Remote Medical Director: Utilization
2 weeks ago
A health services organization is seeking a Medical Director to provide medical oversight and determinations for services. Responsibilities include reviewing clinical records, collaborating with healthcare teams, and ensuring regulatory compliance. Candidates should have an MD or DO degree, board certification, and at least 5 years of clinical experience. This role offers a competitive salary with remote work flexibility and is pivotal in managing care for Medicare populations.
#J-18808-Ljbffr
-
Team Lead East
1 week ago
Little Rock, United States Remote Staffing Full timeRegional Medical Scientific Senior Director Team LeadThe Regional Medical Scientific Senior Director Team Lead (RMSD TL) is a credentialed therapeutic and disease expert who owns leadership, management, and full accountability for a regional, field-based team of Regional Medical Scientific Directors (RMSD) and their prioritized deliverables. The RMSD TL...
-
Medical Director — Medicare Utilization
2 weeks ago
Little Rock, United States Humana Inc Full timeA leading healthcare company seeks a Medical Director to provide medical interpretations and decisions based on regulatory compliance and various clinical standards. The ideal candidate should possess an MD or DO degree with over 5 years of experience in clinical patient care. This remote position involves occasional travel for training or meetings and...
-
Little Rock, United States Evolent Full timeYour Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved...
-
Remote Medical Director
3 weeks ago
Little Rock, United States Humana Inc Full timeA national healthcare organization seeks a Medical Director responsible for overseeing compliance with Medicare regulations and making medical determinations for healthcare service requests. Candidates must have an MD or DO degree, board certification, and extensive clinical experience. This remote role includes occasional travel for training and meetings,...
-
Director, Channel Sales Operations
12 hours ago
Little Rock, United States Remote Staffing Full timeDirector, Channel Sales OperationsThe Director of Channel Partner Operations for Capital One Software is a critical, high-impact leadership role responsible for building, optimizing, and scaling the operational foundation for Capital One Software's strategic go-to-market partnerships. This leader will design, implement, and govern the end-to-end processes,...
-
Remote Clinical Utilization Pharmacist UM Expert
7 hours ago
Little Rock, United States Humana Full timeA leading healthcare company is looking for a Staff Utilization Management Pharmacist who will conduct medical necessity and medication reviews. This remote role involves evaluating complex clinical scenarios to ensure appropriate medication use and providing clinical guidance to support patient outcomes. The ideal candidate holds a Pharm.D. and has strong...
-
Director-Dental Network Development
3 weeks ago
Little Rock, United States USAble Life Full timeJoin a Company That Makes a Difference - USAble Life At USAble Life, we’re more than just a workplace – we’re a community driven by purpose. Our diverse team is united by a shared commitment to making a meaningful impact in the lives of our customers, our colleagues, and the communities we serve. We believe in empowering our employees through strong...
-
Director-Dental Network Development
2 weeks ago
Little Rock, United States USAble Life Full timeDescription Join a Company That Makes a Difference - USAble Life At USAble Life, we're more than just a workplace - we're a community driven by purpose. Our diverse team is united by a shared commitment to making a meaningful impact in the lives of our customers, our colleagues, and the communities we serve. We believe in empowering our employees through...
-
Senior Client Solutions Director — Remote
2 weeks ago
Little Rock, United States CBRE Full timeA leading real estate firm is seeking a Senior Managing Director - Client Solutions to lead business development efforts and manage strategic client relationships. The ideal candidate will have a degree in a relevant field, extensive experience in team management, and strong skills in financial analysis and business development. This full-time position is...
-
Remote Director, AI Engineering
2 weeks ago
Little Rock, United States Capital One Full timeA leading financial technology company is seeking a Director, Distinguished AI Engineer to join their remote-eligible team in Little Rock, Arkansas. This role requires extensive experience in AI technologies and strong programming skills. The ideal candidate will contribute to transformative AI initiatives, work with cross-functional teams, and oversee the...