- AbbVie (Irvine, CA)
- …Follow Allergan Aesthetics on LinkedIn. Job Description Position Summary The Director of Skincare Medical Review leads and ... and implementation of the global medical operations strategy (Pharmacovigilance, Medical Information, Epidemiology and Medical Review ) for SkinMedica… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... as other research areas centered around rare diseases and immune disorders. **Summary** The Director , Clinical Safety, will be a product safety lead or part of a… more
- Elevance Health (Columbus, OH)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management** **$20,000 Sign On Bonus** ... set of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director supporting our Medical Oncology team** is… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Assistant Program Director for Medical Claims Review to join our talented and fast-paced Public Sector ... and development of corrective actions based on findings. The Assistant Program Director for Medical Claims Review would be responsible for management the … more
- Atlantic Health System (Morristown, NJ)
- …standards of care, and participating in interdisciplinary team meetings. Additionally, the Medical Director will review patient eligibility, provide ... Atlantic Health System is Seeking a Part-Time Medical Director for Hospice in Morristown, New Jersey Atlantic Health System, a prominent non-profit healthcare… more
- Elevance Health (Louisville, KY)
- …to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + ... **Clinical Operations Associate Medical Director ** **Carelon Insights** **Post Acute... Director ** **Carelon Insights** **Post Acute Care Utilization Review ** _Schedule: 11-8 Central Time_ A proud member of… more
- Elevance Health (Grand Prairie, TX)
- …to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + ... **Clinical Operations Associate Medical Director ** **Carelon Medical Benefit Management** **Interventional Pain Benefit Review ** **Location** : This… more
- State of Massachusetts (Northampton, MA)
- …(DMH) is seeking to hire an intern who will support the Western Massachusetts Area Medical Director to review the residential services being provided outside ... consultation with the site responsible for providing services, and accompanying the Area Medical Director on in-person visits. The areas of particular interest… more
- Serco (Washington, DC)
- …this role, you will:** + Work in direct communication and support of the Assistant Project Director for Medical Review and Medical Review Manager ... in this position ideally brings strong subject matter expertise in medical review policies, particularly for the Medicaid and Children's Health Insurance… more
- Intermountain Health (Murray, UT)
- …policies of these services. In conjunction with the appropriate IHCHS credentialing bodies, Medical Director oversees peer review of all hyperbaric ... **Job Description:** Medical Director Hyperbaric Medicine will provide oversight for clinical program development for Hyperbaric services, budgeting, policy and… more
- Serco (Washington, DC)
- …will:** + Be in direct communication with the Program Director , Assistant Program Director for Medical Claims Review , Data Processing Reviewers, and CMS ... **Position Description** Serco is seekinga motivated Data Processing Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting… more
- St. Luke's University Health Network (Allentown, PA)
- …incorrect registrations and/or physician queries + Serves as liaison between Physician Advisor/ Medical Director , Finance, Utilization Review Department and ... of a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance… more
- Vanderbilt University Medical Center (Nashville, TN)
- …testing performed in cooperation with the section quality coordinator, team leader and medical director ; * Review quality control procedures and investigate ... in close collaboration with the team leader, manager and laboratory section medical director . These duties include investigation/development of new/modified test… more
- AdventHealth (Brandon, FL)
- …participating network providers unless specific care is not available in that network . Assists Medical Director in review of data for Quality Improvement . ... Returns patients to their job as soon as medically advisable . Assists Medical Director with development and ongoing revision of medical policies and… more
- AdventHealth (Tampa, FL)
- …network providers unless specific care is not available in that network** **Assists Medical Director in review of data for Quality Improvement** ... Returns patients to their job as soon as medically advisable** **Assists Medical Director with development and ongoing revision of medical policies and… more
- Humana (Columbus, OH)
- …how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... caring community and help us put health first** The Medical Director relies on medical ...LTSS program population. + Utilization management experience in a medical management review organization, such as Medicare… more
- AdventHealth (Maitland, FL)
- …prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization, claims ... role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs,...with the other medical directors..Participates with the Medical Directorate to review and develop … more
- Humana (Columbus, OH)
- …how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more
- Beth Israel Lahey Health (Burlington, MA)
- …PI Coordinator collaborates closely with the Trauma Program Nurse Director and Trauma Medical Director to review the performance and safety of the Trauma ... - Organizes and assists the Trauma Nurse Director and Trauma Medical Director with tertiary review of morbidity/mortality of all trauma patients. -… more
- Fresenius Medical Center (Los Angeles, CA)
- …meetings, medical executive meetings and other management meetings upon request from the Medical Director . + Review and comply with the Code of Business ... pre anesthesia assessment and evaluation of the patient. + Review , request, and order (as permitted by state law),...Recertification for Nurse Anesthetists. + Insurable by an appropriate medical malpractice insurer for the limits required by this… more