Medical Director

3 weeks ago


Maryland, United States CVS Health Full time
Medical Director Opportunity at CVS Health

CVS Health is seeking a highly skilled Medical Director to join our team. As a Medical Director, you will play a critical role in overseeing medical policy implementation and developing clinical/medical programs to address member needs across the continuum of care.

Key Responsibilities:
  • Provide clinical expertise and business direction in support of medical management programs
  • Participate in the development, implementation, and evaluation of clinical/medical programs
  • Support the Medical Management staff in ensuring timely and consistent responses to members and providers
  • Oversee utilization review/quality assurance and be responsible for predetermination reviews and reviews of claim determinations
  • Provide clinical, coding, and reimbursement expertise as well as directing case management when necessary
Requirements:
  • Two (2) or more years of experience in Healthcare Delivery System
  • Active and current Texas state medical license without encumbrances
  • M.D. or D.O., Board Certification in an ABMS or AOA recognized specialty including post-graduate direct patient care experience
Preferred Qualifications:
  • Previous UM experience with a Health Plan/Payor
  • Board Certification in Internal Medicine, Family Medicine, Emergency Medicine, OB/GYN or Med/PM&R
What We Offer:
  • A competitive salary range of $174,070.00 - $374,900.00
  • A comprehensive benefits package, including medical, dental, and vision benefits
  • A 401(k) retirement savings plan and an Employee Stock Purchase Plan
  • A fully-paid term life insurance plan and short-term and long-term disability benefits
  • Well-being programs, education assistance, and free development courses

  • Medical Director

    2 weeks ago


    Maryland, United States CVS Health Full time

    Medical Director Opportunity at CVS HealthCVS Health is seeking a highly skilled Medical Director to join our team. As a Medical Director, you will play a critical role in overseeing medical policy implementation and providing clinical expertise to support medical management programs.Key Responsibilities:Provide oversight for medical policy implementation...

  • Medical Director

    3 hours ago


    Maryland, United States CVS Health Full time

    Medical Director Opportunity at CVS HealthAt CVS Health, we are committed to delivering exceptional healthcare services to our members. We are seeking a highly skilled Medical Director to join our team and contribute to our mission of transforming healthcare.Key Responsibilities:Provide clinical oversight and guidance to medical management teamsDevelop and...

  • Medical Director

    2 weeks ago


    Maryland, United States Physician Empire Full time

    Join Our Team as a Medical Director - Inpatient PsychiatryWe are seeking a highly skilled and experienced Adult Psychiatrist to lead our inpatient psychiatric services team at Physician Empire. As a Medical Director, you will be responsible for providing medical direction and oversight to our inpatient acute unit, ensuring the highest level of care for our...


  • Maryland, United States Physician Empire Full time

    Job SummaryWe are seeking a highly skilled Medical Director to lead our Cardiovascular Service Line. As a key member of our Physician Enterprise, you will be responsible for the clinical, administrative, and operational management of cardiovascular services in our outpatient setting.Key ResponsibilitiesLead the development and growth of the Cardiovascular...


  • Maryland, United States CI Health Group Full time

    Join a Leading Non-Profit Health System as an OB/GYN Medical Director **Highly Visible Role** As an OB/GYN Medical Director at CI Health Group, you will have a highly visible role within our 251-bed hospital. You will be part of a team of 11 OBGYNs and will be responsible for over 1,500 deliveries per year. **Strategic Planning and Fiscal...


  • Maryland, United States Physician Empire Full time

    Job SummaryWe are seeking a highly skilled Medical Director to lead our Cardiovascular Service Line. As a key member of our Physician Enterprise, you will be responsible for the clinical, administrative, and operational components of our cardiovascular services.Key ResponsibilitiesLead the development and growth of the Cardiovascular Service LineDevelop and...

  • Medical Director

    4 weeks ago


    Elkton, Maryland, United States CareVet Health Full time

    About the OpportunityWe are seeking a highly skilled and compassionate Medical Director to lead our thriving veterinary practice in Elkton, MD. As a Medical Director, you will be responsible for providing exceptional patient care, mentoring our team, and driving business growth.About the PracticeOur practice is a two-doctor facility located in the heart of...

  • Medical Director

    4 weeks ago


    Elkton, Maryland, United States CareVet Health Full time

    About the OpportunityWe are seeking a highly skilled and compassionate Medical Director to lead our team at North East Animal Hospital, a thriving practice in Elkton, MD. As a Medical Director, you will have the opportunity to work with a highly trained team, providing high-quality, holistic, and conventional veterinary medicine in a fun and collaborative...

  • Medical Director

    1 month ago


    Maryland, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled Medical Director to join our team. As a Medical Director, you will play a critical role in overseeing medical policy implementation and providing clinical expertise to support medical management programs.Key ResponsibilitiesProvide oversight for medical policy implementation and developmentParticipate in the...


  • Maryland, United States Physician Empire Full time

    Join Our Team as a Medical Director of Primary Care and Population HealthWe are seeking a highly skilled and experienced physician to lead our primary care workforce in a dynamic and progressive role. As a Medical Director of Primary Care and Population Health, you will be responsible for driving clinical performance and creating positive change for...


  • Maryland, United States Physician Empire Full time

    Join Our Team as a Medical Director of Primary Care and Population HealthWe are seeking a highly skilled and experienced physician to lead our primary care workforce in a dynamic and progressive role. As a Medical Director of Primary Care and Population Health, you will be responsible for driving clinical performance and creating positive change for...


  • Maryland, United States Physician Empire Full time

    Join Our Team as a Medical Director of Primary Care and Population HealthWe are seeking a highly skilled and experienced physician to lead our primary care workforce in a dynamic and progressive role. As a Medical Director of Primary Care and Population Health, you will be responsible for driving clinical performance and creating positive change for...


  • Maryland, United States Physician Empire Full time

    Join Our Team as a Medical Director of Primary Care and Population HealthWe are seeking a highly skilled and experienced physician to lead our primary care workforce in a strategic role that will drive positive change for physicians and patients. As a Medical Director of Primary Care and Population Health, you will be responsible for leading a team of...


  • Maryland, United States Physician Empire Full time

    Join Our Team as a Medical Director of Primary Care and Population HealthWe are seeking a highly skilled and experienced physician to lead our primary care workforce in a strategic role that will drive positive change for physicians and patients. As a Medical Director of Primary Care and Population Health, you will be responsible for leading a team of...


  • Maryland, United States Erickson Senior Living Full time

    About the RoleErickson Senior Living, a national leader in senior living and health care, seeks a passionate and patient-focused physician to provide clinical and operational leadership for Erickson Health Medical Group, our physician-led network of on-site medical providers.Key ResponsibilitiesDevelop and implement programs that promote excellence and best...


  • Maryland, United States Erickson Senior Living Full time

    About the RoleErickson Senior Living, a national leader in senior living and health care, seeks a passionate and patient-focused physician to provide clinical and operational leadership for Erickson Health Medical Group, our physician-led network of on-site medical providers.Key ResponsibilitiesDevelop and implement programs that promote excellence and best...


  • Lanham, Maryland, United States Concentra Full time

    Job Summary:Concentra is seeking a highly skilled and experienced Physician Clinic Medical Director to join our team. As a Medical Director, you will be responsible for providing direct patient care, leading by example, and creating an exceptional patient experience.Key Responsibilities:Provide direct patient care and lead by example to create an exceptional...

  • Clinical Director

    6 hours ago


    Maryland, United States Luminis Health Full time

    Clinical Director - Nursing ServicesAt Luminis Health, we are seeking a highly skilled and experienced Clinical Director to lead our Nursing Services team. As a key member of our leadership team, you will be responsible for overseeing the clinical operations of our Oncology Unit and 2 North Medical Surgical Unit.Key Responsibilities:Direct the overall...

  • Medical Director

    1 day ago


    Maryland, United States StaffMD. Full time

    Job DetailsWe are seeking a Psychiatrist to fill a Medical Director role in Eastern Maryland. This is a permanent position with a flexible schedule, offering a competitive salary and a generous benefits package.Key Responsibilities:Provide clinical leadership and direction to our mental health and substance use disorder treatment teamDevelop and implement...

  • Clinical Director

    2 weeks ago


    Maryland, United States Luminis Health Full time

    Clinical Director Job SummaryWithin the shared governance model, this individual is responsible for comprehensive function and outcomes of defined clinical areas to include compliance with regulations, human resource issues, fiscal accountability, patient satisfaction and service excellence. Participates in the planning and development of programs. Serves as...