The Behavioral Medical Director at Centene assists the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing functions for the business unit. This role provides medical leadership for utilization management, cost containment, and medical quality improvement activities, performs medical review activities, supports performance improvement initiatives, and collaborates with clinical teams to optimize outcomes for high-risk patients.

Remote Behavioral Medical Director

Behavioral Medical Director

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

The Medical Director at Aetna Duals Center of Excellence (COE) is responsible for performing utilization management tasks including concurrent and prior authorization reviews, appeals, and pharmacy reviews. This role involves leading daily rounds and requires a minimum of 3-5 years of clinical practice experience, with a preference for those with managed care experience. The position is work-at-home, located anywhere in the US, and requires working Eastern or Central Standard time hours, with occasional weekend/holiday coverage.

Medical Director Aetna Duals Center of Excellence

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

The Medical Director Associate at Elevance Health is responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. This role may involve supporting one or more Medical Directors, ensuring clinical integrity of broad and significant clinical programs, performing clinical reviews, and participating in peer-to-peer clinical reviews. The position is remote but requires candidates to live within 50 miles of an Elevance Health location.

Medical Director Associate

The Senior Medical Director at Legend Biotech is a key role responsible for providing strategic leadership in the development and life cycle of drug development projects. This position involves developing and implementing the Clinical Development Plan, leading clinical programs across various indications, ensuring program consistency and alignment, and managing clinical research scientists. The role requires a passion for science, patients, and an entrepreneurial drive to help the organization succeed.

Senior Medical Director (Remote)

Senior Medical Director

The Medical Director for the Surgical Reconstruction Franchise at Integra LifeSciences is responsible for providing strategic leadership, planning, and support for their assigned therapeutic areas, overseeing the day-to-day running of the Medical Science Liaison team, and working closely with key stakeholders across various departments to support the entire life cycle of medical devices. This role involves medical/scientific oversight of assigned products, supporting innovation, clinical evidence generation, and ensuring alignment with corporate strategy and medical community needs.

MEDICAL DIRECTOR, SURGICAL RECONSTRUCTION, MEDICAL AFFAIRS

Medical Director, Surgical Reconstruction, Medical Affairs

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

Tempus is seeking a Precision Medicine Program Director to join their rapidly growing U.S. Sales Team. The role involves identifying strategic account targets, providing business solutions, leading contracting and proposal work, and collaborating with cross-functional teams to ensure successful attainment of company goals. The ideal candidate will have deep domain knowledge in the Diagnostic Services industry, with a strong preference for molecular diagnostic experience.

PRECISION MEDICINE PROGRAM DIRECTOR, WEST

Precision Medicine Program Director

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 the Program Director, you will oversee a team delivering disability and leave management services. This role involves effective client engagement, team leadership, ensuring compliant leave of absence services, promoting excellence and client satisfaction, and nurturing internal colleague engagement. The position is remote with regular travel to the client office in Jersey City, New Jersey.

PROGRAM DIRECTOR-MEDICAL LEAVE OF ABSENCE

Program Director - Medical Leave of Absence

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

Greenbrook Medical is seeking a Senior Director of Clinical Operations to lead and expand their successful clinical model across Tampa Bay and beyond. This role involves designing, refining, and optimizing clinical workflows, working closely with the Chief Medical Officer, and leveraging a partnership with Tampa General Hospital to scale high-quality care. The ideal candidate will have a strong leadership background, a track record of clinical team development, and the ability to manage key performance indicators to drive excellence in clinical services.

Head of Operations

Senior Director of Clinical Operations

A Progressive Care Nurse will care for patients requiring close monitoring and frequent assessment, but who aren't unstable enough to need ICU care. PCU nurses monitor cardiac and other critical vital signs and detect any changes, thereby enabling intervention of life-threatening or emergency situations.

Director, RN | RN | PCU

Director, RN

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

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