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 ...
Reporting directly to the VP of Medical Affairs, US, the senior director will oversee a team of Field Medical Advisors, ensuring their activities are aligned with Modernas medical strategies and objectives and executed with a high degree of scientific expertise, integrity, and digital innovation. Le...
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 ...
Reporting directly to the VP of Medical Affairs, US, the Executive Director will oversee a team of Field Medical Advisors, ensuring their activities are aligned with Modernas medical strategies and objectives and executed with a high degree of scientific expertise, integrity, and digital innovation....
CVS Health - Medical Director (Ortho/Total Joint). The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background in Orthopedic specialty, including post-graduate direct patient care experience. This role expands Aetna's medical management programs to address member...
The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The M...
CVS Health Behavioral Health Medical Director Baton Rouge, Louisiana Apply Now. Develops, implements and interprets medical policies and procedures, including service authorization, claims review, discharge planning, and medical reviews performed through the aligned plan's grievance and appeal syste...
The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The Behavioral Health Medical Director is responsible for behavi...
In the Medical Director role you will provide oversight for medical policy implementation. CVS Health Medical Director (National Accounts) Baton Rouge, Louisiana Apply Now. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical m...
The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The M...
Highmark Health Medical Director Baton Rouge, Louisiana Apply Now. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Conduct electronic review of escalated cases aga...
Regional Medical Director Float - LA, MS, AL, TN, OH, MI. The Regional Medical Director is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved pa...
Medical Director for Pharmacy Services. Prefer a provider with some type of leadership experience; example Lead Hospitalist, Chief of Staff, Medical Director, Department Chair, etc. Must be eligible for or hold a current state medical license and be a member in good standing of the Medical Staff. In...
The Medical Director reports directly to the Executive Director, Medical & Scientific Affairs. The Medical Affairs Director provides support to the Medical Affairs/Clinical Affairs Group for the Pharma and Consumer products portfolio. Actively contributes to and drives Medical planning including...
They mentor Regional MSL Directors, Medical Executive Directors, and Medical Science Liaison teams, ensuring alignment and execution of strategies. The Medical Region & TA Lead (RTAL) sets and executes the cross-portfolio medical strategy for a specific region and therapeutic area. The RTAL prioriti...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support an...
Collaborate on the integration of medical services into Restore's overall comprehensive medical services as requested by the Chief Medical Director and/or designee. The Medical Director oversees Nurse Practitioners at Restore Hyper Wellness, providing services from 1-2 hours a week. Employee pricing...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support an...
Curriculum Design and Implementation Oversight in collaboration with NIMAA’s Clinical DirectorEnsure that course content reflects the desired content for NIMAAWork with instructors and guest faculty to shape content and format of all curriculum for NIMAAEnsure that content reflects appropriate hours...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. The Medical Director (Pain Management) will be a Subject Matter Expert (SME) with a background in Pain Management specialty, including post-graduate direct pati...
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician a...
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 ...
Collaborate on the integration of medical services into Restore's overall comprehensive medical services as requested by the Chief Medical Director and/or designee. The Medical Director oversees Nurse Practitioners at Restore Hyper Wellness, providing services from 1-2 hours a week. Employee pricing...