- Humana (Trenton, NJ)
- **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 (Trenton, NJ)
- **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 (Trenton, NJ)
- **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 (Trenton, NJ)
- **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
- Mount Sinai Health System (New York, NY)
- …environments + Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing physicians, medical director … more
- Evolent (Trenton, NJ)
- …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
- City of New York (New York, NY)
- …lots as well as abandoned vehicles from City streets. DSNY is seeking a Deputy Medical Director for the Department's Medical Division. The Division includes ... the tasks involved, including holding a commercial driver's license. Reporting to the Medical Director , the Deputy Medical Director will manage the… more
- City of New York (New York, NY)
- …Service system as it relates to patient care activities. Led by the Chief Medical Director , OMA's oversight includes the development and implementation of the ... (FDNY), seeks a full-time Emergent Medicine Physician to serve as a Division Medical Director in the Office of Medical Affairs (OMA). Reporting directly to… more
- BGB Group (New York, NY)
- Associate Medical Director , Medical Strategy & Scientific Affairs at BGB Group (View all jobs) (http://www.bgbgroup.com/careers.html) New York, NY BGB Group ... Associate Medical Director , Medical Strategy & Scientific Affairs Our Agency BGB Group is a healthcare communications agency that offers a wide range of… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …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
- J&J Family of Companies (Raritan, NJ)
- …States of America **Job Description:** Johnson and Johnson is currently seeking a ** Medical Director , Global Medical Affairs, Biosurgery located** in ... strong input on long-term product opportunities and portfolio strategies. The Medical Director will work closely with the Preclinical and Clinical Development… more
- CVS Health (Trenton, NJ)
- …NJ License without encumbrances or the ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy ... ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality… more
- Humana (Trenton, NJ)
- …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
- Evolent (Trenton, NJ)
- …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 (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- BluePearl (Langhorne, PA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in ... and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance… more
- Grifols Shared Services North America, Inc (Freehold, NJ)
- …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
- City of New York (New York, NY)
- …home visit group, Disciplinary, investigations, and administration. The DOC seeks to employ a medical Director who will directly manage a team of doctors and ... and agree on plans of action to ensure satisfactory performance. The medical director will report findings to the Head of Division and First Deputy… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more