- Humana (Columbia, SC)
- **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 (Columbia, SC)
- **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 (Columbia, SC)
- **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 (Columbia, SC)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Humana (Columbia, SC)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
- Evolent (Columbia, SC)
- …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 (Columbia, SC)
- …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 (Columbia, SC)
- …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
- Otsuka America Pharmaceutical Inc. (Columbia, SC)
- The Medical Director , Rheumatology and/or Dermatology Medical Strategy is a critical role responsible for shaping the strategic processes and planning for ... ability to balance competing priorities. This position reports directly to the Senior Director , Immunology Lead, who in turn reports to the Executive Director ,… more
- Parexel (Columbia, SC)
- …Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to ... role can be based remo** t **ely in the US or Canada.** The Medical Director is a medical expert with specialized therapeutic expertise and some experience… more
- Evolent (Columbia, SC)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in… more
- Parexel (Columbia, SC)
- ** Medical Director - Gastroenterology Specialty** **Location:** Remote - United States / **Travel:** 15-20% **About This Opportunity** Parexel is seeking an ... exceptional ** Medical Director ** with specialized expertise in **Gastroenterology** to join our Medical Sciences team. This is an outstanding opportunity for… more
- STG International (Florence, SC)
- THIS IS FOR A FUTURE OPENING Medical Director STGi is seeking qualified candidates for this position in connection with an active Request for Proposals (RFP). ... upon STGi's selection as the successful awardee. ESSENTIAL FUNCTIONS: + Coordinate medical care to ensure that residents receive appropriate care . + Ensure… more
- ThermoFisher Scientific (Florence, SC)
- …future. **Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director /Clinical Trial Physician(FSP) based in the United States ... to challenge yourself and contribute to breakthrough solutions , the Medical Director /Clinical Trial Physician could be a great fit. **Discover Impactful Work:**… more
- Evolent (Columbia, SC)
- …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
- Sumitomo Pharma (Columbia, SC)
- …a dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Development - Oncology. The senior medical ... in support of the overall product development plan, based on strong medical and scientific principles, knowledge of compliance and regulatory requirements, markets,… more
- Evolent (Columbia, SC)
- …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
- CenterWell (Columbia, SC)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical… more
- Highmark Health (Columbia, SC)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical … more
- Sumitomo Pharma (Columbia, SC)
- …dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with...and summarization of findings + Serve as the internal medical monitoring for clinical trials + Review and provide… more