Medical Director

Humana Medical Director Job DescriptionAs a Medical Director at Humana, you will be responsible for providing medical interpretation and determinations on services provided by other healthcare professionals.The ideal candidate will have a strong understanding of national guidelines, CMS requirements, and Humana policies. They will work in a structured...

The role of Medical Director at Humana requires a unique blend of clinical expertise, leadership skills, and business acumen. As a Medical Director, you will be responsible for interpreting medical information, making determinations about service authorization, and collaborating with external physicians and healthcare professionals.Key...

Humana's commitment to healthcare excellence extends to every aspect of our operations, including the work of our Medical Directors. These experienced healthcare professionals bring a unique combination of clinical expertise and leadership skills to their roles, enabling them to effectively interpret and apply complex medical data to drive informed...

About the Job: We are seeking a highly skilled Medical Director to join our team at Humana. As a Medical Director, you will be responsible for using your medical background, experience, and judgment to make determinations on whether requested services, levels of care, and/or sites of service should be authorized. This is a critical role that requires a deep...

Pursue a Career as a Field Medical DirectorEvolent is seeking an experienced Pulmonologist to serve as a Field Medical Director, leveraging their expertise to drive improved health outcomes and make a meaningful impact in patients' lives. This role offers a unique opportunity for clinicians to apply their knowledge in a non-clinical environment,...

**Job Overview**The Medical Director role at Humana is a key position that involves providing medical interpretation and determinations on services provided by other healthcare professionals. This requires strong analytical skills, the ability to evaluate complex clinical scenarios, and effective communication with internal associates and external...

**About the Role:**Humana seeks a Medical Director to join our National Medicare Team in Helena, Montana. As a key member of our team, you will play a vital role in reviewing preauthorization requests for services and relying on your medical background to make informed decisions.The Medical Director will be responsible for working on moderately complex to...

OverviewWe are seeking a skilled Medical Director to join our established Cardiology team at Physician Empire in Montana. This is an excellent opportunity for a dedicated professional to lead and contribute to the growth of our practice.Estimated Salary: $250,000 - $350,000 per yearLocationOur office is situated in a picturesque college town on the Front...

Radiation Oncology Medical Director Opportunity:Evolent is seeking an experienced Radiation Oncology Medical Director to lead our radiation oncology team. As a key member of our utilization management team, you will be responsible for ensuring that patients receive high-quality care.Your primary responsibilities will include reviewing medical necessity...

Evolent Role: Pulmonology Field Medical DirectorAt Evolent, we're redefining healthcare by working alongside health plans and providers to achieve better outcomes for individuals with complex and costly health conditions. Our goal is to bridge the gaps within the fragmented healthcare system and ensure that people receive the same level of care and...

At Humana, we're putting health first for our customers and teammates. As a Corporate Medical Director for Healthcare Review, you'll be at the forefront of ensuring that our services are appropriate and of high quality.Job OverviewThe Corporate Medical Director plays a critical role in reviewing health claims and making decisions on medical appropriateness....

Job Summary:We are seeking an experienced Medical Director to lead our utilization review efforts and ensure that they align with the highest clinical standards. In this role, you will work closely with our multidisciplinary team to evaluate medical necessity and appropriateness of treatment requests, compose rationales, and adhere to regulatory...

OverviewWe are seeking an experienced physician to join our team as a medical director in Southwest Montana. With a population of just over 35,000 and a service area reaching over 90,000 Montanans, this is an excellent opportunity to make a meaningful impact in the community.

Job OverviewWe are seeking a skilled Medical Director to join our team at Highmark Health. In this role, you will oversee the medical management of cases and ensure that all utilization review processes meet the highest standards.Key Responsibilities:Lead Medical Team: Conduct electronic reviews of escalated cases and evaluate medical necessity and...

Company Overview">Weatherby Healthcare is a reputable healthcare recruitment agency dedicated to connecting talented medical professionals with exciting opportunities across the United States. Our mission is to provide exceptional service and support to our clients and candidates, ensuring a seamless hiring experience.">About the Role">We are currently...

OverviewPhysician Empire is seeking a highly skilled Medical Director for its Obstetrics and Gynecology department in Montana.SalaryThe estimated salary range for this position is $300,000 - $500,000 per year, depending on experience.Job DescriptionAs a Medical Director, you will be responsible for leading our obstetric and gynecological care team. Your...

At Summit Recruiting Group, we are seeking a skilled and dedicated Medical Director to join our team in Helena, Montana.About the PositionThis is an exceptional opportunity for a physician who wants to build and develop their practice in a supportive leadership environment. As a Medical Director, you will be responsible for leading our healthcare team and...

Our organization is seeking a qualified Medical Director to join our team in Helena, Arkansas. As a Medical Director, you will be responsible for providing high-quality patient care and leading our healthcare team. If you are a dedicated physician with excellent leadership skills, we encourage you to apply for this exciting opportunity.The ideal candidate...

Job Summary:We are seeking a skilled Physician to serve as our Medical Director for Utilization Review. This role is part of a physician team that ensures utilization management responsibilities are performed according to the highest and most current clinical standards.The incumbent reviews escalated cases electronically using medical policy criteria sets to...

About the RoleThis Field Medical Director position plays a crucial role in our utilization management team, ensuring that patients receive the best possible care while minimizing unnecessary costs. As a key member of our team, you will have the opportunity to make a meaningful impact on patient outcomes and contribute to the growth and development of our...