Medical Director, Managed Care & Quality Oversight

Maryland-Care-Management-Inc

Maryland Care Management Inc. (MCMI) seeks a Medical Director to lead MPCMCO’s Medical Management Program and to oversee Utilization Management, Quality Management, and inpatient concurrent review.

You will help develop medical policies and standards of care and provide direction to Health Management Teams. Ideal candidates hold an MD/DO with board certification and have experience in managed care, utilization review, and contract awareness.

#J-18808-Ljbffr

Apply

Vacancy posted 5 days ago

Similar jobs that could be interesting for youBased on the Medical Director, Managed Care & Quality Oversight in Rockville, MD vacancy

Medical Director - Primary Care & Clinical Leadership | Rockville, MD
...Medical Director, Clinical Care & Practice SupportThe Medical Director, Clinical Care... ...consistently deliver high-quality, patient-focused care.Reporting... ...provider performance management, corrective action, compensation, quality oversight, or direct practice operations...
Quality
AllCare Primary & Immediate Care Clinics
Rockville, MD
5 days ago
Veterinary Emergency Medical Director
...Medical DirectorWe seamlessly blend the compassionate, relationship-driven care you expect from a primary care veterinarian... ...to delivering top-quality veterinary medicine.... ...Veterinary Medical Director to lead our medical... ...combining strategic oversight with clinical credibilityWhat...
Quality
Local area
Immediate start
Thrive Pet Healthcare
Rockville, MD
4 days ago
Area Medical Director
...Area Medical DirectorMedCap Health is hiring a fully... ...full-time Area Medical Director to lead and mentor NPs... ...developing people, advancing quality, and fostering... ...shaping how subspecialty care reaches skilled nursing... ...mentor providers, and manage multi-site operations....
Quality
Full time
Remote work
MedCap Health
Silver Spring, MD
4 days ago
(Senior) Medical Director (MD Required)
...to new frontiers of care for cancer and autoimmune... ...be appointed at the Medical Director, or Senior Medical... ...investigator engagement, safety oversight, data interpretation,... ...eligibility, disease management, safety events, and... ...and help ensure high-quality, timely, and...
Quality
Contract work
Temporary work
AbelZeta Inc
Rockville, MD
12 days ago
Senior Home Health Nurse Supervisor & Care Quality Lead
...coordinate clinical services within the agency framework and oversee patient care, staff supervision, and quality improvement. The role involves ensuring compliance with state regulations and policies, managing casework, and coordinating with physicians and equipment providers....
Quality
Right at Home
Rockville, MD
5 days ago
Veterinary Medical Director
$200k - $310k
...Veterinary Medical Director J895493 Mc Lean Virginia[D] USD... ...technicians, care coordinators and ER leadership... ...protocols, policies and quality metrics Foster a... ...teams See patients and manage complex cases while... ...protocols and pharmacy oversight Collaborate with...
Quality
Temporary work
Internship
Relocation
Flexible hours
Global Talent Partners
McLean, VA
3 days ago
Wheaton Animal Hospital - Medical Director
...Medical Director Opportunity at Wheaton Animal HospitalWheaton Animal Hospital, located... ...and Baltimore, has been providing quality, compassionate care for Maryland's pets since 1947. Treating... ..., diagnostic imaging, and medical management of complex cases.For veterinarians...
Quality
Local area
Flexible hours
Wheaton Animal Hospital
Kensington, MD
1 day ago
RN Clinical Training and Development Manager
$110k
...Training and Development Manager Company :... ...Manager reports to the Director of Clinical... ...education and clinical quality improvement... ...enhance resident care outcomes. Job Summary... ...provides strategic oversight of care coordination... ...Proficient with electronic medical records, including...
Quality
Daily paid
Full time
Temporary work
Retirement Living
Rockville, MD
4 days ago
Home Health RN Case Manager — Flexible Schedule
BAYADA Home Health Care in Montgomery County, MD seeks a Registered Nurse (RN) for our... ...to stay independent while receiving high-quality care. Prior home health experience is required... ...team, perform head-to-toe assessments, manage acute conditions, and coordinate care...
Quality
Full time
Work at office
Flexible hours
BAYADA Home Health Care, Inc.
Gaithersburg, MD
3 days ago
Director of Clinical Services 5k Sign On Bonus
...We are hiring a Director Of Clinical Services... ...individualized evidence-based care in a safe and... ...Health Benefits - Medical dental vision 401(... ...and clinical oversight to ensure the... ...ensures that high quality clinical services... ...FUNCTIONS Leadership & Management: Provide...
Quality
Full time
Local area
Relocation package
Acadia Healthcare
Germantown, MD
28 days ago
Executive Clinical Director of Market Operations
$160k - $250k
Executive Clinical Director of Market Operations Colorado... ...the dignified, high-quality care they deserve but... ...directly to the Chief Medical Officer. Working in... ...Clinical Performance Management: In dyad partnership... ...the process, including oversight of how these tools...
Quality
Contract work
For contractors
Local area
Remote work
Night shift
Accompany Health, Inc.
Bethesda, MD
2 days ago
Project Manager, Federal Health Advisory
$113k - $188k
...command of project management discipline.You... ...communicationsOwn deliverable quality by identifying,... ...management oversight, including planning... ...closely with account Directors and Partner... ....Benefits include:Medical, Rx, Dental & Vision... ...Vision & Dependent Care Flexible Spending...
Quality
Full time
Contract work
Work at office
Flexible hours
3 days per week
Guidehouse
Rockville, MD
3 days ago
Medical Director
$20k
...Woodbridge, VA is searching for a Medical Director to join their team! Joint... ...service, top notch patient care, and a fun work environment.... ...growth as well as managing all hospital expenses Sees wellness... ...improves medical standards, quality of care, hospital compliance...
Quality
Work at office
Local area
Relocation
Relocation package
Night shift
NVA
Potomac, MD
1 day ago
(RN) Clinical Manager - Home Health
$93k - $102k
...delivering exceptional patient care while mentoring clinicians and driving quality outcomes, we'd love to... ...expertise, case management experience, and leadership... ...Provide clinical oversight for patient care and case... ...Comprehensive Benefits Medical, dental, and vision...
Quality
Weekly pay
Work at office
Local area
Monday to Friday
Weekend work
BAYADA Home Health Care
Gaithersburg, MD
1 day ago
Epic Inpatient Clinical Application Manager
$116.23k - $174.34k
...Inpatient Clinical Application Manager who will embrace our mission to extend God’s care through the ministry of... ...project scope, quality, and timelines are achieved... ...with the Project Director, project managers, operational... ...use of marijuana for medical purposes, marijuana...
Quality
Daily paid
Full time
Temporary work
Work at office
Monday to Friday
Flexible hours
Shift work
Adventist HealthCare
Gaithersburg, MD
4 days ago
Director of Marketing - Clinical/Regulated Products *PC 38
...engagement, strategic partnerships, and KOL management. Continuously improve marketing... ...regulatory compliance (FDA guidelines), and quality systems in a clinical or commercial setting... ...products (ATMPs), including project oversight, tech transfer, and client interaction is...
Quality
Full time
Contract work
Temporary work
Local area
Miltenyi Biotec
Gaithersburg, MD
3 days ago
Managing Consultant | Healthcare Operations & Transformation Project Manager
$113k - $188k
...Will Do: Guidehouse is seeking a Managing Consultant to support... ...VFMP) within Veterans Community Care (VCC). VFMP supports healthcare... ...including the Civilian Health and Medical Program of the Department of... ...accountability for timely, high-quality delivery across concurrent...
Quality
Full time
Contract work
Flexible hours
Guidehouse
McLean, VA
2 days ago
Senior Clinical Program Director, Early CVRM Clinical Development
$233.59k - $350.38k
...DirectorThe Senior Clinical Program Director is accountable for the... ...clinical program to time, cost and quality and is the leader of the... ....The role provides strategic oversight and feasibility input into... ...efficient and effective program management of all CPT deliverables,...
Quality
Hourly pay
Temporary work
Work at office
Local area
Flexible hours
3 days per week
AstraZeneca
Gaithersburg, MD
3 days ago
Clinic Director I Licensed Physical Therapist Assistant (PTA)
$34 - $42 per hour
...EmpowerMe Wellness, our Clinic Directors don't just manage teams - they lead the heartbeat of care inside our communities. Your Impact... ...your team in delivering high-quality care Mentor and support... ...across therapy, wellness, and medical services to ensure a seamless resident...
Quality
Hourly pay
Full time
Part time
Flexible hours
EmpowerMe Wellness
Bethesda, MD
1 day ago
Associate Director, Clinical Operations
$175k - $190k
...Job Details: Associate Director, Clinical Operations|... ...of studies, as well as managing cross-functional teams... ..., budget, and quality standards. Key Responsibilities... ...of projects - Vendor Oversight experience - Expertise... ...with high unmet medical need, including oncology...
Quality
Contract work
Local area
Immunocore Limited
Gaithersburg, MD
5 days ago
Hospice Clinical Manager, Registered Nurse
$51.27 - $82.03 per hour
...Clinical ManagerThe Clinical Manager manages the clinical and operational... ...Work Deliver one-on-one care that truly impacts livesWhat You... ...the delivery of quality client care through the application... ...physical, occupational, speech) and medical social work. We are Medicare-certified...
Quality
Hourly pay
Contract work
Work at office
Local area
Immediate start
Trinity Health PACE
Silver Spring, MD
2 days ago
Medical Case Manager
$75k - $80k
...to make a difference by providing high-quality care with a personal touch that impacts the... ...Do you have the nursing expertise, case management experience and clinical judgment needed... ...health management and ongoing support. As a Medical Case Manager , you will be part of a...
Quality
For contractors
For subcontractor
Work at office
Local area
Remote work
Work from home
Home office
Flexible hours
Sedgwick Government Solutions
Bethesda, MD
3 days ago
RN Home Health Clinical Manager - Lead Care & Quality
BAYADA Home Health Care in Gaithersburg, MD seeks an experienced RN Clinical Manager to lead and support the home health team. You will supervise clinicians, perform in-home visits, and ensure high-quality patient care in a community-based setting. The role emphasizes...
Quality
Monday to Friday
BAYADA Home Health Care
Gaithersburg, MD
1 day ago
Faculty Practice Plan Manager II, Primary Care
$75k - $102.9k
Faculty Practice Plan Manager II, Primary Care Job Category : Non-... ...practices to ensure quality patient care. May supervise... ...position will have oversight over the following... .... Supports Executive Director in preparing annual budgets... ...whole person with 52 medical and surgical...
Quality
Full time
Contract work
Work at office
GW Redesign
Bethesda, MD
5 days ago
Hospice Clinical Manager
...hospice team.Job DutiesTeam management: Responsible for overseeing and... ...communication regarding care plans, changes in condition,... ...Administrator on Call.Compliance and Quality Assurance: Responsible for... ...ability to learn new electronic medical record software and become a...
Quality
Goodwin Living
McLean, VA
1 day ago
Clinical Care Coordinator
The Clinical Care Coordinator is a licensed healthcare professional and a vital member... ...comprehensive, client- and family-centered care management services. This role supports individuals... ...promote care coordination, continuity, quality outcomes, and community inclusion.Guided...
Quality
Work at office
Remote work
Work from home
Medicalincs LLC
Silver Spring, MD
4 days ago
Resident Care Director (RN) - Lead Clinical Excellence
...Senior Living is seeking a Resident Care Director (RN) to lead clinical excellence... ...coordination, ensuring safe, high-quality, resident-centered services and regulatory... ...leadership, assessments and ISP oversight, medication management, infection control, QAPI...
Quality
Sunrise Senior Living
Bethesda, MD
4 days ago
Unit Support Coordinator (USC), Part Time Rotating Shift, Emergency Department
$18.8 - $24.18 per hour
Shady Grove Medical Center seeks to hire a Unit Support Coordinator for our Emergency Department... ...will embrace our mission to extend God’s care through the ministry of physical, mental,... ...has earned a reputation for high-quality, compassionate care. Adventist HealthCare...
Quality
Temporary work
Part time
Work at office
Flexible hours
Shift work
Rotating shift
Weekend work
Day shift
Adventist HealthCare
Rockville, MD
3 days ago
US Oncology Associate Medical Director, Lung
$150.2k - $225.3k
...practice and elevate patient care? Based in Gaithersburg... ...and deliver the US medical strategy for lung... ...regulatory rigor, and high-quality engagement across the... ...lead and medical director for leading the US medical... ...Affairs Project management experience When we put...
Quality
Temporary work
Work at office
Flexible hours
3 days per week
Gaithersburg, MD
more than 2 months ago
Psychiatric Unit Support Coordinator, Day Shift, Behavioral Health
$19.21 - $24.9 per hour
...Behavioral Health Shady Grove Medical Center seeks to hire an... ...our mission to extend God's care through the ministry of physical... ...Participates in supply chain management and equipment maintenance process... ...earned a reputation for high-quality, compassionate care....
Quality
Daily paid
Full time
Temporary work
Work at office
Monday to Friday
Flexible hours
Shift work
Day shift
Adventist HealthCare
Rockville, MD
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medical Director, Managed Care & Quality Oversight. Be the first to apply!