- BrightSpring Health Services (Columbus, OH)
- …BrightSpring Health Services Overview Provide oversight, leadership and support relating to clinical practice and care provision. Consult and collaborate with ... patterns and trends in state/federal survey citations recommend indicated changes in clinical practice and/or process to drive improvement* Build and retain… more
- CenterWell (Columbus, OH)
- …part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations, training, process,… more
- Humana (Columbus, OH)
- …factors. The Staff Geriatrician or Physician with Ten (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....(Staff Geriatrician or Physician with Ten (10) Years of Clinical Practice with Older Adults) works assignments… more
- Humana (Columbus, OH)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... national guidelines such as MCG(R) or InterQual + Internal Medicine, Family Practice , Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced… more
- Humana (Columbus, OH)
- …national guidelines such as MCG(R) or InterQual + Experience in hospital-based clinical practice , including specialties of Internal Medicine, Family Practice ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience… more
- Humana (Columbus, OH)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... guidelines such as MCG(R) or InterQual + Internal Medicine, Family Practice , Geriatrics, Hospitalist, Emergency Medicine clinical specialization + Advanced… more
- Humana (Columbus, OH)
- …type population (disabled or >65 years of age) + Internal Medicine, Family Practice , Geriatrics, or hospital based clinical specialists + Ability to function ... consumer experiences and a highly engaged team culture The Medical Director conducts clinical case reviews of requests received by members of the Medicare… more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Behavioral Health Medical Director provides clinical oversight and direction to the ... cases in need of review. The Behavioral Health Medical Director supports the clinical department in applying...and provide feedback to Care Managers pertaining to best practice standards and quality of care issues. This position… more
- Elevance Health (Columbus, OH)
- …staff including Medical Director Associates. May be responsible for an entire clinical program. **This role is a hybrid opportunity. Must be willing to commute ... an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically...+ Must possess an active unrestricted medical license to practice medicine or a health profession. + Minimum of… more
- Elevance Health (Columbus, OH)
- …**Preferred Skills, Capabilities, and Experiences:** + Minimum of 3 years of clinical practice experience past fellowship training preferred. + Extensive spine ... ** Clinical Operations Associate Medical Director ** **Neurosurgery**...peer-to-peer consultation with ordering physicians, physician assistants and advanced practice nurses regarding established guidelines and accepted standards of… more
- CenterWell (Columbus, OH)
- …Initiatives. * Formulate and achieve national objectives, goals, and strategies ( clinical , economic), integrate practice standards, and collaboratively assess ... a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management** The Director of… more
- Elevance Health (Columbus, OH)
- …**Board Certification in Medical Oncology** strongly preferred. + 3-5 years of clinical practice experience past fellowship training is desirable. + Demonstrated ... ** Clinical Operations Medical Director ** **Utilization Management...knowledge of current practice standards in oncology. + Strong oral communication and… more
- Humana (Columbus, OH)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- CVS Health (Columbus, OH)
- …in and be able to lead daily rounds. Required Qualifications: Minimum 3-5 years of clinical practice experience. Two (2) + years of experience in managed care ... to its membership. Aetna is looking for a medical director to be part of a centralized team that...to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the… more
- Merck (Columbus, OH)
- …(GMSA) strategy, including field standard operating procedures (SOPs), Good Clinical Practice (GCP) guidelines, and administrative/operational responsibilities. ... Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory Bowel Disease… more
- CVS Health (Columbus, OH)
- …Unrestricted Board Certification in ABMS or AOA specialty * 5+ years of clinical practice experience post residency, including experience with complex health ... resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical coverage… more
- Sanofi Group (Columbus, OH)
- …Our Medical Affairs function serves as a valued strategic partner with Clinical , Commercial, Regulatory, and Market Access on therapeutic solutions to support ... Description:** This position reports to the US Sr. Field Medical Director , Immunology (Non-Alliance). **Main Job Responsibilities:** + Demonstrate value for the… more
- Humana (Columbus, OH)
- …healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice , Geriatrics, Hospitalist, Emergency Medicine clinical specialists **Work ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- Wolters Kluwer (Columbus, OH)
- …and workflow solutions, and achieving business goals. + Minimum 3 years in medical and clinical practice + minimum 5 years in medical and clinical research ... clinical practices **Preferred Experience:** + Experience in medical and clinical practice , medical and clinical research, and product development using… more
- Intermountain Health (Columbus, OH)
- …is seeking an experienced and dynamic professional to join our team as the Director of Perioperative Supply Chain. As the Director , you are responsible for ... attainment of selected Intermountain Health Board-approved goals. As the Director of Perioperative Supply Chain, you will: + Work...Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans… more