- ThermoFisher Scientific (Richmond, VA)
- …the future. **Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director / Clinical Trial Physician(FSP) based in the United ... where you're encouraged to challenge yourself and contribute to breakthrough solutions , the Medical Director / Clinical Trial Physician could be a great fit.… more
- Highmark Health (Richmond, VA)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Elevance Health (Richmond, VA)
- …our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation ... the health improvement tools offered to clients/ members. The medical director provides clinical expertise...clinical relevance to account reporting regarding use of medical services by members. Involved in identifying… more
- Humana (Richmond, VA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Bon Secours Mercy Health (Richmond, VA)
- …referrals to assess timeliness of access to care * Assist the Structural Heart Medical Director in their clinical and administrative responsibilities * ... liaison between consulting physicians, APCs, nurses and other ancillary services . * Organizes and utilizes a team approach to...Assist Structural Heart Surgical Director in their clinical and administrative responsibilities… more
- BrightSpring Health Services (Colonial Heights, VA)
- …looking for a new opportunity? AT Home Care Hospice is seeking a passionate, dedicated Director of Clinical Operations to join our team in Colonial Heights, VA . ... staff, leaving a legacy of strong leadership. As a Director of Clinical Operations, You will: +... Operations, You will: + Oversees all patient care services provided by the hospice team. + Supports and… more
- Genesis Healthcare (Ashland, VA)
- … Clinical Director . 15. Promotes all Powerback Rehabilitation products and services whenever possible. 16. Assists Clinical Operations Area Director ... responsibility for the efficient and profitable management of rehabilitation services in assigned site(s) of service . 2....of clinical requirements, and recommendations from the Clinical Director . 10. Administers financial controls of… more
- BrightSpring Health Services (Richmond, VA)
- …in Richmond, VA . In this key leadership role, you'll oversee home health clinical services , guide care delivery standards, and help drive exceptional patient ... Home Health is seeking a passionate, dedicated Home Health Director of Clinical Operations to join our...rapidly expanding organization Benefits and Perks for You! + Medical , Dental, Vision insurance + Health Savings & Flexible… more
- HCA Healthcare (Richmond, VA)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Director Clinical Operations with Henrico Doctors' Hospital you can be a ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services ...in our organization. We are looking for an enthusiastic Director Clinical Operations to help us reach… more
- Prime Therapeutics (Richmond, VA)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
- Cognizant (Richmond, VA)
- …submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... denials including but not limited to referral, preauthorization, medical necessity, non-covered services , investigational/experimental and billing resulting… more
- Highmark Health (Richmond, VA)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
- Grifols Shared Services North America, Inc (Richmond, VA)
- …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. The...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
- Humana (Richmond, VA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Richmond, VA)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical ...a Lead Medical Director . The Medical Director conducts post- service , inpatient… more
- Humana (Richmond, VA)
- …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …participants ineligible to apply. Responsibilities The Geriatrics Transitional Care Program Medical Director may practice in all settings, including inpatient, ... years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application....are looking for a 1.0 FTEE Geriatric physician as medical director of the transitional care program.… more
- CenterWell (Richmond, VA)
- … Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Humana (Richmond, VA)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on medical ...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- HCA Healthcare (Hopewell, VA)
- …of care in 21 states and the United Kingdom. We are looking for a Director Surgical Services for our TriCities Hospital team where excellence creates excellence. ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services ...to be an influencer in healthcare? **Apply for our Director Surgical Services role today!** **Job Summary… more