- Elevance Health (Indianapolis, IN)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- The Cigna Group (Bloomington, IN)
- The Director , Centene Account Management provides strategic, financial, clinical , relationship, and organizational leadership for the Medicare D and Exchange ... experience within the PBM or healthcare industry preferred; Experience in Medicare /Medicaid/Exchange market highly preferred. + Experience managing large books of… more
- Prime Therapeutics (Indianapolis, IN)
- …to a Functional Business Consultant, Functional Business Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, Compliance, ... our passion and drives every decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional… more
- CenterWell (Indianapolis, IN)
- …part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +...(SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer, Complex… more
- State of Indiana (Richmond, IN)
- …+ Serve as a primary clinical leader to assist the Superintendent and Medical Director in ensuring exceptional patient care. + Manage, oversee, and maintain ... Clinical Director Date Posted: May 30,...polypharmacy and optimize clinical outcomes. The hospital clinical and medical leadership collaborate with the… more
- Prime Therapeutics (Indianapolis, IN)
- …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description ... Medical Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all … more
- Humana (Indianapolis, IN)
- … Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Indianapolis, IN)
- **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...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Indianapolis, IN)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new ... and work is performed without direction. The Behavioral Health Medical Director actively uses their medical...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare… more
- Elevance Health (Indianapolis, IN)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Elevance Health (Indianapolis, IN)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… more
- Universal Health Services (Franklin, IN)
- Responsibilities Medical Director - Behavioral Health The Medical Director reviews and implements patient treatment plans with the treatment team; reviews ... patient medical records, participates in hospital meetings and on committees;...by Joint Commission on Accreditation of Healthcare Organization (JCAHO), Medicare , Occupational Safety and Health Administration (OSHA). This is… more
- CenterWell (Indianapolis, IN)
- …in Medicare /seniors * Demonstrated ability to work collaboratively with clinical and operational leaders across a complex health care organization. * Knowledge ... 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
- Aveanna (Indianapolis, IN)
- Area Director , Operations ApplyRefer a FriendBack Job Details Requisition #: 195787 Location: Indianapolis, IN 46214 Category: Clinical Care and Support Salary: ... $125,000 per year Position Details Position Overview The Area Director of Operations is responsible for the overseeing the...the growth of the business, nurse recruiting and retention, clinical and regulatory oversight, and delivery of care and… more
- CenterWell (Avon, IN)
- …a part of our caring community and help us put health first** The ** Clinical Manager** coordinates and oversees all direct care patient services provided by ... clinical personnel. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the… more
- Prime Therapeutics (Indianapolis, IN)
- …of utilization management decisions. + On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability ... as needed to discuss cases and problems. + Utilizes medical / clinical review guidelines and parameters to assure... Affairs. + Other duties as assigned. **Responsibilities** + Medicare Part D experience preferred. + Doctor of Medicine… more
- State of Indiana (Indianapolis, IN)
- …* Review precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. * Review clinical ... for ensuring the delivery of high quality, cost efficient medical outcomes for patients in need of inpatient and/or...Implementation of the attending physicians' decision of coverage/non-coverage of Medicare A. Reviews all Medicare A cases… more
- CenterWell (Indianapolis, IN)
- …participant and lead with the care team through daily huddles. * Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of ... coding specificity. * Follows policy and protocol defined by Clinical Leadership. * Meets with RMD about quality of...to write prescriptions under the authority of a collaborating physician/ medical director . + This role is considered… more
- The ALS Association (Indianapolis, IN)
- …nationwide network of chapters, coordinating multidisciplinary care through certified clinical care centers, and fostering government partnerships, The Association ... Manager is also responsible for facilitating education, information, benefits, and clinical resource navigation assistance to persons diagnosed with ALS and… more