- Parexel (Lincoln, NE)
- …Parexel!** In anticipation of future needs, we are seeking an additional Associate / Medical Director to join Parexel's highly recognized Medical Sciences ... Immunology and Inflammation Therapeutic Franchise! As an Associate / Medical Director , you will work closely with...(Global Lead Physician GLP or Regional Lead Physician RLP). Medical support includes but is… more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- …significant restriction on moonlighting Duties include but are not limited to the following: The Medical Director for Care in the Community CITC) is directly ... program mission generate numerous complex problems which require the Medical Director to have outstanding skills and...with appropriate professional training and believes has exposed the physician to an appropriate range of patient care… more
- Humana (Lincoln, NE)
- … care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with ... Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the KY,… more
- Humana (Lincoln, NE)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... caring community and help us put health first** The Medical Director relies on medical ...region or line of business. The Medical Director conducts Utilization Management of the care … more
- Evolent (Lincoln, NE)
- …Management to help Evolent partner with provider organizations to integrate value-based medical oncology care opportunities into physician , nurse, ... You'll Be Doing:** Evolent is seeking an experienced health care Director /Senior Director of Product...+ Serve as a subject matter expert on value-based care enablement for medical oncology and support… more
- Evolent (Lincoln, NE)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...utilization management while working in conjunction with the Senior Medical Director . May assist the Senior … more
- Evolent (Lincoln, NE)
- …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 costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Lincoln, NE)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Lincoln, NE)
- …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 costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to… more
- Molina Healthcare (Lincoln, NE)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... care provided meets the standards for acceptable medical care . + Ensures that medical...Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner… more
- Molina Healthcare (Lincoln, NE)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... care provided meets the standards for acceptable medical care . + Ensures that medical...Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner… more
- Catholic Health Initiatives (Omaha, NE)
- …of members where there is a reasonable concern for complying with standards of care . + Under the direction of Medical Staff Leadership and in collaboration ... and safe care . By design, this includes integration between acute medical centers and hospitals, employed providers and clinics, and independent provider groups.… more
- Evolent (Lincoln, NE)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Highmark Health (Lincoln, NE)
- …Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with… more
- Molina Healthcare (Kearney, NE)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Travelers Insurance Company (Lincoln, NE)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **Who Are We?** Taking care of our customers, our communities and each...Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader… more
- Catholic Health Initiatives (Omaha, NE)
- **Job Summary and Responsibilities** ** Director Periop Services** **Location: CUMC-Bergan Medical Center, Omaha, NE** CUMC - Bergan Mercy is searching for a ... Director of Perioperative Services. The ideal candidate will be...care . Our level I trauma center and academic medical center campus is designed to heal the body,… more
- Accura Healthcare (O'Neill, NE)
- …team members to thrive, consider Accura HealthCare and join us in being partners in care , family for life. JOB SUMMARY: The Director of Dining Services oversees ... HealthCare of O'Neill has the opportunity to welcome a Director of Dining Services (CDM) to lead our dining...food delivery and sanitation in accordance with facility policies, physician orders, resident care plans and appropriate… more
- Evolent (Lincoln, NE)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Avera (Omaha, NE)
- …clinical and administrative support staff. Responsible for the functions of physician relations, strategic planning, development of clinic goals, budget, materials ... Directly responsible and accountable for all core operations/functions of physician relations, materials management, policies, procedures and operational protocols,… more