UM Medical Director
2 weeks ago
**This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you will make an impact: + Supports clinicians to ensure timely and consistent responses to members and providers. + Provides guidance for clinical operational aspects of a program. + Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May be required to represent the company to external entities and/or serve on internal and/or external committees. + May chair company committees. Interprets medical policies and clinical guidelines. + May develop and propose new medical policies based on changes in healthcare. + Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and develops opportunities for innovation to increase effectiveness and quality. {Note: The following are level distinctions not required for posting. + This level may provide oversight, direction, and guidance to Medical Director Associates. + Works independently with oversight from immediate manager. + May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities.} Minimum requirements: + Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession. + Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. + Minimum of 10 years of physical medicine and rehabilitation clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. + Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. For URAC accredited areas, the following professional competencies apply: + Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. + Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
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Director of Medical Support
1 week ago
Norfolk, VA, United States Sentara Medical Group Full timeSentara Medical Group is seeking a Program Medical Director , to lead the expansion of its Heart Failure Program . This program includes advanced heart failure, mechanical circulatory support, and heart transplantation. Sentara Heart Hospital is the regions first and only dedicated heart hospital. This exceptional facility carries on Sentara...
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Division Medical Director, GAP
2 weeks ago
Norfolk, United States Children's Hospital of the King's Daughters Full timeFull-Time 601 Children's Lane Management Days 0.0000 Through 0.0000 The Division Director for General Academic Pediatrics (GAP) in the Department of Pediatrics at the Eastern Virginia Medical School (EVMS) and Children's Hospital of The King's Daughters (CHKD) in Norfolk, VA, is an exciting opportunity for a candidate to recruit and retain faculty in a...
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Director Managed Care Medical
4 hours ago
Norfolk, NE, United States Oxford Management Group LLC Full timeOur wonderful resident to caregiver ratio helps make this mission possible! As a Resident Care Director (LPN or RN), your benefit package includes: Medical, dental, vision, and a complimentary life insurance policy PTO for both full time and part time team members, Including a “Celebrate You” Day! Cell Phone Discounts We are looking for positive...
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Director of Sales and Marketing
2 weeks ago
Norfolk, United States Senior Lifestyle Full timeDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork.This individual is responsible for fulfilling leasing and move in goals. They are also expected to maintain a positive image of the community with...
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Administrative Secretary
2 weeks ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview Provides administrative support services primarily to the Executive Director of Occupational Health but also to the other Occupational Health staff. Responsibilities * Answer multiple phone lines/transfer calls/take messages/check voicemail and take appropriate actions in a timely manner * Schedule meetings at direction of Executive Director *...
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Norfolk, United States Sentara Medical Group Full timeSentara Medical Group is seeking a Program Medical Director, to lead the expansion of its Heart Failure Program. This program includes advanced heart failure, mechanical circulatory support, and heart transplantation. Sentara Heart Hospital is the regions first and only dedicated heart hospital. This exceptional facility carries on Sentara Norfolk Generals...
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Director, Strategic Communications and Outreach
3 weeks ago
Norfolk, United States Virginia Jobs Full timeTitle: Director, Strategic Communications and Outreach Agency: ACADEMIC AFFAIRS Location: Norfolk, VA FLSA: Hiring Range: Full Time or Part Time: Additional Detail Job Description: The Director of Strategic Communications and Outreach works closely with the Dean's Leadership Team (Associate/Assistant Deans, Department Chairs, Center Directors, etc.) and the...
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Norfolk, United States Sentara Medical Group Full time**Sentara Medical Group** is seeking a **Program Medical Director**, to lead the expansion of its **Heart Failure Program**. This program includes advanced heart failure, mechanical circulatory support, and heart transplantation. **Position Highlights:** · Competitive annual compensation + productivity · Comprehensive benefits package that includes...
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Norfolk, Virginia, United States Sentara Medical Group Full timeSentara Medical Group is seeking a Program Medical Director, to lead the expansion of its Heart Failure Program. This program includes advanced heart failure, mechanical circulatory support, and heart transplantation.Position Highlights: Competitive annual compensation + productivity Comprehensive benefits package that includes health, dental, vision and...
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Norfolk, VA, United States Sentara Medical Group Full timeSentara Medical Group is seeking a Program Medical Director , to lead the expansion of its Heart Failure Program . This program includes advanced heart failure, mechanical circulatory support, and heart transplantation. Sentara Heart Hospital is the regions first and only dedicated heart hospital. This exceptional facility carries on Sentara...
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Practice Manager I
3 weeks ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview: Responsible for supervising clinical practice operations. Responsibilities: Plans and organizes activities, staffing, and work assignments to ensure patient needs are met in accordance with instructions of Physician. Consults with Physicians, Administrator/Practice Manager or Medical Director on problems and interpretation of departmental policies...
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Administrative Secretary
4 weeks ago
Norfolk, Virginia, United States Eastern Virginia Medical School Full timeOverview: Provides administrative support services primarily to the Executive Director of Occupational Health but also to the other Occupational Health staff. Responsibilities: Answer multiple phone lines/transfer calls/take messages/check voicemail and take appropriate actions in a timely manner Schedule meetings at direction of Executive Director...
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Norfolk, United States KITCO Fiber Optics Full timeKITCO Fiber Optics, Inc. Come join a team where People make the difference! As a part of Marmon Holdings, Inc., a highly decentralized organization, we rely heavily on people with the aptitude, attitude, and entrepreneurial spirit to drive our success, and we're committed to attracting and retaining top talent. At KITCO Fiber Optics we are a leading provider...
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Norfolk, United States KITCO Fiber Optics Full timeKITCO Fiber Optics, Inc. Come join a team where People make the difference! As a part of Marmon Holdings, Inc., a highly decentralized organization, we rely heavily on people with the aptitude, attitude, and entrepreneurial spirit to drive our success, and we're committed to attracting and retaining top talent. At KITCO Fiber Optics we are a leading provider...
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Residency Program Specialist I
1 week ago
Norfolk, United States Eastern Virginia Medical School Full timeThe Residency Program Specialist I position has three levels with varying educational requirements and position responsibilities. Performs a wide variety of administrative support and problem-solving duties of a confidential nature for the department Residency, Specialist, Program, Program Director, Clinical, Evaluation
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Residency Program Specialist I
2 weeks ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview The Residency Program Specialist I position has three levels with varying educational requirements and position responsibilities. Performs a wide variety of administrative support and problem-solving duties of a confidential nature for the department. The allocation of time is at the discretion of the department leadership, and the major...
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Residency Program Specialist I
3 weeks ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview: The Residency Program Specialist I position has three levels with varying educational requirements and position responsibilities. Performs a wide variety of administrative support and problem-solving duties of a confidential nature for the department. The allocation of time is at the discretion of the department leadership, and the major...
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Physician
2 weeks ago
Norfolk, United States Old Dominion University Full timeThe Physician serves as full time for Student Health Services, providing primary health care services for students. Provides medical consultation and supervision of mid-level providers. Covers for Medical Director in their absence, including supervision of clinical supervisor and laboratory supervisor.
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Research Assistant I, Social Sciences
2 weeks ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview Under the supervision of the project director (PI: Paul Harrell), the person filling this position will provide staff support for advanced epidemiology work with the Behavioral Epidemiology and Pharmacology laboratory in the Division of Community Health and Research; and a subcontract with the Substance Use Epidemiology Unit of the Department of...
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Major Gifts Officer
4 days ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview: Responsible for soliciting gifts of $25,000 and higher from individuals (alumni and non-alumni friends). Manage relationships with approximately 150 prospective donors and will be expected to identify, qualify, cultivate, solicit and steward these individuals (alumni and non-alumni friends). Works collaboratively with and in support of volunteers,...
