- Elevance Health (Atlanta, GA)
- ** Medical Director - Appeals ( Primary Care-IM or FM)** **Location: This is a hybrid position. Candidates must live within 50 miles of an Elevance Health ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- Banner Health (AZ)
- …appeal information from appropriate individuals that would include employees, providers, Medical Director , Plan Administrator, RNs, Risk Management, attorneys, ... ** Primary City/State:** Arizona, Arizona **Department Name:** Grievances & Appeals **Work Shift:** Day **Job Category:** General Operations Great careers are… more
- The Mount Sinai Health System (New York, NY)
- …years administrative or medical office experience required , 416 - HSO Appeals Management - MSH, Mount Sinai Hospital **REQUIRED SKILLS** MS Excel MS Word ... operational details. This individual typically reports to a manager, director or division head. **RESPONSIBILITIES** 1. Serves as an...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
- Evolent Health (Annapolis, MD)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of ... complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
- Molina Healthcare (Starkville, MS)
- …regulatory requirements affecting the medical and clinical staff. + Part Time Perinatal Medical Director , Based in MS **Job Duties** + Provides medical ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff....activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director , Hospitalist Services is responsible for assisting the Medical ... The Associate director will report to LGHP Medical Director and have a reporting relationship...with the administrative and clinical staff of LRH. The primary function of the Associate director is… more
- AmeriHealth Caritas (Newark, DE)
- ** Medical Director , LTSS (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified ... and related policy and practice initiatives in collaboration with the Corporate Medical Director (s), Senior Medical Directors, Utilization Management and… more
- State of Colorado (Denver, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... This position is open only to Colorado state residents. Primary Physical Work Address 710 S. Ash Street, Unit...knowledge of the action: Colorado State Personnel Board/State Personnel Director , Attn: Appeals Processing, 1525 Sherman Street,… more
- Magellan Health Services (Albuquerque, NM)
- …Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by overseeing ... staff and physician advisors. Ensures adequate physician resources. Develops and manages medical director and physician advisor budgets, travel budgets, and… more