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 ...
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 ...
More specifically, this professional will ensure medical decisions are rendered by qualified medical personnel and medical care meets quality standards. The Medical Director will also lead the prior authorization medical necessity review process and develop utilization management criteria and clinic...
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 ...
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...
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...
Shares information with others so there are no surprises; facilitates effective collaboration among clinic medical directors, clinic managers, and external partners. Compensation offers include an hourly rate plus a wRVU bonus plan, and a Clinic Medical Director leadership monetary stipend. The Comp...
Performs Treatment Authorization Request (TAR) review and appeals to determine medical necessity, appropriateness of services, interprets benefits and limitations, and reviews claims, which are questionable in dollar amount or volume or scope of services. Coordinates with Utilization Management depa...
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...
Medical Director - Sacramento, CA. Quest Diagnostics is seeking a Medical Director for our Northern California geography. The individual will work within a multifunctional team to ensure that the medical quality of the laboratory's services meets the healthcare needs of our patient population, and t...
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...
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...
The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions...
The Associate Director, Medical Affairs is responsible for the administrative oversight and day to day operations of the Well-Being of Physicians Committee, the Medical Staff’s Peer Review Process and the Medical Staff’s Ongoing Professional Practice Evaluation (OPPE). This position reports directly...
Primary Care - 70%* Provide medical care to enrolled participants, including the evaluation, diagnosis and management of their medical conditions, including but not limited to taking of a medical history, performance of physical examination, ordering and interpretation of diagnostic tests, formulati...
Responsibilities of this Medical Director role are related to Medicare Appeals. An Active state medical license without encumbrances. Medical Management - Medicare Complaints, Grievance & Appeals experience. The Company offers a full range of medical, dental, and vision benefits. ...
We deliver the best medical care for pets and the best experience for pet owners. This is an outstanding opportunity for a motivated veterinarian to continue practicing medicine while establishing the direction and medical quality of the hospital like a practice owner. Benefits: We offer competitive...
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...
Medical Director IM or FP Physician Needed 1. ...
A successful Pod Medical Director is intrinsically motivated, challenge-driven, rethinks traditions and genuinely cares about employees and patients. The Medical Director acts with an owner’s mindset, cultivating new ideas for driving business performance by leading the clinic team, managing financi...
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...
The Medical Director provides oversight of physician services by complementing attending physician care, acting as a medical resource to the interdisciplinary groups, and continuity of medical services. In conjunction with the executive leadership and as a part of the Interdisciplinary Team, the Med...
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...
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...
The Co-Medical Director, accountable to the Health Services Executive, Clinical Services, will co-manage our Women and Children’s Program with the Administrative Director and the Chief and Medical Director for Pediatrics and Neonatology. Partnering and leveraging the Quadruple Aim framework for heal...