44283 medical director jobs found

Compensation: $194-250K w/a 20% AIP All benefits will start day one of employment Description The 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 variable factors. Responsibilities Job Profile The 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 occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this...

*Compensation: $194-250K w/a 20% AIP* *Benefits will start on day one of employment * Description The 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 occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. Responsibilities The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal...

Job#: 1313560 Job Description: Senior Medical Director, Immuno-oncology 1313560 Location: Waltham, MA (Hybrid) Science/ Focus: Immuno-oncology Therapeutic Areas: Oncology Job Overview: “Boots on the ground” Medical Director with strong communication skills responsible for outreach to PIs, trial enrollment, site communication, etc. Responsibilities: Lead and demonstrate ownership of early stage (phase 1-2) clinical trial design for novel, first-in-class tri-specific antibodies or cytokine programs for treatment of cancer Write clinical trial synopsis and protocols Contribute to selection of investigators and oversee project-related education of investigators, study site personnel, and study staff Plan and direct all medical aspects related to specific programs Lead clinical study teams, monitor clinical trials (medical monitoring), and review, analyze, interpret, and communicate safety and efficacy data Qualifications: MD or MD+Ph-D (MD required) Director/Senior...

Are you a Physician with a strong clinical research background in Infectious Diseases/Vaccines? We are recruiting for a North and Latin Americas based Associate Medical Director, specializing in Infectious Diseases. This is an exciting opportunity to work on cutting edge COVID 19 and other ID Projects. As a key position within the organisation with a level of visibility and leadership, this is an ideal role for someone looking to step into a Medical Director or above-country leadership role. You will be responsible for: - Answering day to day medical and scientific questions, provide daily medical support to our staff or site (investigator/study coordinator) - Review and sign off Data Management listings of safety data(including adverse events, laboratory data, vital signs data, medical history, physical examination, concomitant medication), establish the presence or absence of clinically meaningful trends and, if noted, follow up as appropriate with the project team, sponsor,...

Description The 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 variable factors. Responsibilities The Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Required Qualifications * MD or DO degree * 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or...

Job ID: 10764 Practice Details Currently seeking a Full-Time, Board Certified, Virginia and Tennessee Licensed Psychiatrist for a Regional Medical Director opportunity Weekdays: MONDAY - FRIDAY (8 HOUR DAYS) CALL: 1-in-6 (Regional Call Model) Weekends: 1 Weekend Per Month of on-site rounding Compensation Details Competitive Compensation Competitive call pay Weekend shifts pay Sign On Bonus Relocation Assistance PTO CME FULL Benefits (Medical, Dental, Vision)

During the last five years, Parexel has participated in more than 1,000 Oncology and Hematology clinical projects. The range of services includes compound clinical development planning, collaboration with feasibility, protocol writing or optimization, medical monitoring and pharmacovigilance. Parexel has global presence in every phase of clinical research and expertise in virtually every indication and mechanism of action, including novel Immuno-oncology agents, cellular based therapy, and cancer stem cell targeted treatment. Join our growing team of Oncologists/Hematologists and make a difference in the lives of patients searching for more effective and better tolerated cancer therapies. We are currently seeking a Board Certified Oncologist to join Parexel as a Senior / Medical Director. As a Medical Director at Parexel, you will provide medical monitoring for assigned projects, function as medical representative on the project team, provide medical consultation as required or...

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, Humana contract language, Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Commercial requirements and will understand how to operationalize this knowledge in their daily work. Responsibilities The Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins...

*Compensation: $194-250K w/a 20% AIP* *All benefits starts day one of employment* Description The 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 occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. Responsibilities The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates,...

Job ID: 10896 Practice Details Seeking a pathologist to provide laboratory leadership and general coverage for two hospitals in central southern Illinois. Responsibilities include surgical pathology, cytopathology, and clinical pathology. As regional medical director, the pathologist will collaborate with laboratory leadership and clinicians on both hospital campuses. The pathologist will also have a close working relationship with the pathology faculty and departmental administrative leadership at Saint Louis University. Provides Clinical and Anatomical Pathology coverage as needed; provides diagnostics such as the presence and stage of diseases using laboratory techniques and patient specimens. Meets the obligations and responsibilities set forth in the Medical Staff bylaws of those health care facilities at which the Employer requires the Employee to maintain Medical Staff membership. Responsible for reporting any damage to or insufficiency of all furnishings, medical appliances,...

Description Humana’s Oklahoma Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Oklahoma Medicaid plan members. They will collaborate closely with the Chief Medical Officer (CMO) to integrate the day-to-day administration and strategic management of behavioral and physical health services, including utilization management (UM), quality improvement, and value-based payment programs. The BH Medical Director will be based in Oklahoma and will also lead the development of new products and services in Humana’s Medicaid BH delivery model Responsibilities Essential Functions and Responsibilities * Lead major clinical and quality management components of Humana’s BH services * Oversee, monitor, and assist with the management of the establishment of Prior Authorization, clinical appropriateness of use, and step therapy requirements for the use of stimulants and antipsychotics for all Enrollees under the age of eighteen (18); consultations and...

*Comensation: $194-250K w/a 20% AIP* *All benefits starts day one of employment* Description The 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 occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. Responsibilities The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and...

Medical Director Are you an experienced Medical Director looking for a new challenge? Do you value care management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! Who we need: The Medical Director provides the principal leadership and clinical expertise to operations on all medical aspects relating to the peer review process, utilization review activities, case management, and other activities requiring clinical leadership and consultation. Additional key responsibilities may include assisting and promoting business development and strategic planning activities. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future of healthcare with us. We are mission driven to improve lives...

Start A New Career with VitalCore Health Strategies! VitalCore Health Strategies (VCHS), an industry leader in correctional healthcare, has an opening for a Medical Director / Physician at Ingham County Justice Complex in Mason, Michigan! At VitalCore we pride ourselves on retaining and acquiring hardworking ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff. MEDICAL DIRECTOR / PHYSICIAN SCHEDULE 8 hours / week 4-hour shifts Tuesday and Thursday MEDICAL DIRECTOR / PHYSICIAN POSITION SUMMARY The Site Medical Director serves as the responsible Physician and health authority required by national standards. They provide overall supervision for clinical services for the site to ensure appropriate delivery of on and off site necessary medical care but have no other...

Start A New Career with VitalCore Health Strategies! VitalCore Health Strategies (VCHS), an industry leader in correctional healthcare, has an opening for a Medical Director / Physician at Racine County Jail in Racine, Wisconsin!!! At VitalCore we pride ourselves on retaining and acquiring hardworking ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff. MEDICAL DIRECTOR / PHYSICIAN POSITION SUMMARY The Site Medical Director serves as the responsible Physician and health authority required by national standards. They provide overall supervision for clinical services for the site to ensure appropriate delivery of on and off site necessary medical care but have no other managerial responsibilities. MEDICAL DIRECTOR / PHYSICIAN MINIMUM REQUIREMENTS Graduate of an...

Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. *Position: Medical Director, Inpatient Psychiatry Service* *Department: Behavioral Health* *Schedule: Full Time* *Location: Brockton, MA* We have an amazing opportunity for...

*Medical Director/Attending Physician* *Requisition ID: 2855304476* *Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation.* *As a leading edge, innovative, and quality driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in...

Medical Director (MD or DO) We don’t just have a mission statement…we have a mission. At Northlight Counseling Associates our commitment to optimal mental health and steadfast support isn’t just for our clients, it extends to every member of our team. Northlight Counseling Associates realizes the strength of our practice is our exceptional staff. We support our clinicians in building a thriving and profitable caseload upon a culture of values of innovation, professionalism, and healthy work/life balance. We are currently seeking a licensed psychiatrist for full or part-time positions in our Phoenix and Mesa, Arizona locations. A third office in the Scottsdale area will be opening with a focus on trauma. Requirements: Board Certified in an area of psychiatry Two years of clinical experience preferred especially if in TMS Independent state license in Arizona and DEA Experience providing clinical operations support or leadership aptitude Solid EMH skills, knowledge of key...

MedStar Health offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that's right for you and your practice. Become part of an organization that welcomes your experience, input, and leadership—as a clinician and healthcare expert. MedStar Medical Group is pleased to announce that we are seeking a Medical Director to lead our ambulatory cardiology practice. This position oversees a large and thriving multi-site ambulatory practice across the Baltimore region that includes over 10 non-invasive cardiologists. This is a leadership role within our cardiovascular service line where you will be involved in formulating strategic plans for the group and in promoting the growth of the practice. Responsibilities include: Overseeing: Overall function of the multi-site ambulatory practice Noninvasive testing that is offered (echocardiograms, stress testing, etc.) Quality of care that is provided inclusive of patient experience and...

Our Company: SHC Medical Partners Overview: Under supervision of the CMO, you will have clinical and administrative responsibilities. While providing day-to-day clinical care to frail institutional and non-institutional patients and residents, you will practice and role-model ethical and evidence-based decision-making to promote the vision and mission of the company to other practitioners and staff. As a regional, administrative physician lead, you will provide medical director services in various settings, while training, mentoring and overseeing company nurse practitioners and setting accountability for key outcomes. Responsibilities: Assumes medical directorships for up to 5 skilled facilities and/or other senior living institutions. (Details of medical director responsibilities will be provided as a separate document) Provides collaborating physician duties for up to 15 nurse practitioners and physician assistants (based on state regulatory parameters) Provides high-quality...