- CommuniCare Health Services Corporate (Charleston, WV)
- Medical Director - Physician Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and ... Communities throughout Ohio, Indiana, West Virginia, Virginia, Missouri, Pennsylvania and Maryland. As Medical Director , you will be part of an exciting new… more
- Genesis Healthcare (Hurricane, WV)
- …and work-life balance flexibility, with no weekends! We are seeking a FFS Attending Physician / Medical Director for our Putnam Care Center, located in ... Hurricane, WV. This is a Dual Role Attending Physician / Medical Director . It is clinical in nature. There is flexibility with the schedule. Must be BC/BE… more
- Genesis Healthcare (Hurricane, WV)
- …and work-life balance flexibility, with no weekends! We are seeking a FFS Attending Physician / Medical Director for our Putnam Care Center, located in ... Hurricane, WV. This is a Dual Role Attending Physician / Medical Director . It is clinical in nature. There is flexibility with the schedule. Must be BC/BE… more
- CenterWell (Charleston, WV)
- …participant and lead with the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a ... Appropriate certification to write prescriptions under the authority of a collaborating physician / medical director . + Active, unrestricted Nurse Practitioner… more
- Evolent (Charleston, WV)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... including development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases… more
- Humana (Charleston, WV)
- **Become 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 Director work assignments involve moderately complex to complex issues...Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional… more
- Humana (Charleston, WV)
- …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 (Charleston, WV)
- …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
- Evolent (Charleston, WV)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Charleston, WV)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Charleston, WV)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Charleston, WV)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to… more
- CVS Health (Charleston, WV)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... and the Southeast Region (FL, KY and LA). This Medical Director will be a "Work from...at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization… more
- Highmark Health (Charleston, WV)
- …**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
- Travelers Insurance Company (Charleston, WV)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- …markets innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health We ... are seeking a Director , Global Clinical Development (GCD) who will be responsible...protocols. + Develop focused expertise to serve as a clinical/ medical scientific consultant to health economic, medical … more
- Cardinal Health (Charleston, WV)
- **Position Summary** The Sr. Director , MSO Solutions position will be responsible for managing the success of the customer relationship with an assigned set of ... physician practices in order to achieve the goals and...of benefits and programs to support health and well-being. Medical , dental and vision coverage Paid time off plan… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- The Associate Director , TLL, Renal Rare Disease, is a field-based, customer facing, non-sales position on Otsuka's Rare Renal team focused on enhancing and improving ... practices. The TLL will work closely with cross-functional leaders from Marketing, Medical Affairs, Sales, Key Accounts, Market Access, Patient Access and the Renal… more
- Wolters Kluwer (Charleston, WV)
- …and Midwest preferred **ABOUT THE ROLE** As a strategic accounts associate sales director , you will lead a team of strategic Account Managers, focused on advancing ... leader working at the forefront of clinical care. Our teams of physician and pharmacist editors, technologists, and product visionaries collaborate to deliver… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- …5 years of sales or business development experience in healthcare services, medical technology, or payer/provider solutions. + Proven track record of account ... therapists, clinical psychologists, behavioral health specialists, Nurse Practitioners and Physician Assistants in behavioral health, etc.) who have experience in… more