- Humana (Columbus, OH)
- **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 (Columbus, OH)
- **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 (Columbus, OH)
- **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 (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... home health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services… more
- Evolent (Columbus, OH)
- …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 ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
- Cleveland Clinic (Cleveland, OH)
- ** Medical Director , Pediatric Cardiac Intensive Care Unit** The Division of Cardiology & Cardiovascular Medicine within the Pediatric and Adult Congenital Heart ... clinical skills and a strong history of leadership to serve as the Medical Director of our Pediatric Cardiac Intensive Care Unit (PCICU). The position will have… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …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
- CSL Plasma (Akron, OH)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . 12. Determines donor suitability following adverse reactions… more
- Cleveland Clinic (Cleveland, OH)
- Medical Director , Community Paramedicine Cleveland Clinic is seeking a Medical Director , Community Paramedicine. This part time position will be a .1 ... governance and advocacy. This role will have a dual reporting structure. The Medical Director and telehealth portion will report to the Center for Connected Care… more
- CVS Health (Columbus, OH)
- … medical license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy ... timely and consistent responses to members and providers. + As a Medical Director you will focus primarily on overseeing utilization review and quality assurance… more
- J&J Family of Companies (Cincinnati, OH)
- …Learn more at https://www.jnj.com/medtech Johnson and Johnson Family is recruiting a ** Medical Director , Medical Affairs, Johnson & Johnson MedTech** ... provide strong input on long-term product opportunities and portfolio strategies. The Medical Director will work closely with the Clinical Research team to drive… more
- Elevance Health (Cincinnati, OH)
- ** Medical Director - Medicare** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Candidates must be able to work Eastern Time Zone hours. The ** Medical Director ** is responsible for the administration of physical and/or behavioral health … more
- Humana (Columbus, OH)
- …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
- CSL Plasma (Cleveland, OH)
- …report directly to the Center Manager, with dotted line reporting to the Division Medical Director . **The Role** * Serves as the primary physician for reporting ... Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff. * Responds to inquiries… more
- Evolent (Columbus, OH)
- …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 (Columbus, OH)
- …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
- Evolent (Columbus, OH)
- …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 ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Applewood Centers (Cleveland, OH)
- …Full Time, Part Time, or PRN. Minimum of 2 days per week. The Medical Director , Psychiatric Residential Treatment Facility (PRTF) is responsible for all ... time. In collaboration with the Director of Residential Services, the Medical Director builds policies, standard operating procedures, quality measures, and… more
- Grifols Shared Services North America, Inc (Shaker Heights, OH)
- …and services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... of human disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the United States (non-California), is $170,000.00 -… more
- Elevance Health (Independence, OH)
- ** Medical Director Associate - Carelon RX** Location **:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Medical Director Associate** is responsible for providing day-to-day… more