- Elevance Health (Woburn, MA)
- ** Medical Director - Cardiology Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... for employment, unless an accommodation is granted as required by law. The ** Medical Director - Cardiology Appeals ** is responsible for the review of … more
- Evolent (Helena, MT)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... cardiology to help ensure the delivery of high-value, evidence-based...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Tallahassee, FL)
- …Join Evolent for 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 ... Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Elevance Health (Washington, DC)
- …integration, and ensures essential face-to-face onboarding and skill development. The ** Medical Director , Cardiology ** is responsible for supporting ... **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This...medical necessity determinations for services requested. + Makes medical necessity determinations for grievance and appeals … more
- Elevance Health (Morristown, NJ)
- …clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical ... **Clinical Operations Medical Director ** ** Medical Oncology**...medical necessity determinations for services requested. + Makes medical necessity determinations for grievance and appeals … more
- Elevance Health (Miami, FL)
- …clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical ... **Clinical Operations Medical Director ** **Carelon Medical ...medical necessity determinations for services requested. + Makes medical necessity determinations for grievance and appeals … more
- Mount Sinai Health System (Long Island City, NY)
- …data collection, data received from external agencies, Physician 9.Advisors and the Medical Director . 10.Ensures Discharge Appeals functions are carried ... **Job Description** The Director will direct and manage departmental activities involved...direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate the case… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Development and Fundraising** **Assistant Director of Development-Data Services-Development & Fundraising-Corporate- Full-Time-Days- 150 East ... to travel to East 42nd Street Office as need. Reporting to the Director , Business Intelligence and Analytics, the Assistant Director manages and participates… more
- Mount Sinai Health System (New York, NY)
- …(MSHS) is responsible for hospital-based Billing and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice ... **Job Description** **Senior Director , Patient Financial Services (Backend Revenue Cycle) Corporate...department such as coding, IT, clinical service areas and appeals to ensure seamless end-to-end revenue cycle performance. +… more
- Mount Sinai Health System (New York, NY)
- …to the payor, as needed, coordinating direct communication between physician and payor Medical Director as required. f. In psychiatry, the CM will document ... (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D Endoscopy, and APN Adult Oncology +...Supports the mission, vision, philosophy and goals of the Medical Center. + Case Management: The CM process will… more