- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …Strategy and Patient Affordability We are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will...while ensuring alignment with the product's brand strategy. The Director will collaborate closely with cross-functional teams, including Brand… 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...Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted… more
- Evolent (Columbus, OH)
- …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 Surgery ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- Elevance Health (Mason, OH)
- **Clinical Operations Associate Medical Director ** **Interventional Pain** **Carelon Medical Benefits Management** **Virtual:** This role enables associates ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical… more
- Elevance Health (Columbus, OH)
- **Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management** **Virtual:** This role enables associates to work ... of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical … 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
- 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 ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation...Current and ongoing Board Certification of an approved ABMS Medical Specialty + A current and unrestricted… more
- Merck (Columbus, OH)
- …our portfolio. We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating ... Candidates must reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD)… 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
- 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 ... staff ensuring timely and consistent responses to members and providers. + As a Medical Director you will focus primarily on overseeing utilization review and… 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...of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice,… more
- Evolent (Columbus, OH)
- …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 ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to.... Current, unrestricted clinical license in medicine or required specialty . Obtaining and maintaining medical licenses… more
- Evolent (Columbus, OH)
- …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. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… more
- Humana (Columbus, OH)
- …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...of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills +… more
- Select Medical (Youngstown, OH)
- …**Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Director of Business Development** Directors of Business Development lead business ... in acute care hospitals. **Who We Are** At Select Specialty Hospital, a division of Select Medical ,...every day across our four divisions. **Responsibilities** **What a Director of Business Development Does** You will be a… more
- Select Medical (Newark, OH)
- …**Critical Illness Recovery Hospital** ** Director of Quality Management** At Select Specialty /Regency Hospitals, a division of Select Medical , we care for ... Receiving and reviewing quarterly quality improvement reports. + Assisting the Medical Director and Quality Program Director with development and… more
- Elevance Health (Mason, OH)
- **Clinical Operations Associate Medical Director ** **Orthopedic Surgery** **Virtual** : This role enables associates to work virtually full-time, with the ... analytics to improve the delivery of care. The **Clinical Operations Associate Medical Director - Orthopedic Surgery** is responsible for performing… more