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 Molina Healthcare serves as the primary liaison between administration and medical staff, overseeing the development and implementation of policies and procedures that support medical staff services. This role involves medical oversight, ensuring the appropriateness and medical necessity of healthcare services, developing a Utilization Management program, participating in the appeals process, and fostering clinical practice guidelines. The Medical Director also plays a key role in quality improvement activities, regulatory compliance, and network management.

MEDICAL DIRECTOR (MEDICARE)

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 Elevance Health is responsible for the administration of physical and/or behavioral health medical services, ensuring the appropriate and most cost-effective medical care is received. This role involves developing and implementing programs to improve quality, cost, and outcomes, providing clinical consultation, and serving as a clinical/strategic advisor to enhance clinical operations. The position requires living within 50 miles of an Elevance Health location in California.

Medical Director- Commercial National Division

As a Regional Director of Operations for Aramark SeniorLIFE+, you will lead and manage contracted services across multiple client locations, focusing on meeting operating and financial goals, client objectives, and customer needs. This role involves hands-on execution management of operations, client and community relationship building, budget management, and ensuring compliance with regulations. The position requires up to 65% travel and is remote, reporting to Aramark's headquarters.

Regional Director of Operations

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 Clinical Director at Monte Nido Eating Disorder of California is responsible for overseeing the overall clinical quality of the treatment program, including ensuring quality care, continuous quality improvement, appropriate staffing, and budget responsibility. This role involves overseeing all matters related to the clinical programming of the facility to enhance clients' experiences.

Clinical Director

The Clinic Director I at APLA Health will provide mission-focused, strategic leadership and oversight of the Long Beach Health Center under the direction of the Senior Director of Clinical Operations. This role involves administrative oversight of day-to-day operations, ensuring compliance with all relevant regulations, and overseeing the facility's budget, marketing, and integration with APLA Health & Wellness policies. The position plays a crucial role in improving patient care, increasing efficiencies, and generating new sources of funding.

Clinic Director I

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 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 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 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

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Medical Director Jobs in Long Beach, CA Hiring Now

MEDICAL DIRECTOR - NORTHEAST REGION

MEDICAL DIRECTOR (MEDICARE)

Remote Behavioral Medical Director

Medical Director- Commercial National Division

Regional Director of Operations

Medical Director Aetna Duals Center of Excellence

MEDICAL DIRECTOR CLINICAL PROGRAMS (US)

Clinical Director

Medical Director- Commercial National Division

Clinic Director I

Medical Director Associate

MEDICAL DIRECTOR, SURGICAL RECONSTRUCTION, MEDICAL AFFAIRS

Senior Medical Director (Remote)

Medical Director Utilization Management

PRECISION MEDICINE PROGRAM DIRECTOR, WEST