Legal / Compliance, Information Technologies, Pharmaceutical / Biotech, Healthcare - Hospitals, Internet / Online Media, Computer Software / Computer Games, Consumer Products, Architecture / Construction / Civil Engineering, Management Consulting, Advertising/PR/Marketing/Events, Manufacturing (Heav...
The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding. The Medical Director is responsible for ...
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'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 ...
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...
Benefits designed to aid your health and wellness:Taking care of you todayPaid sabbatical after 5 and 10 yearsEmployee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issuesCompetitive Medical, Dental and Vision plansFr...
Assistant Medical Director, Psychiatrist (On-call/flexible hours) - Oregon preferred Category Physician Opportunities Job Location Nationwide Tracking Code 134705 Industry Health Care Job Level Mid Career Position Type PRN Years of Experience 2+ to 5 Years Our Medical Affairs team is looking for a r...
Benefits designed to aid your health and wellness:Taking care of you todayPaid sabbatical after 5 and 10 yearsEmployee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issuesCompetitive Medical, Dental and Vision plansFr...
Lead the office medical directors in delivering on patient promises of outstanding and affordable quality, access, and service. Collaborate with other district medical directors, departments, and local partners to continuously innovate and improve. Continuing Medical Education (CME) - Receive an ann...
With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care site...
Lead the office medical directors in delivering on patient promises of outstanding and affordable quality, access, and service. Collaborate with other district medical directors, departments, and local partners to continuously innovate and improve. Continuing Medical Education (CME) - Receive an ann...
The Senior Medical Director is a member of the senior leadership team of DESC, oversees the psychiatric and other medical services provided by DESC medical personnel, and coordinates with partner organizations to bring additional healthcare services to DESC clients. This position directly supervises...
Primary Responsibilities:Conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer-to-peer telephone callsUse clinical knowledge in the applicatio...
Recommend changes to the Program Director. May assist the Program Director with student applicants for admission into the program. Medical (PPO & 2 HDHP with HSA), Dental & Vision. ...
JOB OVERVIEW: The Director of Inpatient Pharmacy Operations plays a crucial role in overseeing all aspects of inpatient (hospital) pharmacy operations at Valley Medical Center. TITLE: Director, Inpatient Pharmacy Operations. The Director collaborates with various departments and stakeholders to deve...
Join Swedish Medical Group as a full-time Family Medicine Physician Faculty Director at the First Hill facility in Seattle, Washington. In addition, providers may have CME benefits available to them*Where You'll Work*Swedish Medical Group is an integrated team of more than 1,300 physicians and advan...
FM/IM Medical Director Position in Western Washington - Sign-On Bonus. Optimum is proud to partner with a hospital in western Washington that has an opening for a Family Medicine or Internal Medicine physician to join their Primary Care team as Medical Director. ...
In order to be eligible for University sponsorship for an H1-B visa, graduates of foreign (non-US) medical schools must show successful completion of all three steps of the US Medical Licensing Exam (USMLE) or equivalent as determined by the Secretary of Health and Human Services. The Director of An...
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 ...
The Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine of UW Medicine is seeking a full-time faculty member at the Clinical Associate Professor or Clinical Professor level for an academic appointment without tenure to be the medical director of the UW Medicine - Valley Medi...
The Director of Medical Services (DMS) works at the direction of, and in support to the Chief Health Officer (CHO) to extend leadership of our Medical Programs across Neighborcare Health (NCH). Provide clinical review and oversight of medical incident review as a partner to the Director of Complianc...
The Department of Laboratory Medicine and Pathology, University of Washington, seeks a full-time laboratory director to serve as the Medical Director of Contract Laboratory Services. In addition to the Medical Director of Contract Laboratory Services responsibilities, applicants will be expected to ...
Responsible (in partnership with the Network Medical Director, and the VP of Clinic Operations) for the delivery of care to meet quality, cost and patient satisfaction goals. TITLE: Director, Specialty Services. Facilitates the development of a multi-disciplinary Quality Improvement program in the S...
Senior Medical Director would have a MD or DO degree, at least 5 years clinical experience, plus at least 2 years medical utilization management and/or case management experience (prefer health insurance experience and additional MHA or MBA training), or an equivalent combination of education and ex...
Clinical Operations Medical Director supporting our Medical Oncology team. Clinical Operations Medical Director. Determine medical necessity of requests using guidelines and client-specific health plan medical policy. Utilization Management of Medical Oncology Benefits. ...