- Humana (Providence, RI)
- **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 (Providence, RI)
- **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
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Evolent (Providence, RI)
- …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
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …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
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …in helping people live healthier lives. Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director will provide leadership and ... all aspects of Kennedy Community Health's Milford MA primary care clinic. The Medical Director will spend part of their time overseeing the Provider staff as… more
- Humana (Providence, RI)
- …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
- J&J Family of Companies (Raynham, MA)
- …States of America **Job Description:** Johnson and Johnson is currently seeking a ** Medical Director , Medical Affairs, Orthopedics (Spine)** located **in ... help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech The Medical Director , Medical Affairs, Orthopedics role provides … more
- Evolent (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Grifols Shared Services North America, Inc (Fall River, MA)
- …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
- Humana (Providence, RI)
- …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
- Sumitomo Pharma (Providence, RI)
- …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 (Providence, RI)
- …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 ... a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Providence, RI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Brockton Hospital (Brockton, MA)
- …Dermatology practice less than an hour from Boston. We are looking for a Medical Director for our Division of Dermatology to enhance our growing specialty ... to identify and implement quality initiatives for Dermatological care. The Medical Director will serve as clinical mentor within the Division of Dermatology… more
- Evolent (Providence, RI)
- …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
- VCA Animal Hospitals (Whitman, MA)
- Join us as a Medical Director at VCA Whitman Animal Hospital and you'll quickly discover that you're well supported by world-class medicine, technology, ... a motivated veterinarian to continue practicing medicine while establishing the direction and medical quality of the hospital. Plus, you'll have the solid backing of… more