As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experi...
The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits for all lines of business. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided t...
They are seeking a Sr Medical Director/Medical Director to play a pivotal role in shaping molecule and program strategy, ensuring the medical and scientific integrity of oncology clinical trials. Offering medical oversight for operational staff, CROs, and clinical trial sites. ...
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...
Collaborates with medical and executive staff to promote effective execution of the medical center strategic plan. Represents KPC Health and Anaheim Global Medical Center in the community as a positive and professional role model reflecting the mission, vision, and values of the organization. Medica...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
Hoag Health in Newport Beach, CA i seeking a Medical Director of Movement Disorders. The Medical Director is pivotal in steering the Hoag Movement Disorders Program, dedicated to elevating care standards and community service. As a Hoag medical staff member, the role will span from performing outpat...
Our Center Medical Directors are a vital part of a dedicated team of clinicians committed to exceptional patient care. Ensures day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure. Graduate of an accredited medical pr...
In addition to the base salary, the incumbent may receive:.Board Certification and Sub-specialty.The County of San Diego Probation Department is seeking applications from exceptionally .Click here to view a detailed announcement including the duties and requirements of this position.For additional i...
The PDS Medical Director & TB Controller is a physician responsible for the clinical, scientific, and epidemiologic oversight of PDS Program activities, which includes developing, coordinating, interpreting, and executing TB policies and practices within Orange County and providing medical and epide...
In addition to the base salary, the incumbent may receive:.Board Certification and Sub-specialty.California-licensed physician to help lead the .San Diego County Psychiatric Hospital.For additional information about the job classification, .Interested candidates are encouraged to apply as soon as po...
Clinical Operations Associate Medical Director. Clinical Operations Associate Medical Director. Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested. Ensures consistent use of company medical policies wh...
You will work in collaboration with the HCC Medical Staff to ensure quality customer service; quality clinical care and timely evaluation and management in the primary medical care of our patients. ...
The Director of Philanthropy will provide leadership to major gift fund-raising programs and initiatives. The director will directly hire and supervise team members responsible for the multi-faceted efforts to promote and enhance current giving, endowment and capital giving from individuals, corpora...
The Division of Trauma, Burns, Surgical Critical Care and Acute Care Surgery at the University of California, Irvine School of Medicine is recruiting a Burn Medical Director to join the Division. The Burn Medical Director may also rotate on trauma, SICU and/or EGS depending upon their interest and e...
Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Our group plans include a variety of group medical, pharmacy, dental, vision, life and disability plans, and are flexible enough to fit any size business. Inte...
Medical Director position at an HIV Clinic in Mississippi on the ocean! JOB ID 71290. ...
Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology and sleep management requests using clinical guidelines and health plan medical policy. Clinical Operations Associate Medical Director. Makes physician to physician calls to gather medical ap...
Reporting directly to the Chief Medical Officer, this position will play a pivotal role in providing strategic leadership and medical expertise to support the development and execution of the company’s mission. Oversee study design, protocol development and amendments, and management of clinical tri...
FQHC is hiring a Medical Director in Northern California! JOB ID 58750. ...
As an Associate / Medical Director at Parexel, you will provide medical monitoring for assigned projects, function as the medical representative on the project team, provide medical consultation as required or requested to client/sponsor or to other Parexel service groups, and assume the role of Sen...
Renata Medical is seeking an experienced and organized leader to guide and develop global clinical and regulatory activities for pre- and post-approval pediatric cardiovascular medical devices. Deep knowledge of US FDA Class III Medical Device Guidelines. Strong knowledge of Class III medical device...
Medical Director to lead their growing team of specialists. ...
Responsible for quality oversight for late-stage development and new product introduction of combination products and medical devices. We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible ...
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experi...