- Humana (Baton Rouge, LA)
- **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Baton Rouge, LA)
- **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Baton Rouge, LA)
- **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …does not manage people + This role reports to this job: SENIOR MEDICAL DIRECTOR (MGR) + Necessary Contacts: department Managers, Authorization, Utilization ... there is a restriction that is allowed by a relevant jurisdiction, according to the medical director or clinical director , it is of the type that does not… more
- Otsuka America Pharmaceutical Inc. (Baton Rouge, LA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs, CNS Early Assets will be responsible… more
- Elevance Health (Metairie, LA)
- **Medicare Medical Director - Part time** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... must be able to work Eastern Time Zone hours. The **Medicare Medical Director ** is responsible for the administration of physical and/or behavioral health … more
- CVS Health (Baton Rouge, LA)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
- Evolent (Baton Rouge, LA)
- …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. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Baton Rouge, LA)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- ChenMed (Metairie, LA)
- …3 years preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
- Ochsner Health (New Orleans, LA)
- …is seeking a Full-Time BC/BE Rheumatologist for the position of Research Medical Director of Medicine Multispecialty Research Center of Excellence. **Opportunity ... rheumatology consultation service in rotation with other staff rheumatologists + As Research Medical Director work as a dyad with a Director of Clinical… more
- Sumitomo Pharma (Baton Rouge, LA)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
- Evolent (Baton Rouge, LA)
- …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. ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Baton Rouge, LA)
- …to jeans. **Who you will be working with:** Evolent Health is looking for a Field Medical Director to be a member of the Evolent clinical team. As a ... accurate responses to members + Supports design and implementation of health plan medical policies, and appropriate Care Management and UM goals and objectives +… more
- Ochsner Health (Shreveport, LA)
- …your future today!** Ochsner Health is seeking a Board Certified/Board Eligible **for our Medical Director role in Urgent Care** . This physician would be over ... 36,000 employees and over 4,600 employed and affiliated physicians in over 90 medical specialties and subspecialties. It operates 47 hospitals and more than 370… more
- Ochsner Health (New Orleans, LA)
- …Pediatric Critical Care Medicine and Pediatric Cardiac Critical Care** to serve as ** Medical Director of Pediatric CVICU** **in New Orleans, Louisiana** **.** ... state-of-the-art 12-bed CVICU with teaching responsibilities for pediatric residents, medical students, and allied health students. The successful candidate will… more
- Evolent (Baton Rouge, LA)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... in Cardiology** (with Cardiology training and clinical experience). + **Unrestricted medical license** in the state of residence and willingness to obtain… more
- Merck (Baton Rouge, LA)
- **Job Description** Regional Medical Scientific Director - Cardiovascular & Metabolism - **Southern PA, Southern NJ, DE, WV** (Remote) **Role Summary** + The ... Cardiovascular & Metabolism Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in… more