Maryland Licensed Medical Director
VirtualVocationsSpokane, Washington, United States1 day ago
Job type
- Full-time
Job description
A company is looking for a Health Plan Medical Director Physician.
Key Responsibilities
Participate in the development and execution of case management, disease management, and population health management
Conduct daily reviews of inpatients, precertification requests, and pharmacy requests
Ensure utilization review decisions are made according to UM criteria based on medical necessity
Required Qualifications
5 years of clinical experience with progressively responsible leadership experience
Health plan experience preferred
Must reside in the DC / Maryland area
Possess medical licensing in DC and Maryland
Remote telehealth work opportunity
Create a job alert for this search
Medical Director • Spokane, Washington, United States
Related jobs A company is looking for an Associate Director, Clinical Documentation Integrity.Key Responsibilities Oversee the Clinical Documentation Improvement (CDI) program and manage the CDI team Provide...Show moreLast updated: 1 day ago A company is looking for a Remote Outpatient Director of Growth & Operations (Telehealth Behavioral Health).Key Responsibilities Design and execute referral growth strategies to expand session vo...Show moreLast updated: 2 days ago A company is looking for Board Certified Physician Reviewers in Medical Oncology with a Virginia License.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in pe...Show moreLast updated: 1 day ago A company is looking for a Director, Medical Affairs Strategy and Operations.Key Responsibilities Act as a strategic partner to the VP of Medical Affairs and lead planning cycles for Medical Affa...Show moreLast updated: 1 day ago A company is looking for a Medical Director, Oncology & Specialty Patient Safety.Key Responsibilities Lead Product Safety Teams and ensure safety monitoring throughout the product lifecycle Over...Show moreLast updated: 30+ days ago A company is looking for a Medical Professional to support operations and compliance in the retail department.Key Responsibilities Conduct consultations via phone with customers regarding medical...Show moreLast updated: 2 days ago A company is looking for a Director of Medical Coding.Key Responsibilities Oversee the accuracy, compliance, and efficiency of medical coding operations across multiple specialties Develop and i...Show moreLast updated: 3 days ago A company is looking for a Senior Director, Eligibility Excellence.Key Responsibilities Lead the design and execution of a scalable Eligibility Center of Excellence, overseeing policies and opera...Show moreLast updated: 1 day ago A company is looking for an Associate / Scientific Director.Key Responsibilities Oversee the development of high-quality deliverables for Publications / Medical Affairs accounts Serve as a strategic...Show moreLast updated: 27 days ago A company is looking for a Director Medical Communications Lead (SPOC) - Radioligand Therapy (RLT) and Radioligand Imaging (RLI).
Key Responsibilities Develop and execute strategic medical communi...Show moreLast updated: 1 day ago A company is looking for a Medical Review Nurse (RN).Key Responsibilities Review and authorize referral and authorization requests based on established criteria and compliance standards Assess r...Show moreLast updated: 30+ days ago A company is looking for a Senior Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Oversee the delivery of the Post Acute Care Program ensuring seamless patient transitions an...Show moreLast updated: 2 days ago A company is looking for a Board Certified Physician Reviewer in Otolaryngology.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer communications and ans...Show moreLast updated: 1 day ago A company is looking for a Senior Director Provider Credentialing and Enrollment.Key Responsibilities Oversee all aspects of credentialing, re-credentialing, payer enrollment, and facility enroll...Show moreLast updated: 1 day ago A company is looking for a DME Clinical Advisor to ensure the delivery of medically appropriate durable medical equipment, orthotics, and prosthetics while maintaining cost-effectiveness.Key Respon...Show moreLast updated: 1 day ago A company is looking for a Director, 340B Solutions.Key Responsibilities Influence strategy and execution across a dynamic portfolio of healthcare clients Deliver expert guidance on 340B program...Show moreLast updated: 2 days ago A company is looking for a Director, Clinical Impact & Innovation.Key Responsibilities Lead strategies to achieve business and clinical KPIs, focusing on quality outcomes and in-home screening ef...Show moreLast updated: 3 days ago A company is looking for a Medical Director, Patient Safety.Key Responsibilities Respond to high-risk clinical events, providing real-time guidance to ensure safe resolutions Develop and impleme...Show moreLast updated: 1 day ago
- Promoted
Ohio Licensed Clinical Documentation Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Licensed Outpatient Operations Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Virginia Licensed Medical Oncologist
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Director of Medical Affairs
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Oncology Medical Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Pennsylvania Licensed Medical Professional
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Florida Licensed Medical Coding Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
California Licensed Eligibility Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Scientific Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Director Medical Communications Lead
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Florida Licensed Medical Review Nurse
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
State Licensed Senior Director of Clinical Excellence
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
New Mexico Licensed Otolaryngologist
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Pennsylvania Licensed Provider Credentialing Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Ohio Licensed DME Clinical Advisor
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Ohio Licensed Pharmacy Director
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Clinical Director, State Licensed
VirtualVocationsSpokane, Washington, United StatesFull-time
- Promoted
Licensed Medical Director, Patient Safety
VirtualVocationsSpokane, Washington, United StatesFull-time