The Medical Director will determine the medical necessity of requests or appeals for coverage of medications (oral and injectable), laboratory tests, office visits and consultations, procedures, surgeries, level of care, continuity of care, durable medical equipment (DME), and any other service that...
Premise Health is seeking a full time Medical Director to provide primary care and clinical leadership with our employer based direct care clinic in Folsom, CA. Conducts histories, physical exams and prescribes medical treatment for patients ages 2 and older. Knowledge and experience with electronic...
Premise Health is seeking a full time Medical Director to provide primary care and clinical leadership with our employer based direct care clinic in Folsom, CA***$25k Sign-on Bonus*** What makes this opportunity unique: Practice evidence based medicine where you are not paid for productionBottom ...
The Medical Director of Medical Policy will report to the Vice President of Medical Management. In addition, you will be the clinical driver for medical policy innovations, supporting medical payment operations, leading the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, and ...
Experience:3 – 5 years minimum in family practice, emergency room, ambulatory care, or occupational health settingsMinimum 3 years management/leadership experience within the healthcare industry may be preferred Knowledge and Skills:Demonstrated interpersonal and collaboration skillsSuperior verbal ...
The Medical Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. Review pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (F...
In-house development programs for new graduates, experienced Associates, and Medical Directors. Sacramento, California looking to add a new veterinarian to our practice! Our extremely spacious and modern hospital includes five exam rooms, double surgical suite, 4-sink treatment area, digital & d...
The Medical Director, Operations - CalPERS will report to the Vice President, Medical Management. The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The ...
Hands-free charting with an AI-enabled notes assistant within our proprietary EHR• Competitive salary with incentives, wRVU bonus plan and weekend/holiday pay differentials• Paid time off, paid sick leave, paid training time off• Comprehensive benefits package effective day one, including medical, d...
Provide oversight and lead day-to-day operations for your team of medical assistants and support staff. Medical/Master’s degree and certification. Current, unrestricted medical license to practice in the state of California. Comprehensive benefits package effective day one, including medical, dental...
Premise Health is seeking a full time Medical Director to provide primary care and clinical leadership with our employer based direct care clinic in Folsom, CA. Conducts histories, physical exams and prescribes medical treatment for patients ages 2 and older. Knowledge and experience with electronic...
They are seeking a dedicated and experienced Medical Director to join our dynamic team and contribute to our vision of transforming eye care. The Medical Director will play a crucial role in shaping the clinical strategy and direction of our ophthalmology programs. The Medical Director must have pre...
Medical Director Needed at an Outpatient Facility in Oakland, California. ...
To obtain list eligibility for the Medical Record Director, before applying for the position, you must first take and pass the Medical Record Director exam. Two years of experience in a medical records office of an approved hospital which must have involved the supervision of medical records personn...
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...
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area’s largest and most comprehensive medical centers. Mercy S...
In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical management programs to address member needs across the continuum of care You will s...
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...
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...
Medical Director/Medical Monitor (MD/MM) works closely with the clinical operations team to provide medical expertise and safety oversight for all clinical trials. Serve as the Sponsor's Medical Monitor and oversee medical safety for clinical trials conducted under FDA INDs and ex-US regulatory bodi...
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 Chief Medical Officer also leads a team of Medical Directors across business sites and provides medical consultations on new business and claims cases, conducts research and development to keep the division at the forefront of underwriting and delivers educational programs to the underwriting de...
Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within esta...
Rocklin, CA is currently looking for a Medical Director to join our team! Our collaborative team is skilled, engaged, and ready to support! Located 30 minutes from downtown Sacramento, Rocklin is a very desirable, high-end community. We opened our doors in 1978, offering a wide range of medical serv...
High Paying Medical Director position at an HIV Clinic in San Francisco with Student Loan Repayment! JOB ID 72692. ...