Medicare Medical Director — Utilization & Care Oversight
$223.8k - $313.1kHumana Inc
Humana Inc is seeking a Medical Director to oversee preauthorization requests, leveraging extensive medical knowledge. Candidates should possess an MD or DO degree, along with over five years of clinical experience, particularly in Medicare-related care. The role involves in-depth clinical reviews and collaboration with both internal teams and external physicians. This is a full-time position based in Des Moines, Iowa, offering a competitive salary ranging from $223,800 to $313,100 annually. Humana provides comprehensive benefits to support overall well-being. #J-18808-Ljbffr Humana Inc
- ...hour emergency and specialty veterinary care. Our dedicated team includes emergency... ...technicians & assistants. Position Overview The Medical Director is responsible for establishing and... ...medical care through clinical oversight, quality assurance initiatives, and continuous...SuggestedLocumWork at officeRelocation packageFlexible hoursNight shiftWeekend workDay shiftAfternoon shift
- VCA Seaside Animal Hospital in Des Moines seeks a Medical Director to lead a compassionate veterinary team. This role involves strategic leadership to promote high-quality care and continuous professional development. Benefits include a competitive salary of USD 120,00...Suggested
- New Frontier Animal Medical Center in Des Moines seeks a Medical Director to lead a passionate veterinary team and uphold high standards of patient care. The ideal candidate should have strong clinical skills and a passion for mentorship. Benefits include a competitive...Suggested
$113k - $132k
Cognizant is seeking a Clinical Product Consultant - CareAdvance to lead the design and configuration of clinical workflows that support care management operations. The role demands expertise in clinical product configuration and strong knowledge of healthcare processes. It...SuggestedRemote jobFull time$54.1k - $81.2k
...Americans access the care and coverage they need... ...supplemental health, medical stop‑loss insurance, and... ...investigative process oversight, education and corrective... ...interpret utilization reports to detect fraud... ...with DentaQuest Dental Directors to ensure accurate and...SuggestedWork at officeLocal area$270.8k - $378.8k
...Become a part of our caring community The National Medical Director of Clinical Excellence & Safety is a pivotal leadership position within CenterWell... ...primary care network. Patient Safety Provide oversight for patient safety activities, including policy management...Full timeTemporary workApprenticeshipWork at officeRemote work- ...Veterinary in Des Moines, Washington is looking for an experienced Veterinarian to become the Medical Director. This hands-on role involves mentoring team members and overseeing patient care standards while enjoying a supportive work environment with no on-call or overnight...Relocation package
$120k - $180k
...to deliver exceptional patient care. Reflecting the trust we have... ...you can truly focus on complex medical cases and grow professionally,... ..., giving you the chance to utilize advanced diagnostic and therapeutic... ...is looking for a medical director to lead our growing practice,...Local areaShift work$135 - $150 per hour
...across specialties and primary care, we seek to connect the pieces... ...'ll Be Doing: As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer... ...health care program, including Medicare or Medicaid, and is not identified...Work at officeImmediate start$79.1k - $158.2k
...lifesaving decisions and better patient care. We want people just as dedicated as we... ...electronic health record across services. Utilizing effective consulting skills during... ...package which includes the following: # Medical, dental, and vision insurance, including...Contract workTemporary workWork experience placementLocal areaRemote workFlexible hours- ...clinical excellence while leading and developing a high-performing care team. Innovive Health provides a supportive environment where... ...generous benefits package. Flexible Schedules to fit your lifestyle. Medical, Dental, and Vision Benefit Mileage Reimbursement 401k with...Local areaFlexible hours
- A leading healthcare provider in Des Moines, Iowa, is seeking a Behavioral Health Care Coordinator to support care management activities. The candidate will perform assessments, develop care plans, and work closely with a multidisciplinary team to ensure member outcomes...Local area
$116.5k - $251.6k
...decision impacts. You will provide solution oversight, direction and expertise to stakeholders.... ...which includes the following: # Medical, dental, and vision insurance, including... ...insurance (Employee/Spouse/Child) # Health care and dependent care Flexible Spending Accounts...Temporary workWork experience placementLocal areaFlexible hours$18.65 - $23.32 per hour
As a Medical Assistant Care Navigator, you will work collaboratively with a multidisciplinary team to support the delivery of quality healthcare through a Ryan White funded grant program for patients living with HIV. You will Identifiy and resolve barriers to care, provide...Hourly payTraineeshipWork experience placementWork at officeMonday to FridayFlexible hours- ...career path. Our competitive benefits include medical, dental, vision, LTD, STD, and life... ...excellence. Key Responsibilities Client Care Create a welcoming and professional environment... ...prioritize work schedules effectively. Utilize time management tools such as calendars...Private practice
$54.1k - $81.2k
...Americans access the care and coverage they need... ...supplemental health, medical stop-loss insurance, and... ...for Medicaid and CHIP, Medicare Advantage, small and... ...identify providers whose utilization patterns are outside... ...with DentaQuest Dental Directors during the...Work at officeFlexible hours- ...love animals and the people who care for them? Are you energized... ...experience, and financial oversight. Key Responsibilities Leadership... ..., and AAHA accreditation Utilize practice management systems to... ...Competitive pay based on experience Medical, dental, and vision insurance...Local areaFlexible hours
- ...Manager in Iowa. In this full-time role, you will deliver individualized, holistic support to patients at home, develop personalized care plans, and ensure exceptional symptom management. Candidates must hold an RN degree and have at least 1 year of acute care...Full time
- Care Initiatives, Inc. is looking for a compassionate Registered Nurse (RN) Case Manager to join our Hospice team in West Des Moines,... ...enjoy a competitive salary along with robust benefits including medical, dental, vision, and PTO. #J-18808-Ljbffr Care Initiatives, Inc.
$178.3k - $407k
...We are helping our clients transform care delivery and obtain their most critical business... ..., using AI and automation—with human oversight—to turn data into actionable insights.... ...addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans...Work experience placementSummer holidayFlexible hours$130k - $150k
At PetVet Care Centers, our mission is to improve the lives of animals and people — providing exceptional and compassionate care... ...Position Overview We are seeking a compassionate and skilled Medical Director to join our team at Des Moines Veterinary Hospital. The ideal...- ...Health Manager, you will lead care delivery and clinical... ...transformations that improve throughput, utilization, and frontline performance... .... Exposure to Medicaid, Medicare Advantage, or ACO operating models... ...care models. Benefits Medical, dental, vision, life, and long...Local area
$120k - $180k
...encouraged to deliver exceptional patient care. We maintain an excellent 4.5‑star Google... ...is equipped to handle comprehensive medical needs, including complex surgery, advanced... ..., and urgent care. Your Role as Medical Director Inspire & Mentor: Lead and empower a dedicated...Temporary workLocal area- A leading pharmaceutical company is seeking a Regional Medical Scientific Director to engage with scientific leaders, provide medical insights, and... ...degree and have at least 2 years of experience in the Eye Care field. This hybrid role requires excellent communication skills...
- A leading pharmaceutical company is looking for a Regional Medical Scientific Director to engage with scientific leaders and address scientific inquiries... ...mandates a PhD or equivalent with at least 2 years of Eye Care experience. This position requires excellent communication...Remote job
- An established industry player in advanced wound care services is seeking a Clinical Coordinator/Clinical Nurse Manager to lead clinical activities in their Wound Care Center. This pivotal role involves assessing patient care, planning, and implementing quality improvement...Relocation package
$190.8k - $300.3k
A leading pharmaceutical company is seeking a Regional Medical Scientific Director to engage in scientific exchange and research within the eye care therapeutic area. The ideal candidate has a PhD, PharmD, or equivalent, and at least 2 years of relevant experience. Responsibilities...- A leading pharmaceuticals company is seeking a Regional Medical Scientific Director in Des Moines, IA. This role engages with scientific leaders to... ..., DO, or MD and have at least 2 years of experience in Eye Care. The position includes a hybrid work model, competitive...
- ...transform the member experience. The health care industry is changing, and Wellmark is... ...and employer groups. You will leverage utilization, financial, clinical, and benchmark data... ...strategies for reducing the rate of increase in medical spend and trend in specific employer...Permanent employmentWork experience placementH1b
$23.32 - $48.03 per hour
...lifesaving decisions and better patient care. We want people just as dedicated as we are... ...consistency and best practices are utilized while adhering to customer standards.... ...package which includes the following: # Medical, dental, and vision insurance, including...Hourly payTemporary workRemote workFlexible hours
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