The Medical Director at CenterWell Home Health actively uses their medical background, experience, and judgement to make determinations on requested services, level of care, and site of service authorization. This role involves computer-based review of clinical scenarios, communication of decisions, and possible participation in care management. The position focuses on regulatory compliance, operationalizing knowledge of Medicare and Medicare Advantage requirements, and supporting Humana values and its Bold Goal mission.

MEDICAL DIRECTOR - NORTHEAST REGION

Medical Director

Lumanity is seeking an experienced professional to serve as Director of Patient-Centered Outcomes, responsible for providing strategic and scientific guidance on clinical outcome assessments, including literature reviews, gap analyses, and regulatory strategy. This role involves supervising junior staff, managing projects, and contributing to business development efforts. The position requires an undergraduate degree in a health-related field, at least 8 years of relevant experience, and a strong publication record.

DIRECTOR, PATIENT-CENTERED OUTCOMES

Director, Patient-Centered Outcomes

As the Director of Provider Partnerships at Evergreen Nephrology, you will be responsible for the growth and development of the provider network, leading value-based contracting with nephrology practices. This role involves managing relationships with physicians and practice leaders to optimize lead conversion and contracting success, collaborating with various stakeholders across the organization, and serving as the primary contact for provider meetings. The position is remote and requires travel across all U.S. time zones.

Director, Provider Partnerships (VBC)

Director, Provider Partnerships

DocCafe is seeking a Medical Director Physician for an immediate opening in Manchester, Connecticut. This role is ideal for physicians looking to advance their career in a dynamic environment. Register now to apply for this position and access over 125,000 other openings through DocCafe, the premier physician and advanced practice job board.

MEDICAL DIRECTOR PHYSICIAN

Medical Director Physician

The Director of Compliance (Medicare) at Health Plan of San Joaquin/Mountain Valley Health Plan is responsible for developing and overseeing the implementation of strategic and operational objectives and plans in compliance with Centers for Medicare & Medicaid Services (CMS) and other regulatory agencies. This role involves leading regulatory compliance efforts, serving as a subject matter expert, managing audits, and ensuring compliance with Medicare contract requirements and regulations. The position requires a high degree of discretion and independent judgement, and supervises the Program Manager (Medicare).

Director, Compliance (Medicare)

Director of Compliance (Medicare)

DocCafe is seeking a Medical Director Physician for an immediate opening in Manchester, Connecticut. This role is ideal for physicians looking to advance their career in a dynamic environment. Register now to access this opportunity and over 125,000 other openings on DocCafe, the premier physician and advanced practice job board.

The Managing Director, Insurance Relationship Management at Invesco is responsible for developing and maintaining relationships with key decision-makers within the insurance channel, focusing on insurance General Accounts. This role involves capitalizing on client relationships to provide the best possible solutions, ensuring Invesco's success, and building long-standing trusted partnerships to maximize long-term holdings of Invesco products and services. The position requires a strong sales background, deep knowledge of the insurance asset management ecosystem, and the ability to work closely with clients, investment centers, and internal partners to understand and support their strategic needs.

MD, INSURANCE RELATIONSHIP MGMT

Managing Director, Insurance Relationship Management

The Provider Relations Manager at Molina Health Plan is responsible for network development, network adequacy, provider training, and education, in alignment with the company's mission, core values, and strategic plan. This role serves as the primary point of contact between Molina Healthcare and its contracted provider network, focusing on network management, provider education, and ensuring compliance with company policies and procedures. The position is remote but requires living in Nebraska.

Provider Relations Manager

The Medical Director Clinical Programs at Elevancehealth is a remote, individual contributor role responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. This role involves analyzing data, partnering with leaders to ensure alignment with health priorities, and collaborating on clinical programs that support providers in value-based payment arrangements. The position is 50% UM support and 50% focused on West Region Star related work.

MEDICAL DIRECTOR CLINICAL PROGRAMS (US)

Medical Director Clinical Programs

Huron Consulting Group is seeking a Consulting Director for Healthcare, Pharmacy to lead and direct teams in delivering complex performance improvement engagements. This role involves creating customized solutions, managing client expectations, and leading a multi-faceted change process. The ideal candidate will have a strong analytical and critical thinking skills, exceptional communication abilities, and a proven track record in building strong relationships. This position requires a bachelor's degree, 8-10 years of consulting and/or healthcare operations experience, and the ability to travel up to 80%.

Consulting Director - Healthcare, Pharmacy (Flexible Living Locations)

Consulting Director - Healthcare, Pharmacy

The Associate Director - Medical Affairs Omnichannel Engagement at Novo Nordisk Pharma is responsible for supporting the Director of Medical Affairs Omnichannel Engagement and SPOC department in executing and governing the medical omnichannel engagement strategy. This role involves process development, execution, optimization, and measurement to enable medical affairs and CMR to drive towards modernized engagement across the enterprise. The position requires knowledge of medical affairs, digital and scientific communication, technology and platforms, and strong operational and project management capabilities.

ASSOCIATE DIRECTOR - MEDICAL AFFAIRS OMNICHANNEL ENGAGEMENT

Associate Director - Medical Affairs Omnichannel Engagement

The Medical Director of Utilization Management at Dignity Health MSO is responsible for providing clinical expertise and business direction in support of medical management programs that promote the delivery of high quality, consistent, and responsive medical care. This role involves ensuring services are medically necessary, efficient, and in accordance with regulatory requirements, as well as leading oversight of medical physician reviewers and network medical directors supporting UM reviews.

Medical Director Utilization Management

This role involves working with a wide variety of clients, mixing strategic and transactional relationships. It requires flexibility to adapt different strategies for different audiences, from business development with new clients to developing solutions with more established customers. The opportunity exists for integrated sales across different account types, including large, EBP, and small/mid size pharma.

DIRECTOR, SOLUTION SALES, INTEGRATED PATIENT SUPPORT, US (REMOTE)

Director, Solution Sales, Integrated Patient Support

The Manager, Provider Relations at Molina Healthcare is responsible for network development, network adequacy, provider training and education, in alignment with the company's mission, core values, and strategic plan. This role serves as the primary point of contact between Molina Healthcare and contracted provider network, managing and coordinating Provider Services activities for the state health plan. The position involves a mix of strategic planning, contracting, education, outreach, and issue resolution to ensure a sufficient network of providers and compliance with regulations.

Manager, Provider Relations

Johnson & Johnson is seeking a Physician Program Director for the Abiomed Team in the Boston, MA territory. The role involves establishing formal Impella programs through sustainable relationships with account stakeholders and key opinion leaders in hemodynamic support. The Physician Program Director will act as a field liaison, connecting hospitals to internal resources, and focus on program growth, best practice implementation, protocol development, and workflow improvement.

PHYSICIAN PROGRAM DIRECTOR, BOSTON, MA

Physician Program Director

+bia1E/9Ura0W56PK0QRs1nb0fPaPw1LecFl73e1Zno=

0yryKyiv//5ZYlTDMV3LFPtHwym9DzfhaGKkhjLWumc=

1PbXZCkmjsWX/JPZ0zDz35M1CdhIEEhFhVTF9UZbsUw=

3eZiYdEf1GWONV+R64EHcPPvLb4v6J0JWgZreMFwQRo=

If QUICK_APPLY_SKIP_SUBMIT is set to true these providers will ignore the setting and still submit.

7UWw5juL5kSuktDEYRAJaZaaSr/dkptNWDM6YczaXvQ=

7veoecbDe4L73TGHP2ISin46xsmdddCOKtRpfQxjDN8=

8yxkMFFydubARRB/A0n8dt2+tN+s0Qba5Bm+ZhR6A74=

917BuR4psrYXtoUglgzOqK2gT6nHiFac0vaL7OlNrj4=

BTHovjnwfD7MxYTZVgYObuyOKROSVx/I0X5yo3nLGw8=

CLGiSKlyYhMQqU9L5I5y5Kcwm5S4f77Utdfa8ExP9Bw=

HRzePCbXb7ufZUWsFxKsWQyEIUrwU5VCFht/1iNmtTo=

Id0yBc3Lk10hOWDAGUFDOHeLqi73qkOki+HsqthrqY8=

MltczCjhmN0jRgow3UO+iDMtltW8AfF7hJYVp339Mbk=

NI/PueuALd9KIOo3aGPg/youiuzzXOlUegGuLsVspks=

PX9iho18hgd+if3tD3rS2RRXrbzlHq613z5WXlVZ7+k=

VUOVNO4gG3SQXJg1E5TYU50XsmIaCxqBNHZWw48U8/0=

Y1UD/mVBFR+4WXoXRwyYrTpXnLvnt4lZ1G/TbY1bWR4=

dCG5zdM4/wqhDoKFVboNOhuBLLEkQ95fHprPrsJVaxM=

fr9JCYJNVqBBC7QlJK+AFZY+8NEptSjJEpTFKNeRx4U=

h+e82EFLmuH1BOGKDTUyfliYoBDF4Tq54kkm9H1Q67M=

kF6veelbgshOJpV3Mn6vB3mb3LuydeEVDSOxtIHM8N8=

kbjXyyPP5adVqoaL7EYbdoyqDzFqF5a+VbOBN3j1bVg=

lWPMwjsh2VXkQjRFxWpjkQ/+Yx1eEx75EAWbIUFwV2Y=

mA5rgLX7i0lO6F1oJJxlP+y/1rvzscLgYBBk6pyKBWE=

p1flkibS2FOOSRZRb3dJqhHmZ8tmXXoyz3YXr0O9NUo=

pZVrGsKBFfWx3aTAH3sKk4BlHpV1jgUZyoszy851/n8=

u8Ak4aZwDDE5inqS+1aY1R2zXd+nIapHkAsGcAr3yzo=

Sharing EarnBetter with your community helps us offer our amazing service for free forever!

Director, Medical Provider Relations Jobs in Middletown, CT Hiring Now

MEDICAL DIRECTOR - NORTHEAST REGION

DIRECTOR, PATIENT-CENTERED OUTCOMES

Director, Provider Partnerships (VBC)

MEDICAL DIRECTOR PHYSICIAN

Director, Compliance (Medicare)

MEDICAL DIRECTOR PHYSICIAN

MD, INSURANCE RELATIONSHIP MGMT

Provider Relations Manager

MEDICAL DIRECTOR CLINICAL PROGRAMS (US)

Consulting Director - Healthcare, Pharmacy (Flexible Living Locations)

ASSOCIATE DIRECTOR - MEDICAL AFFAIRS OMNICHANNEL ENGAGEMENT

Medical Director Utilization Management

DIRECTOR, SOLUTION SALES, INTEGRATED PATIENT SUPPORT, US (REMOTE)

Manager, Provider Relations

PHYSICIAN PROGRAM DIRECTOR, BOSTON, MA