Senior Medical Director, Health Plan & Clinical Policy
Blue Cross and Blue Shield of Louisiana Inc.
Blue Cross and Blue Shield of Louisiana Inc. seeks a Medical Director to oversee treatment procedures and ensure compliance with established guidelines. This role includes responsibilities for utilization management, case management, and disease management. Qualified candidates must possess an M.D. or D.O. degree and have 7 years of clinical experience, including at least 3 years in patient care. Board certification in psychiatry is required, along with strong communication and interpersonal skills. Preferred candidates will also have experience with Medicare Advantage and external accreditation bodies. #J-18808-Ljbffr Blue Cross and Blue Shield of Louisiana Inc.
- Color Employer, LLC is seeking a Senior Medical Director who will represent Lyric in strategic... ...relationships across payer clinical organizations, partnering with go-... ...organizations, and possess deep expertise in health plan payment policies. The role offers a competitive...SeniorPolicyHealth Insurance
$270k - $294.5k
...physician with a strong clinical background and a... ...Physician, Senior Director, Clinical Research... ...pipeline by providing medical expertise,... ...protocol questions from Health Authorities and Ethics... ...: ~401k plan with company matching... ...time off and holiday policies ~ Life/AD&D...SeniorPolicyHealth InsuranceSummer holiday3 days per week$149.04k - $195.62k
About the role: The Senior Manager, Clinical & Disease Specific Insurance Solutions... ...optimization, ensuring plans improve access, remove barriers... ..., clinical mandates and medical policy changes into plan designs... ...clinically differentiated health plans. Familiarity with medical...SeniorPolicyHealth InsuranceRemote workWork from home- ...combines personalized clinical nutrition care,... ...to improve member health outcomes while... ...-sponsored health plans, regional and national... ...We're hiring a Senior Product Manager to... ...Healthcare Coverage (Medical, Dental, Vision)... ...Employer. It is our firm policy to extend equal...SeniorPolicyHealth InsuranceLocal areaRemote workFlexible hours
$120k - $150k
...Opportunities: Field Clinical Manager: New Jersey... ...cardio- and endovascular medical devices, BIOTRONIK... ..., which includes health insurance, retirement plans, paid time off, and... ...with Regional Sales Director to ensure clinical team... ...out company policies and ensure team compliance...SeniorPolicyHealth InsuranceFull timeContract workWork experience placementLocal areaRemote workNight shiftWeekend workAfternoon shift$90.38k - $194.67k
Position Summary The Senior Manager, Clinical Health Services - Commercial Clinical... ...Advanced execution and delivery (planning, delivering, and... ...experience defined by CVS Policy: If candidate has an associate... ...families. Benefits include medical, dental, and vision...SeniorPolicyHealth InsuranceHourly payFull timeTemporary workWork at officeLocal areaRemote workFlexible hours$10k
Overview AOT Senior Clinical Social Worker Supervisor, Mental Health-Assisted Out Treatment job at DEPT... ..., and Assistant Directors on clinical issues on difficult... ...of treatment plans by providing recommendations... ...Yorkers. Work From Home Policy: Depending on your position...SeniorPolicyHealth InsuranceFull timeWork at officeWork from home2 days per week$10k
...Strategic Planning & Response Readiness Manager, Bureau of Public Health Clinics The Bureau of Public Health Clinics (BPHC) mission... ...research; and develops policies and programs to deliver high quality... ...be working closely with the Director of Community Workforce Engagement...PolicyHealth InsuranceFull timeWork at officeWork from home2 days per week$121k - $140k
...barrier to mental health. At Spring... ...they need it. Our clinically validated... ...therapy, coaching, medication, or beyond—tailored... ...to the Director of Clinical Operations... ...Strategy, the Senior Manager,... ...and execution plans Drive cross-... ...paid time off policies including vacation...SeniorPolicyRemote workSleeping nightsShift work- A clinical software innovator is seeking a Senior Product Manager to oversee engineering sprints and contribute to the development... ...offers competitive compensation, 99% medical coverage, stock options, and a flexible PTO policy, making it a fantastic opportunity for someone...SeniorPolicyHealth InsuranceFlexible hours
$211.55k - $317.33k
Senior Medical Director Senior Medical Director serves as a pivotal clinical leader within Lyric, providing strategic oversight... ...scenarios, medical policy and medical necessity... ...Director for a health insurance payer. Deep... ...thinking, strategic planning and problem‑solving skills...SeniorPolicyHealth InsuranceFull timeFlexible hours$127.31k - $167.1k
...a Sr. Manager, Clinical Trial Operations Planning & Analytics as part... ...for senior leadership. Support... ...closely with the Sr. Director and VP of Clinical... ...in scientific, health care, data, or related... ...Paid Time Off Medical, dental, and... ...a paid time off policy that includes vacation...SeniorPolicyHealth InsurancePermanent employmentFull timeTemporary workFor contractorsLocal areaWorldwideFlexible hours$184.11k - $396.55k
...building a world of health around every individual... ...at a time. The Senior Medical Director will join the team at... ...performance and compensation plans. Interview, hire, and... ...pipeline of internal clinical leaders skilled in... ...clinical compliance/policy development). Represent...SeniorPolicyHealth InsuranceFull timeLocal area2 days per week$98.2k - $130.8k
Overview Plans, manages, and evaluates clinical orientation and ongoing education and training... ...more programs across VNS Health. Collaborates with... ...standardized clinical education policies, procedures and programs.... ...you and your loved ones, Medical, Dental, Vision, Life...PolicyHealth InsuranceTraineeshipWork experience placementTrial periodFlexible hours$184.11k - $396.55k
## Senior Medical DirectorApplyremote type: On-Sitelocations... ...a world of health around every... ...The Senior Medical Director will join the team... ...achieve operational and clinical excellence and... ...performance/compensation plans. The Senior... ...Clinical Compliance & Policy Development This...SeniorPolicyHealth InsuranceHourly payFull timeLocal area2 days per week1 day per week- VNS Health in New York City seeks a Registered Nurse to ensure high-quality home care services and... ...operational strategies. You will review clinical documentation, collaborate with healthcare providers, develop policies, and support business growth through marketing...SeniorPolicyHealth Insurance
$67.5k
Company : Allegheny Health Network Job... ...with physicians and clinical staff within the service... .... Meet with senior leadership throughout... ...or implementation plans, financial impact,... ...3 - 5 years in Medical Sales 1 - 3 years... ...conduct and company policies. As a component...SeniorPolicyHealth InsuranceContract workFor contractorsWork at officeLocal areaRemote work- ...You'll Do As Senior Clinical Case Manager,... ...directly to the Director of Supportive Housing... ...use and/or mental health disorders.... ...individualized service plans, and providing referrals... ...a liaison with medical, mental health,... ...regulations and policies set forth by HELP...SeniorPolicyHealth InsuranceMinimum wagePermanent employmentWork at officeLocal areaWeekend workAfternoon shift
$240.12k - $315.16k
...Oscar. We're hiring a Medical Director to join our Clinical Affairs team. Oscar is the first health insurance company... ...develop the Clinical Policy, Regulatory, and Compliance... .... You will advise senior leadership and work with... ...or commercial health plans This is an...PolicyHealth InsuranceFull timeWork at officeRemote work$119.9k - $183.43k
Overview The Senior Manager, Clinical Utilization Management (UM) Operations... ...responsible for medical necessity review,... ..., and organizational policies while driving operational... ...Department of Health (DOH), and other oversight... ...improvement plans, and corrective actions...SeniorPolicyHealth InsuranceTemporary workWork experience placement$330k - $362k
...and a robust preclinical and clinical development pipeline. We are... .... Position Summary The Senior Medical Director, Clinical Research will be working... ...the Clinical Development Plan for one or more indications... ...safety updates, responses to Health Authorities questions and collaborate...SeniorHealth InsuranceTemporary workLocal areaImmediate startRemote workFlexible hours$140k - $170k
Overview We’re seeking a highly analytical, systems-minded clinical operations leader who thrives at the intersection of strategy and execution... ...& experience in a high-growth or scaling organization Benefits Health Insurance Dental Insurance Paid sick time off Paid vacation...SeniorHealth Insurance$127.59k - $183.33k
...Senior Medical Director The Senior Medical Director works with... ...content created for health professionals is tailored... ...At least 1 year of clinical experience (beyond residency... ...benefit programs and policies to support the... ...temporary employee medical plan through a third-party...SeniorPolicyHealth InsuranceTemporary workFreelanceFlexible hours$222.02k - $275.63k
...Description NYU Langone Health is a fully integrated... .... 1 comprehensive academic medical center in the country for three... ...recently placed nine of its clinical specialties among the top... ...our team as a Health System Senior Director - Planned Giving. In this role...SeniorHealth InsuranceWork at office$211k - $400.5k
...solutions that solve serious health issues today and address the medical challenges of tomorrow.... ...leads, regulatory and clinical development leads as well... ...responses and risk management plans, NDA/sNDA submission –... ...remotely*, following the policies and regulations in place...SeniorPolicyHealth InsuranceTemporary workWork at officeImmediate startRemote workMonday to Friday- ...Senior Regional Medical Director Chicago, Illinois, United States; Manhattan... ..., implementing clinical best practices and driving... ...life balance ~ Health, vision, and dental benefits ~401K plan match ~ Life insurance... ...accordance with UVVC policies, the Health Insurance...SeniorPolicyHealth InsuranceWork at officeRelocation package
$122.44k
...administration of the Medical Review and Prior Authorization... ...error‑rate reduction plans and the overall Medical... ...in coordination with clinical staff and underwriting... ...developing medical policies and guidelines for underwriter... ...). Benefits Subsidized health, dental, and vision...SeniorPolicyHealth InsuranceFor contractorsWork at officeRemote workMonday to Friday- ...Job Description TITLE: Clinical Director REPORTS: Program Director... ...with substance use and mental health disorders. Odyssey House helps... ...RESPONSIBILITIES: # Assist in developing policies and procedures and... ...input into the annual work plan. # Assures that all...PolicyHealth InsuranceTemporary workFlexible hours
- ...Veterinarian to lead Riverside Animal Hospital. This role combines clinical excellence with leadership in a community-focused environment.... ...include a competitive salary range of $175,000-$200,000, medical insurance, generous PTO, and career growth support. Join us to...SeniorHealth Insurance
$85k - $106.3k
...and existing members' conditions clinical, environmental, and social to establish an individual plan of care needed to maintain the... ...quality and cost-effective health care services. Manages requests... ...accordance with VNS Health Plans policies as well as applicable state and...PolicyHealth InsuranceWork experience placement
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