Medical Director
3 weeks ago
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.The Medical Director serves as a physician leader responsible for promoting the delivery of safe and effective medical care in the most cost effective way for the health plans offered by Independence Blue Cross and subsidiaries. There are multiple elements of discrete work that may fall under the role including:Utilization ManagementThe physician directly supports Utilization Management and Care Management and other business activities where involvement of a physician is determined to be in the best interest of Independence. The Medical Director will be responsible for rendering coverage and payment determinations based on the terms and conditions of the health plans for which Independence serves as claims administrator, and on the terms and conditions of contracts executed between Independence and networks of participating health care providers.The Medical Director will exercise sound decision making based on clinical guidelines for best practices, a strong knowledge of clinical medicine, the practical realities of the delivery of health care in the state of Pennsylvania, and a thorough understanding of the principles of population health, quality management, patient safety and health insurance. The Medical Director will be expected to effectively collaborate with professional staff, senior leadership, management and associates and with external partners to promote the delivery of cost-effective health care across all lines of business.Required Qualifications and Experience:We require a Medical Doctor or Doctor of Osteopathy degree from a medical school or osteopathic medical school recognized by the American Association of Medical Colleges (AAMC), the American Osteopathic Association (AOA), or the World Health Organization (WHO).Completion of an accredited residency program in general surgery at a program accredited by the Liaison Committee of Graduate Medical Education (LCGME) or the AOA.Has an unrestricted and unencumbered Pennsylvania or New Jersey licenses to practice clinical medicine or osteopathic medicine.Current Board Certification by ABMS or AOBMS - family medicine board certification preferredAbility to successfully complete Independence Blue Cross credentialing processFully Remote:This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.#J-18808-Ljbffr
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Medical Director
2 weeks ago
Philadelphia, United States Blue Cross and Blue Shield Association Full timeAt Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to...
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Medical Director
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Philadelphia, United States Calcium+Company Full timeJob DescriptionJob DescriptionJOB DESCRIPTIONMEDICAL DIRECTORVitamin MD Reports to: EVP, Medical Director Job SummaryThe Medical Director is a core member of the Medical team at Vitamin MD and will be responsible for providing sound scientific support and direction based on comprehensive knowledge of our clients’ (or prospective clients’)...
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Philadelphia, United States Cabaletta Bio Full timeMedical Director/Senior Medical Director, Medical Affairs Philadelphia, PA About the Position Reporting to the Vice President, Medical Affairs, we are seeking a highly motivated and experienced Medical Director/Senior Medical Director to join our Medical Affairs team. The incumbent will play a crucial role in shaping and executing the medical affairs...
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Center Medical Director
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Center Medical Director
4 weeks ago
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Associate Medical Director
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Senior Medical Director
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Philadelphia, United States Spectrum Health Services, Inc Full timeJob DescriptionJob DescriptionJob Summary:The Senior Clinical Director under the direction of the Chief Medical Officer and in collaboration with the Chief Operating Officer is responsible for directing the operations, programs, and activities in the clinical area, and is also responsible for planning, and coordinating patient care activities to maintain...
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Philadelphia, United States ScholarRx Full timeJob DescriptionJob DescriptionScholarRxScholarRx is a mission-driven organization that develops high-quality digital curricular and assessment resources for medical schools and students worldwide. ScholarRx helps medical schools create a consistent, engaging learning experience that better prepares students for long-term success. The creative process for...
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Psychiatric Medical Director
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Medical Director-Psychiatry
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Philadelphia, PA, United States LifeStance Health Full timeMedical Director Psychiatrist-Child /Adolescent or Adult Seeking an outpatient Psychiatric Medical Director (Child/Adolescent -or- Adult Patients) with excellent communication skills and clinical acumen to join our private group practice which is expanding in Philadelphia, PA. We are a busy, well-respected multi-specialty group practice. Our...
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Director Medical Science Liaison
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Associate Medical Director
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Philadelphia, Pennsylvania, United States gpac Full timegpac is excited to partner with an extrodinary opportunity in the Philadelphia, Pennsylvania area This practice is looking for an Associate Medical Director to join their team.This will consist of:75% - Service: provide veterinary care for animals and serve as an Attending Veterinarian in the absence of the AV. The AMD will oversee quality control,...
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Emergency Department Medical Director
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Philadelphia, PA, United States LifeStance Health Full timeMedical Director Psychiatrist-Child /Adolescent or Adult Seeking an outpatient Psychiatric Medical Director (Child/Adolescent -or- Adult Patients) with excellent communication skills and clinical acumen to join our private group practice which is expanding in Philadelphia, PA. Our interdisciplinary team provides comprehensive for children, adolescents, and...
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Philadelphia, United States The Curare Group Full timeExcellent Senior Medical Director position in the Philly area. You will join the group at a critical time in the history of their company and of Primary Care. The ideal candidate will be Board Certified in Internal or Family Medicine and have 5+ years of experience in an outpatient practice and 3+ years of experience in a physician management role. The...
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Philadelphia, United States Temple University Health System Full timeUnder the direction of the Director, Nursing, the Associate Director provides oversight of the nursing care provided to patients on a nursing unit. Maintains standards of service excellence and nursing practice. Develops evidenced based policies, pro Director, Nursing, Associate, Medical, Surgical, Shift
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Director of Health Services
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