- Eisai, Inc (Indianapolis, IN)
- …internal/external stakeholders.Educate external stakeholders (eg, physicians, office administrators, case managers, financial counselors, medical directors, ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...Access. Working closely with and reporting to the Associate Director , Access and Reimbursement, the ARM, will be the… more
- Lilly (Indianapolis, IN)
- …are determined to make life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting ... to the position as necessary as defined in SOPs or as work evolves. A Case Management Medical Review Scientist is expected to meet the criteria as outlined… more
- Elevance Health (Indianapolis, IN)
- …Accounts Medical Director ** is responsible for serving as the Operational Medical Director for our care management models for our National Account ... medical director supports product strategy/design through medical management that impact health care quality,... director is directly involved in Utilization Management and Case Management . +… more
- Humana (Indianapolis, IN)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Indianapolis, IN)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… 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
- Humana (Indianapolis, IN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Indianapolis, IN)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- 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. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Elevance Health (Indianapolis, IN)
- …The ** Medical Director , Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to ... member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health,...attention, any case review decisions that require Medical Director review or policy interpretation. +… more
- Humana (Indianapolis, IN)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Humana (Indianapolis, IN)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Elevance Health (Indianapolis, IN)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management /Utilization Review** ... Director ** is responsible for supporting the medical management staff ensuring timely and consistent...attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum… more
- Evolent (Indianapolis, IN)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
- CVS Health (Indianapolis, IN)
- … medical license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy ... clinical / medical programs and expand Aetna's medical management programs to address member needs...consistent responses to members and providers. + As a Medical Director you will focus primarily on… more
- Elevance Health (Indianapolis, IN)
- ** Medical Director -PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for employment, unless an accommodation is granted as required by law. The ** Medical Director -PSCCR** is responsible for the administration of physical and/or… more
- Elevance Health (Indianapolis, IN)
- …schedule: Monday - Friday. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration of behavioral health ... increase effectiveness and quality. + Provides oversight, direction, and guidance to Medical Director Associates. + Works independently with oversight from… more
- Parexel (Indianapolis, IN)
- …we are expanding our esteemed Medical Sciences Team and seeking an Associate/ Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with...protocol Note that this does not include any direct medical advice on patient care or management … more
- Elevance Health (Indianapolis, IN)
- …is granted as required by law. **Candidates must live in Indiana.** The ** Medical Director ** will have program management responsibilities including clinical ... ** Medical Director -Geriatrician Specialty** Location: This...overseeing clinical/non-clinical activities. Will also be responsible for utilization review/ management . May be responsible for developing and implementing programs… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Specialty:** Pediatrics + **Subspecialty Interest:** Neonatology - Medical Director + **Schedule:** Rotating + **Call Schedule:** TBD + ... skilled Neonatologist to join our team in Lafayette as Medical Director ! + **EMR System:** Unknown +... diagnostic and treatment skills. Coordinates discharge planning with case management . + Recommends, participates in, and… more
