Medical Director, Managed Care

Join to apply for the Associate Medical Director role at Arkansas Foundation for Medical Care Scope of Position Perform initial and reconsideration reviews for private and Medicaid contracts. Develop relationships and promote mutually beneficial partnerships with employees, clients, other healthcare organizations, and the community at large. Support the...

A 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...

Description Department: Clinical Reports To: Chief Executive Officer FLSA Status: Exempt Direct Reports: None Safety Sensitive Position OSHA Risk Category: 1 Job Summary/Scope The Medical Director (MD) is responsible for the supervision and conducts ARORA Abdominal Recovery services. Additionally, the Medical Director has clinical management oversight of...

A leading healthcare provider in Little Rock is seeking a Medical Director for Primary Care to oversee health claims and manage complex medical issues. The ideal candidate will leverage their medical expertise to determine service authorizations and foster collaboration in care management. Knowledge of Medicare and regulatory compliance is essential. This...

Arkansas Health Group (AHG) employs approximately 700 physicians and advanced practice providers in the Baptist Health System across 12 hospitals and >120 clinical practice groups. The Physician Leadership Team consists of the Chief Medical Officer, Medical Director of Primary Care, and Medical Director of Specialties. The Primary Care Medical Director will...

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....

Overview Become a part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare...

Become a part of our caring community and help us put health first The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of...

Become a part of our caring community and help us put health first The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of...

Shift: Day Working Hours: 8a-5p Summary: The Population Health Medical Director is responsible for developing, implementing, and overseeing population health strategies that enhance the quality of care, reduce healthcare costs, and address health disparities within the Value Based Contracts of Baptist Health. The Medical Director will work closely with...