-tax MBTA pass… more