Medical Director

Genesis Healthcare Medical Director in Santa Fe, New MexicoWe are offering a five thousand dollar sign-on bonusSub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no weekends or on call)We are seeking a part-time (16-24 hours per week) Attending Physician/Medical Director for our Casa Real Center...

We're seeking a results-driven Medical Director to join our team at CVS Health. As a Medical Director, you will be responsible for overseeing the development and implementation of medical policies, as well as resolving appeals for denied medical services.You'll work closely with our Medical Management team to ensure that our clinical strategies align with...

Become a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.The Medical...

CVS Health Medical Director - Commercial Appeals in Santa Fe, New Mexico At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence,...

CVS Health Medical Director - Commercial Appeals in Santa Fe, New MexicoAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital...

Humana Medical Director - Medicaid N. Central in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth...

Humana Medical Director - Care Plus - Florida in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth...

Humana Medical Director - Florida in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of...

We are seeking a skilled Medical Director to join our team. As a key member of our healthcare organization, you will play a critical role in reviewing medical authorizations and determining the medical necessity of services, level of care, or medical items/supplies.The successful candidate will have 5+ years of clinical experience, a current License in...

At Humana, we are committed to putting health first for our customers and our company. As a Medical Director, you will play a critical role in ensuring the delivery of high-quality care to our members.The Medical Director is responsible for providing medical interpretation and determinations whether services provided by other healthcare professionals are in...

About the RoleThe Field Medical Director, Radiology position involves serving as the Physician match reviewer in Imaging cases that do not initially meet the applicable medical necessity guidelines. You will discuss determinations with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provide...

Humana Medical Director - Mid West Region in Santa Fe, New MexicoBecome a part of our caring community and help us put health firstThe 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. All work...

Evolent is a leading health care company that partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions.As a Field Medical Director, Radiology you will be a key member of the utilization management team. You can enjoy better work-life balance on a team that values collaboration and continuous...

About the JobThe Humana Medical Director position is a critical role in our organization, responsible for providing medical interpretation and determinations regarding services provided by other healthcare professionals. This involves reviewing clinical scenarios, prioritizing daily work, communicating decisions to internal associates, and participating in...

We are seeking a Medical Director who shares our passion for delivering high-quality patient care. In this role, you will be responsible for leading our medical team and ensuring that our patients receive the best possible care.Key Areas of ResponsibilityLead and manage the medical team to achieve excellent patient outcomesDevelop and implement policies and...

Job Overview:As a Medical Director at Humana, you will play a crucial role in ensuring the delivery of high-quality healthcare services to our members. Your clinical expertise and leadership skills will enable you to make informed decisions about the appropriateness of medical services and treatments.About the Role:This is an exciting opportunity for a...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX).Become a part of our caring community and help us put health firstThe Long-term services and supports (LTSS) Medical Director's primary responsibility is the...

About the Role: As a Medical Director at Humana, you will play a crucial part in ensuring that our members receive high-quality care and support. This role involves utilizing your medical expertise to make informed decisions regarding service authorization, level of care, and site of service. You will work within a framework of regulatory compliance,...

About the RoleWe are seeking a highly skilled and experienced Medical Director to join our team in Radiology. As a key member of our utilization management team, you will play a vital role in ensuring that patients receive high-quality care while also managing costs effectively.Your primary responsibility will be to review imaging cases and provide clinical...

Job DescriptionThe Medical Director of Claims Operations will oversee the following key areas:Medical Claim Product Research, Strategy, and InnovationDesign and direct innovative, outcome-focused strategies and business plans for medical-related product development and enhancements.Conduct industry research and analysis related to medical, healthcare, and...