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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Medical Director, Utilization & Quality Leadership in Florida, NY vacancy
- Stryker Corporation is seeking a Hospitalist Medical Director to oversee our hospitalist program, ensuring high-quality care delivery. This leadership position involves collaboration with hospital administration and nursing staff, optimizing patient outcomes, and enhancing...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
- ...Compassionate Hospice Leadership. In this critical role... ...highest standards of medical practice. You will collaborate... ...compliance, and guide quality improvement efforts to... .... Monitor pharmacy utilization, ensuring appropriate... .../or Hospice Medical Director Certification Board...SuggestedDaily paidFull timePart timeLocal area
Gentiva
Florida, NY1 day ago - Description Thrive Pet Healthcare is looking to hire a Medical Director to join the team at Veterinary Specialty Hospital of Palm Beach... ...close collaboration with practice managers and hospital leadership. Utilize leadership training resources and mentorship programs to develop...SuggestedLocal areaRelocation package
$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$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- ...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....
- ...a full-time Practice Manager to provide leadership and structure to our team of veterinarians... ...lifewith: All the benefits you deserve —medical,dental, vision, retirement—plusan... ...anddisciplinary action. Ability to quickly learn and utilize our practice management system, Avimark...Full timePart timeWork from homeMonday to Friday
Dormont Manufacturing Company
Florida, NY1 day ago - Elevate ENT Partners seeks a dedicated Practice Manager to handle administrative operations across care centers in New York. The role focuses on fostering a positive patient experience while ensuring efficient front office and clinical operations. Applicants should have...
- ...strategy execution, ensuring quality and compliance, and meeting client... ...in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and... ...experience in clinical appeals, utilization review, or medical necessity...Remote work
Health Business Solutions
Florida, NY2 days ago - About Us Greenbrook Medical is building the new standard... ...The Market Medical Director is the senior clinical... ...consistent, high‑quality execution across the full... ...admissions, ED use, SNF utilization, and readmissions in... ...decisions Represent clinical leadership in payer, hospital,...Local area
- Description This is seeking a Program Director in the Town of Florida, New... ..., scheduling, and ensuring quality patient care in compliance... ...communications with hospital leadership to achieve departmental goals... ...benefits package featuring medical, dental, and 401(k) plans. #J...
- ...for the improvement of quality and service... ...in the absence of the Director of Nursing Distinguishing... ...OASIS timelines Oversight utilization of services—establishing... ...consistency with supporting medical documentation, the... ...audit findings. Uses leadership position to serve as a...For contractorsWork at officeImmediate start
Comfort Home Health Agency
Florida, NY5 days ago - 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
- ...dedicated to providing high‑quality care for women through their... ...reduce complexity and improve utilization. Optimize front‑desk check‑... ...issues with operations leadership as needed. Handle patient satisfaction... ...service matters. Monitor medical equipment for correct use...
- ...with oversight and supervision by leadership. Culture Maintain a positive,... ..., retain, train, and develop medical staff. Onboard new team members... ...patients, and pet parents. Guide and utilize exceptional support staff. Familiarity with quality, safety, and health initiatives...Hourly payFull timeTemporary workPart timeLocal areaFlexible hours
$96.27k - $179.05k
...functions of the clinical supervisor, intake, scheduling, quality review, utilization management medical records as needed. Ensures the agency employs... ...expertise and communication skills [Required] Demonstrate Leadership abilities [Required] Education Bachelor's [Required]...Contract workWork experience placementWork at officeLocal areaWork from homeAdventHealth
Florida, NY13 hours ago- Blue Origin LLC is seeking an experienced Quality Engineering leader to oversee quality operations in aerospace manufacturing. You will lead a team of Quality Engineers, manage quality metrics, and champion compliance with the AS9100 Quality Management System. This role...
$90k
...offered may include: Day 1 Medical, supplemental health,... ...of the manager/director, plan, organize, schedule... ...and material utilization within budgetary constraints... ...constraints while adhering to quality technical standards.... .... Skills: Proven leadership and problem-solving...Full timePart timeWork experience placementWork at officeRelocationRelocation packageFlexible hoursNight shiftDay shift- ...clinic, ensuring efficient, high-quality, and patient-centered care.... ...is responsible for team leadership, regulatory compliance, operational... ...show rates* Hospital and ED utilization reduction* Clinical... ...Certification, be able to respond to medical emergencies (Preferred).**...Contract workWork at office
- 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
- 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
- ...Since 1949, Mount Sinai Medical Center has remained... ...aiming to be a beacon of quality healthcare in South... ...collaboration with department leadership, reviews and revises... .... Assists Director with evaluation of Eldercare... ...standards, clinical outcomes, utilization and other financial...Temporary workWork at officeLocal areaWeekend work
- ...Description**Introduction to role:**The **US Medical Affairs Director - COPD Biologics** provides US focused‐ medical leadership for all phases of Chronic Obstructive... ...*US medical advisory boards**.* Ensure high-quality, compliant scientific exchange that advances...Hourly payTemporary work
$200k - $220k
...Practice Leader to provide enterprise-level leadership across our PMCM Team in Albany, NY;... ...Ensure consistent delivery of high-quality projects and services, overseeing project... ...support effective execution and optimal utilization Champion collaboration across business...- ...manages the clinical practice, quality, and safety of patient care... ..., licensed practical nurses, medical assistants, and other clinical... ...team and patient goals.* Utilizes available resources and methodologies... ...practice leaders, nursing leadership, colleagues, and staff.*...Full time
- ...Co is seeking a Nurse Manager to lead the Medical Unit at UHS Delaware Valley Hospital. The ideal candidate will provide leadership in compliance with nursing standards and the... ...overseeing nursing practices and ensuring quality clinical operations. Candidates must possess...
- ...include complete underground / overhead utility services; large scale lighting retrofits... ...Panhandle Power Solutions is seeking a Quality Control (QC) Manager to oversee the quality... ..., and technical specifications. Strong leadership, organizational, and problem‑solving...Contract workFor contractorsFor subcontractorWork at office
- ...involves overseeing staff relations, performance management, and regulatory compliance. The ideal candidate should possess strong leadership and problem-solving skills with at least one year of leadership experience. Flexibility and effective communication are essential...
$180k - $300k
Reporting to the Operations Enablement Managing Director, the Senior Director of Quality, Reinforcement and Performance Insights provides strategic leadership for defining how quality performance is measured, reinforced, and sustained across Customer Operations and Coverage...Remote jobLocal areaShift work3 days per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director, Utilization & Quality Leadership. Be the first to apply!
Related searches
- healthcare consulting manager Florida, NY
- clinical operations director Florida, NY
- senior director clinical development Florida, NY
- healthcare supervisor Florida, NY
- medicare medical director Florida, NY
- home health supervisor Florida, NY
- health economics manager Florida, NY
- senior clinical data manager Florida, NY
- director of health information management Florida, NY
- occupational health manager Florida, NY