Medical Director, Utilization & Quality Leadership
$186.2k - $363.09kMolina Healthcare of Illinois
A healthcare organization in California seeks a Medical Director to oversee the appropriateness and necessity of services provided to members, enhancing quality and efficiency. The ideal candidate has an MD or DO license and 3+ years of healthcare experience, focusing on member care in compliance with regulatory standards. Responsibilities include evaluating utilization management practices, developing medical policies, and effectively communicating with medical personnel. This role offers a competitive salary, between $186,201.39 and $363,093 annually, based on qualifications and experience. #J-18808-Ljbffr Molina Healthcare
- Vituity is seeking an Anesthesiology Medical Director in New York, responsible for overseeing compliance, hospital collaborations, and team management. This role requires an M.D. or D.O. degree, leadership experience, and strong interpersonal skills. The director will...Suggested
- ...prominent healthcare institution in New York is seeking a Regional Medical Director to oversee clinical services and enhance patient care... ...Medicine and hold a Florida Medical License, with a focus on leadership to drive strategic goals and improve office efficiency. The...SuggestedWork at office
- ...services. Benefits info Medical, dental, vision, life and... ...Contractor Medical Director (CMD) provides medical leadership and decision making for... ...conferences. Strengthen the quality improvement procedures with... ...insurance industry, a utilization review firm, or another...SuggestedPermanent employmentTemporary workFor contractorsWork experience placementWork at officeLocal areaImmediate startRemote work
$186.2k - $363.09k
Overview Provides medical oversight and expertise in appropriateness... ...strategy to provide quality and cost-effective member care... ...plan members. Supports plan utilization management program and accompanying... ...management. Assumes leadership relative to knowledge, implementation...SuggestedWork experience placementWork at officeLocal area- Baptist Health Medical Group (BHMG), part of Baptist... ...employ a PM&R Medical Director to lead and expand its... ...closely with hospital leadership, physicians, therapy teams... ...admissions, utilization management, and regulatory... ...physicians to support high-quality, patient-centered...SuggestedFull time
- Affinity Care of Sarasota is seeking a Medical Director for its hospice program in Florida. The role includes providing oversight of physician services, ensuring quality patient care, and acting as a liaison with community healthcare professionals. Candidates must hold...
- Thrive Pet Healthcare is looking to hire a Medical Director to join the team at Veterinary... ...collaboration with practice managers and hospital leadership. With our comprehensive support, you'll be empowered to perform at your best. Utilize leadership training resources and...Temporary workRelocation package
$186.2k - $363.09k
Job Summary Provides medical oversight and expertise... ...overarching strategy to provide quality and cost-effective... ...and clinical leadership for health plan and/or market specific utilization management and care management... ...with regional medical directors to standardize...Work experience placementWork at officeLocal area- Moments Hospice in Florida, New York, is seeking an Executive Director to lead a compassionate team and orchestrate exceptional patient... .... The ideal candidate will have hospice expertise, strong leadership skills, and possess a Bachelor’s degree in Business or Healthcare...
- A prominent healthcare organization in New York is seeking Regional Medical Directors to provide sub-specialty care. Candidates must have a medical degree, board certification, and a Florida license. The role offers flexibility with Hybrid working arrangements, allowing...
- ...leading aesthetic dermatology organization is seeking a Regional Medical Director in Florida. This role involves clinical oversight, strategic... ..., and hands-on engagement with clinical teams to ensure quality and safety standards. Candidates must possess an M.D. or D.O....
- ...preferred experience in hospice care. Responsibilities include ensuring regulatory compliance, providing leadership to the clinical team, and facilitating high-quality patient services. The successful candidate will demonstrate strong communication and critical thinking...
- ...an Acute Care leader in the rehabilitation department based in Town of Florida, New York. This role requires providing clinical leadership and managing personnel while overseeing site operations and budget management. A Bachelor's Degree is required, and a Master's or...
- Primary Care- Regional Medical Director As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai... ..., cost reduction, and utilization management Works with physicians... ...License- required Previous leadership experience- preferred...Work at office
- ...community foundations. Operations & Office Leadership Serve as the on-site operational... ...starts and acceptance goals Ensure a high-quality, consistent patient experience from... ...Treatment acceptance and conversion Schedule utilization Production growth Monitor daily,...Permanent employmentContract workWork at officeLocal area
- ...efficient delivery of high-quality patient care, supports clinical... ..., and optimized provider utilization. Collaborates with physicians... ...nursing, and administrative leadership to optimize clinic workflows... ...years of work experience in Medical Practice Management....Work experience placementWork at office
$95k - $105k
Performant Corp is seeking a Supervisor for Quality Assurance (Clinical) in New York. The... ...a Nursing license and experience in medical record audits. This position offers a salary... ...$95,000 - $105,000 and requires strong leadership, communication skills, and a minimum of...Remote jobFlexible hours$95k - $105k
...data to deliver industry-leading speed, quality, and accuracy. We’re reshaping healthcare... ...contributes to the development of medical review guidelines and training.* Supports... ...direct reports on a regular basis.* Provide leadership to team members, provide solutions, and...Hourly payContract workFor subcontractorRemote work$80k - $155k
...life. What You’ll Do Oversees quality, freshness, and food safety... ...’ll use your knowledge and leadership skills to build partnerships... ...could affect our members by utilizing performance data to identify... ...location. Health benefits include medical, vision and dental coverage....Full timeTemporary workPart timeWork at officeFlexible hours- Director of Quality We are committed to providing our employees with the support they need. We offer an array of medical, dental, and vision packages as well as several add-on perks to make... ...performance improvement. Quality Assurance/Utilization Management Certification preferred...
- Position Summary The Quality Manager provides leadership, coordination, guidance, and... ...project. Reports to the Director of Corporate Quality for... ...Quality to ensure that we are utilizing advancements in... ...personal paid time off, medical, dental, vision, life, and...Contract workFor subcontractorNight shift
- ...Review Nurse in New York. This full-time role involves overseeing Utilization Management activities and leading a clinical team. Candidates... ...The company offers a comprehensive benefits package including medical, dental, and a 401(k) plan. #J-18808-Ljbffr TurningPoint...Full time
- A healthcare facility in New York is hiring a Director of Project Management to transform its project management function. The role involves... ...should have significant project management experience, strong leadership skills, and relevant qualifications like a Bachelor’s degree...
- ...patient care. Key qualifications include an RN license, BLS certification, and 2 years of nursing experience, along with 1 year in a leadership role. BayCare offers a comprehensive benefits package and an opportunity to be part of a compassionate team. #J-18808-Ljbffr...Full time
- ...which includes delivering medical equipment to patient... ...maximizing equipment utilization, in-servicing clinical... ...and staff. Possesses quality orientation with a “... ...relationships and provides leadership and direction to... ...Divisional Operations Director on customer meetings and...Daily paidFull timeContract workTemporary workWork experience placementWork at officeLocal areaFlexible hoursNight shiftAfternoon shift
- A healthcare staffing agency is seeking a Clinical Manager in Neurosciences for a full-time role in Palm Beach. This position requires a minimum of a Bachelor's Degree in Nursing and 2-5 years of relevant experience, including supervisory experience. The Manager will lead...Full timeRelocation package
- Baptist Health Medical Group is seeking a PM&R Medical Director to lead and expand rehabilitation services across Palm Beach County. This full... ...role involves overseeing hospital-employed leadership, ensuring high-quality, patient-centered care, and collaborating with...Full time
- Clinical Director Monte Nido Azul South Miami, Florida... ...Nido’s clinical, medical, psychiatric, and nutritional... ...overall clinical quality of programming with continuous... ...At least 5 years of leadership experience in a... ...admissions and intake, Utilization Review, and 3rd party...Temporary workFlexible hours
- Managing Veterinarian / Medical Director - Lake Chatuge Animal Hospital Young Harris, GA | No Weekends... ...more than a job—it’s a career built on leadership, collaboration, and purpose. We’re... ...to lead a talented team, practice high-quality medicine, and help shape the future of...Temporary workLocal area
- ...from a CAPTE-accredited program and at least one year of experience as a PT. The position offers a comprehensive benefits package, including medical, dental, and life insurance, as well as professional development opportunities. #J-18808-Ljbffr Jackson Therapy PartnersFull time
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