- Insight Global (New York, NY)
- Job Description This role determines the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying ... to quality standards. Primary Duties and Responsibilities * Provide timely medical reviews that meet Oscar's stringent quality parameters. * Provide clinical… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid | ... join us. The Impact You Will Have The Senior Director of Health Services, Utilization Management is...UM/Cost Protection * Accountabilities include the overall value of utilization management (UM) product, medical and reimbursement… more
- University of Colorado (Aurora, CO)
- …Barbara Davis Center for Diabetes** **Job Title:** **Open Rank - Medical Director of the Adult Diabetes Division - Associate Professor - Professor** ... BDC Adult Diabetes Division related to the delivery of medical care and clinical services such as utilization...advertising agency (https://www.jobelephant.com/) Open Rank - Medical Director of the Adult Diabetes Division - Associate… more
- CenterWell (Indianapolis, IN)
- …healthcare by putting seniors at the heart of everything we do. As an ** Associate Medical Director (AMD) at CenterWell Senior Primary Care,** you ... patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities...goals. **Use your skills to make an impact** **The Associate Medical Director will be… more
- CenterWell (Kansas City, KS)
- **Become 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 ... partnership to optimize patient care and business outcomes. **Responsibilities** : The Associate Medical Director 's Key Responsibilities include: Leadership… more
- CenterWell (Columbia, SC)
- **Become 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 ... across interdisciplinary teams **Dyad Partnership:** + Collaborate with operational leaders ( Associate Operations Director and/or Market President) and Shared… more
- Novo Nordisk (Denver, CO)
- …The base range of pay for each title in this job family are as follows: * Medical Account Associate Director - $190,000 to $245,000 * Medical Account ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...and priority Managed Markets accounts. Position reports to Field Director /Sr Field Director /Executive Director . Essential… more
- Elevance Health (Seven Fields, PA)
- ** Medical Director Associate - Psychiatrist- Pennsylvania Medicaid** **Location:** This role enables associates to work virtually full-time, with the ... required by law. Alternate locations may be considered. The ** Medical Director Associate ** is responsible...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- HCA Healthcare (Austin, TX)
- …want to join an organization that invests in you as a Associate IT Director ? At St. David's Medical Center, you come first. HCA Healthcare has committed up ... over the course of three years. **Benefits** St. David's Medical Center offers a total rewards package that supports...part of our team. **Job Summary and Qualifications** The Associate Director of IT&S provides technical and… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital ... services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports denials and appeals activities,… more
- CenterWell (Daytona Beach, FL)
- **Become 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 ... levels throughout the year. Dyad Partnership: *Collaborate with operational leaders ( Associate Operations Director and/or Market President) and Shared Services… more
- University of Washington (Seattle, WA)
- …of managers within the finance and grants and contracts/research work groups. The Associate Director will direct all aspects of the department financial ... program concerns when the Vice Chair is absent or otherwise unavailable. The Associate Director will be knowledgeable in university human resources polices and… more
- Johns Hopkins University (Baltimore, MD)
- …health care and supporting the well-being of a diverse community of learners. The Associate Director of Clinical Services leads the day-to-day operations of the ... Mental Health Services East Baltimore clinic. The Associate Director of Clinical Services collaborates closely...Services provides ancillary support for MHS involvement in the medical leave of absence process. This position is based… more
- Henry Ford Health System (Detroit, MI)
- …Detroit, Michigan is seeking an Infectious Diseases physician to serve as the System Associate Medical Director of Epidemiology and Infection Prevention and ... and helping to develop and implement institutional policies and quality improvement initiatives. The Associate Medical Director will be a faculty member of… more
- Elevance Health (Indianapolis, IN)
- …Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit Management/ Utilization Review** **Virtual** : ... domains, including radiology, cardiology and oncology. _ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical… more
- University of Michigan (Ann Arbor, MI)
- Associate Director , Sports Medicine Apply Now...with Head Orthopedic Team Physician for UM Athletics and Medical Director for UM Athletics to assure ... be vested in a multi-disciplinary triad leadership team consisting of the Executive Director , Sports Medicine, the ** Associate Director , Sports Medicine** ,… more
- ChenMed (Metairie, LA)
- …3 years preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population ... we need great people to join our team. The Associate Market Clinical Director will directly supervise,...to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model,… more
- Horizon Services, Inc. (Hayward, CA)
- JOB TITLE: Associate Director of Outpatient & Prevention Program Operations LOCATION: Administration - Hayward CA Employment Type: Full-Time (Salary) POSITION ... where our collective experiences enrich each other's growth. The Associate Director of Outpatient & Prevention Programs...other HSI subject matter experts such as Clinical & Medical specialists, and expanding services to serve new market… more
- AmeriHealth Caritas (Washington, DC)
- …with medical policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer independently applies medical ... **$5,000.00 SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring… more
- University of Colorado (Aurora, CO)
- … Medical Campus** **Department: Medicine- Administration** **Job Title:** **Clinical Director of Transplant Medicine -** **Open Rank- Associate Professor ... Director of Transplant Medicine - Open Rank- Associate Professor - Professor** **Description** **University of Colorado Anschutz...fall outside acceptable range, work with the organ specific medical director to develop a plan to… more