As an experienced M.D. or D.O. in adult acute care settings, the Medical Director for Inpatient Utilization Management at Wellmark will perform inpatient case reviews based on evidence-based decision making. This role involves concisely documenting medical necessity determinations, making recommendations for efficiencies and innovations, and partnering across the organization. The position is open to remote candidates but prefers those based in Iowa or South Dakota, with a rotating on-call schedule for weekends and holidays.

Medical Director - Inpatient Utilization Management

As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

The Senior Medical Director, Behavioral Health in New Mexico supports the clinical vision for the health plan(s) across all lines of business (Medicaid, Medicare, and Commercial) by overseeing service coordination, utilization management, care/case management, population health/disease management, cost of care, health promotion, quality improvement programs, and medical action plans. This role involves leading parity efforts, ensuring compliance with NCQA and/or URAC, analyzing utilization, quality, and financial data, and providing clinical leadership to the Medical Management team. The position requires working outside normal business hours and may involve travel for client meetings.

SENIOR MEDICAL DIRECTOR, BEHAVIORAL HEALTH - NEW MEXICO

Senior Medical Director, Behavioral Health

The Senior Medical Director - Neurosciences at ThermoFisher Scientific provides medical oversight of clinical trials, ensuring compliance with company SOPs, client directives, good clinical practice, and regulatory requirements. This role involves attending and presenting at investigator and sponsor meetings, providing medical consultation, and supporting business development activities. Additionally, the Senior Medical Director will manage all medical aspects of contracted tasks across the pharmaceutical product life-cycle, including clinical trial support and marketed products support.

Medical Director/Sr Medical Director - Neurosciences(Remote U.S/LATAM)

Senior Medical Director - Neurosciences

The Medical Director for Hemoglobinopathies at Novo Nordisk serves as the subject matter expert for products and related data within a Therapeutic Area. This role involves interfacing with key stakeholders, driving scientific exchange and communication with external Key Opinion Leaders, Healthcare Professionals, and other stakeholders, and assisting in the development and execution of strategic priorities within a therapeutic area. The position also includes leading Core Medical Team, Project Team, and National Advisory Board meetings, and maintaining KOL relationships.

Medical Director - Hemoglobinopathies

The Administrative Director of Emergency Services at a prestigious acute care hospital in Southern California will lead the Emergency Department and Clinical Observation Area, focusing on maintaining excellence in clinical practices, patient care management, and staff competency development. This role offers the opportunity to make a significant impact on patient care while enjoying the vibrant culture and beautiful landscapes of Southern California.

ADMINISTRATIVE DIRECTOR EMERGENCY SERVICES

Administrative Director of Emergency Services

The Technology Director at PwC will lead a team to solve complex business issues from strategy to execution, focusing on Oracle consulting. This role involves implementing and effectively using Oracle offerings to solve business problems in areas such as finance, operations, human capital, customer, and governance, risk, and compliance. The position emphasizes helping organizations move from perpetual resource-intensive business models to subscription-based models, leveraging the Lead to Revenue (L2R) team within Oracle consulting.

ZUORA TECHNOLOGY DIRECTOR

Technology Director

The Geriatric Evaluation and Management Medical Director at the Veterans Affairs Long Beach Healthcare System is responsible for overseeing the clinical services provided by the Geriatric Evaluation and Management Services. This role involves managing day-to-day clinical activities, overseeing interdisciplinary teams, providing education, resolving complaints, and ensuring quality patient care. The position offers a comprehensive benefits package, including education loan repayment, competitive salary, paid time off, and more.

Physician (Geriatric Evaluation and Management Medical Director)

Geriatric Evaluation and Management Medical Director

Take on a key clinical leadership role within a dynamic health organization, driving the delivery of high-quality, cost-effective care for Medicare Advantage members. This role involves providing clinical leadership and oversight, managing utilization and case management activities, overseeing appeals, grievances, and quality issues, and developing clinical strategies to improve health outcomes and ensure compliance with regulatory requirements.

Medical Director, New Century Health Plan

Medical Director

The Associate Director, Clinical Safety MD at Planet Pharma is responsible for supporting safety monitoring and risk management activities for products in development. This role involves working closely with a senior physician and other CSPV staff, as well as cross-functional Safety Management Team (SMT) members. The position is remote and requires candidates to be based in the EST/CST time zone.

ASSOCIATE DIRECTOR, CLINICAL SAFETY MD

Associate Director, Clinical Safety MD

The Wellness Director at Lakewood Park Manor is responsible for overseeing the quality, continuity, and appropriateness of care by providing direction to the wellness staff. This role involves communication with residents, families, and staff to ensure individual care, reviewing and updating service plans according to state requirements, and supervising individual nursing services. The position is part of a team dedicated to enhancing the lives of senior residents through exceptional care, engaging programs, and promoting physical and mental health.

Wellness Director

Eli Lilly and Company is expanding its Gastroenterology MSL team, offering an opportunity to build a new team in a therapeutic area. This role involves building new relationships with external experts, supporting development activities, and working closely with global and U.S. development teams. The position is ideal for someone with expertise in Gastroenterology/Immunology, eager to be part of a growing team, and capable of working in a fast-paced environment.

ASSOCIATE DIRECTOR - MEDICAL SCIENCE LIAISON - GASTROENTEROLOGY (MIDWEST/GREAT PLAINS)

Associate Director - Medical Science Liaison - Gastroenterology

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

As a Director of Program Management at Vendavo, you will play a crucial role in leading the North American Program Management team to ensure customer implementation success. This includes managing a small subset of engagements, overseeing the life cycle of multiple highly complex enterprise projects, and being responsible for budget, statement of work authoring, risk mitigation, profitability, and developing and maintaining excellent customer relationships. You will also partner with peers to ensure successful handoffs from sales to delivery and delivery to support, aiming to create an exceptional customer experience.

DIRECTOR PROGRAM MANAGEMENT, NORTH AMERICA (REMOTE)

Director Program Management

The Assistant Director at J Street will be a key member of a team responsible for engaging leadership, donors, and supporters in the West Coast region, including Washington, Oregon, California, Alaska, Hawaii, and Nevada. This role involves building relationships with Members of Congress and candidates, educating them on J Street's legislative priorities, and activating advocacy leaders to influence policy. The position requires a strong commitment to J Street's mission, political and legislative familiarity, and experience in issue advocacy, volunteer management, or political organizing.

Public Affairs Assistant Director

Assistant Director

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Medical Director Jobs in Long Beach, CA Hiring Now