Hybrid Medical Director, Utilization Management
Quantum Health, Inc.
Quantum Health, Inc. is seeking a Medical Director to lead medical review and clinical strategy in our virtual healthcare space, partnering with our clinical team to drive member outcomes. This hybrid role based at our Dublin, OH campus focuses on utilization management, prior authorizations, and data-driven care decisions across our client organizations. The ideal candidate has MD/DO, board certification, 5+ years clinical practice and 2+ years review experience, with strong communication and #J-18808-Ljbffr Quantum Health, Inc.
- Starling Oncology is seeking a Medical Director to provide clinical expertise in utilization management for oncology care. You will review and guide medical necessity decisions, collaborating with physicians, operations, and payers to optimize outcomes and value-based...SuggestedRemote job
- ...the fortunate position of adding a Medical Director to our incredible team. This... ...located at our Dublin, OH campus with hybrid flexibility. What you’ll do (Essential... ...improved outcomes Performs utilization review and case management support on complex members Provides...SuggestedPermanent employmentCasual work
$275k - $325k
...across five states and growing, Starling Oncology is changing oncology for the better. For more information, visit Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona...SuggestedRemote workWork from home- ...statements, and records for management or outside agencies. Ensures... ...Compliance Protect sensitive patient medical records by strictly following... ...email them and copy Division Directors as appropriate. Communicate... ...and Ordering Providers Utilize QGenda Schedules to direct calls...SuggestedFull timeTemporary workWorldwideWeekend work
- ...Hospital in Miami is seeking a Case Manager to join our full-time team. The role focuses on utilization reviews, discharge planning,... .... You will report to the Director of Case Management and collaborate... ...care and appropriate reimbursement. #J-18808-Ljbffr Select MedicalSuggestedFull time
$124k - $280k
...transformation engagements. You will utilize your deep technology skills... ...lifecycle. As a Senior Manager, you will play a significant... ...range of benefits, including medical, dental, vision, 401k, holiday... ...-Detroit; LA-New Orleans; US-Hybrid; NY-New York; NJ-Florham Park...Full timeH1b- DescriptionJob SummaryProvides management and operational oversight of... ...healthcare professionals, Directors, Office Managers, and other... ...meets all mandates (OSHA, HRS, medical waste, Nicklaus Children’s... ...books (clinic and/or block utilization when appropriate). Oversees...Full time
$100k - $180k
...regional financial institution is seeking a Healthcare Relationship Manager to drive growth in the healthcare sector. This role involves... ...banking and strong negotiation skills. This position offers a hybrid work model in Florida with a salary range of $100,000 - $180,00...- As the Regional Medical Director, you provide strategic clinical leadership and oversight across multiple care centers within your... ...clinical outcomes across your region by reducing hospital utilization, managing medical expenses, improving quality metrics such as HEDIS...Work at office
- ...illnesses or injuries. # Prescribes medications; and orders, performs, and interprets diagnostic... ...documentation. # Participates in the utilization review of the billing process. #... ...initiative. # Organized and able to manage competing priorities. #...Temporary work
- ...Study ManagerWhat if your clinical trial management expertise could directly shape how AI... ...understands and reasons about healthcare and medical research? We're looking for experienced... ...working in decentralized or hybrid trial modelsWhy Join UsWork on cutting-edge...Hourly payOngoing contractContract workRemote workFlexible hours
- ...clinics - Centrum Health and Premier Medical - as well as unique partnerships... ...JOB SUMMARYThe Clinical Program Director of Pharmacy Solutions will develop and manage pharmacy pathways for various... ...and evaluate ongoing performance. Utilize clinical data and system usage metrics...Work at office
- ...Shift Details: Full Time, Days (Hybrid 3/2). First 3 months in the office... ...University of Miami/Jackson Memorial Medical Center is one of the largest... ...in partnership with the Associate Director and Project Coordinator, the Program Manager provides leadership for the Doula...Full timeWork at officeLocal areaWorldwideShift work
- ...talent. The ideal candidate will have a Bachelor's degree in interior design or architecture, leadership experience, and significant knowledge of sustainability and trends in workplace designs. Hybrid work environment with extensive benefits. #J-18808-Ljbffr HOK Group, Inc.Local area
- ...Demographics: Adults Case Mix: Primary care, HIV/AIDS, chronic disease management Facility Information Office Equipment Available: Standard... ...administration and financial performance Report to executive medical leadership and participate in scheduled committees Conduct...Work at office
- ...Medical Director- Florida Medicare Location: This role enables associates to work virtually... .... Please note that per our policy on hybrid/virtual work, candidates not within a... ...Medical Director is responsible for utilization management, medical necessity clinical reviews...Full timeTemporary workLocal area1 day per week
$200k - $220k
Program Manager Practice Leader Location US-NY-Albany | US-GA-Atlanta | US-MA-Boston | US-FL-Miami | US-FL-Doral Job ID: 7690 # Positions... ...projections to support effective execution and optimal utilization Champion collaboration across business practices and markets...- ...Chief Medical Officer - Miami, Florida! Join thsi well established and respected MSO managing over 700 providres in Florida! Exciting... ...with client s Clinical Line Directors on programs for patient... ...documents standards, utilization and quality issues, and quality...Temporary workLocal area
- Hammocks Veterinary Hospital in Miami, FL is seeking an experienced Medical Director to lead our growing team while maintaining hands-on patient care. You will shape the clinical vision and drive excellence across services, mentoring veterinarians and support staff to...
- A leading aesthetic medical company in Florida is seeking an Aesthetic Medical Director—Plastic Surgeon or Dermatologist to oversee clinical teams and ensure adherence to safety and quality standards. This role involves strategic collaboration, hands-on engagement with...
- ...Executive Director, Clinical OperationsThe Executive Director, Clinical... ...for the direction and management of the assigned clinical facilities... ..., and ensures efficient utilization of exam room resources.... ...programs within a complex academic medical center or healthcare system....
- ...opportunity for an Executive Director, Clinical Operations.... ...responsibility for the direction and management of the assigned clinical... ...satisfaction, and ensures efficient utilization of exam room resources. 5.... ...for UHealth, and Chief Medical Director of Oncology...Full timeTemporary workWorldwide
- ...Summary: Provide comprehensive healthcare management services to facilitate appropriate... ...involving clinical issues Determines medical necessity/ appropriateness Facilitates optimal... .../Comprehensive Program enrollees. Utilizes critical thinking and judgment to...Contract workWork at officeRemote work
$200k
..., plus callWhy Jackson South Community Hospital:Jackson South Medical Center offers a full spectrum of services and is staffed by nationally... .... Responsible for the planning, diagnostic development, management and evaluation of medical/services at the clinic/center of...Full timeWork at office$174k - $205k
...and resolving serious unmet medical needs. At Summit, we believe... ...the UK, and Ireland.ASSOCIATE DIRECTOR, CLINICAL OPERATIONS... ...collaboration, proactive risk management, and strong execution oversight... ...budget management and resource utilization.Oversees maintenance,...$200k
Department: Jackson North Medical Center - General SurgeonAddress: 1801 NE 123 Street Miami FL 33181 Shift details: Full-Time, Clinic... .... Responsible for the planning, diagnostic development, management and evaluation of medical/services at the clinic/center of responsibility...Full timeWork at officeShift work- Summary & Objective The Clinical Care Manager ensures staff is fully capable to deliver... ...all patients on the team. • Performs utilization review of continuous care and inpatient... ...level of team services provided (staffing, medications, DME, level of care changes) to assure...Interim roleWork at officeLocal area
- Overview Director of Health Services — Miami, FL. Our client is seeking... ...plans with strong case management expertise. The successful... ...Oversee case management and utilization review activities Ensure compliance... ...of utilization review, medical terminology, care levels, treatment...Full time
- ...Florida. The Supervisor, Ophthalmic Services manages related support services such as on-site... ...the day to provide efficient staff utilization and to maintain patient flow and consistency... ...benefits package including medical, dental, tuition remission and more.UHealth...Full timeTemporary workWorldwide
- Search Group Solutions seeks a Specialty Medical Director for a busy multi-specialty and emergency veterinary hospital in the Miami area. The role combines clinical practice with leadership, guiding medical standards and mentoring teams to drive hospital growth. The ideal...
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