Medical Director - Clinical Advocacy and Support - Remote West Coast preferred UnitedHealth Group IncMedical Director - Clinical Advocacy and Support - Remote West Coast preferredPhoenix, AZRemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Medical Director - Clinical Advocacy and Support - Remote - PST preferred UnitedHealth Group IncMedical Director - Clinical Advocacy and Support - Remote - PST preferredPhoenix, AZRemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Medical Director - Sleep Medicine - Remote UnitedHealth Group IncMedical Director - Sleep Medicine - RemotePhoenix, AZRemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
UM Medical Director - Pediatrics/Internal OR Family Medicine - Remote UnitedHealth Group IncUM Medical Director - Pediatrics/Internal OR Family Medicine - RemotePhoenix, AZRemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Veterinarian Medical Director - Co-Ownership Peoplepack LLCVeterinarian Medical Director - Co-OwnershipBuckeye, AZThis role is ideal for a confident clinical leader who wants to shape medical excellence, mentor veterinarians, and build a strong, positive culture—while being supported with excellent compensation , leadership incentives, and true work-life balance. We’re seeking a Veterinary Medical Director to lead a modern, well-equipped small animal hospital in Buckeye, Arizona , one of the fastest-growing communities in the Phoenix metro area.
NewMedical Director Scientific Affairs Oscar HealthMedical Director Scientific AffairsTempe, AZRemote$237,719–$312,006 / yearWork Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. The Medical Director Scientific Affairs provides strategic leadership to the Clinical Policy team, ensuring medical and pharmacy policies are rigorously evidence-based and aligned with current clinical advancements.
Medical Director - Spine and Brain Surgery - Remote UnitedHealth Group IncMedical Director - Spine and Brain Surgery - RemotePhoenix, AZRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Medical Director, General Surgery - Remote UnitedHealth Group IncMedical Director, General Surgery - RemotePhoenix, AZRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
National Medical Director, Clinical AI Innovation And Performance - Remote UnitedHealth Group Inc.National Medical Director, Clinical AI Innovation And Performance - RemotePhoenix, AZRemote$386,500–$579,500 / yearThe MD will establish efficient and consistent annotation, training and testing models to ensure medical policies are accurately interpreted, evidence based, consistently applied, and operationally effective, This role serves as the clinical authority for guideline interpretation, clarification, and enhancement, ensuring that approved medical policy and supporting evidence are translated into UM clinical criteria that enable appropriate coverage decisions, support safe and effective care, and scale across enterprise operations. MD will also be a key member of the UCS clinical and AI leadership team, collaborating on clinical program design, data models, AI use and modernization.
Outpatient Physician Leadership Opportunity In Phoenix, AZ- Associate Market Medical Director ArchWell HealthOutpatient Physician Leadership Opportunity In Phoenix, AZ- Associate Market Medical DirectorPhoenix, AZClinical Duties Include: Rendering outpatient primary care medical and consulting services for ArchWell Health patientsKeeping and maintaining (or causing to be kept and maintained) appropriate records of all professional servicesAppropriately documenting the care of patients which includes ensuring the accuracy of patient records, encounter notes, medical diagnoses, and documentationWorking with care team members and other employees in a collaborative manner consistent with ArchWell Health's policy of providing high quality care while maintaining excellent morale among colleaguesWorking with colleagues to ensure a high-quality patient experience, that minimizes wait times and allows patients with urgent needs to be evaluated in a timely mannerBeing available to participate in public relations, direct sales, or outreach events inside or outside of ArchWell Health centers in order to engage the community and promote the ArchWell Health model of careParticipating in clinical meetings which include reviews of hospitalized patients, clinical outcomes, quality improvement and/or peer review activitiesBeing available for call coverage on nights, weekends and/or holidays with respect to patients of the center(s) where the provider regularly provides clinical services or, if requested, to patients of other ArchWell Health centers, pursuant to a call schedule determined by ArchWell Health in its discretion, provided the provider's obligations will be consistent with the demands placed on other providers. graduatesMinimum of two (2) years of experience post residency (MD/DO)Minimum of one (1) year of recent, relevant value-based care experienceBoard certified/eligible in Internal Medicine or Family Medicine (required for physicians only)Be highly collaborative, and enjoy leading care teams with a patient-centric orientationConfident in the ability to deliver high quality primary care, which includes being available to patients and addressing their medical and social needsDriven to care for those with comorbid conditions, the elderly and/or medically underservedPassionate about their work and energized by being part of a fast growing organizationInternal Candidates must be in good standing with no disciplinary action in the past 12 months at ArchWell Health.
Medical Director, Behavioral Health (Based in AZ) Molina Healthcare IncMedical Director, Behavioral Health (Based in AZ)AZCertified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions.
Medical Director, Behavioral Health (PST Zone) Molina Healthcare IncMedical Director, Behavioral Health (PST Zone)AZCertified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions.
Medical Director - ENT CVS Health CorpMedical Director - ENTAZ$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Senior Medical Director, Radiology Service Line Banner HealthSenior Medical Director, Radiology Service LinePhoenix, AZLeadership style and characteristics necessary to effectively perform in this role include: strong work ethic; results-oriented; persuasive; motivational; able to make rational decisions in difficult situations; inspirational; honorable; confident; systems-thinker; innovative; life-long learner; courageous; high-energy; integrity; collaborator; ability to work with teams; good listening; nonvolatile; values multiple disciplines; and passionate about continuously improving and providing high quality care and service excellence to patients, families, employees and physicians. Level of expertise typically gained through five years of experience in progressively responsible clinical practice leadership positions, including prior experience as a system physician leader, for example a Medical Director or CMO for a large multi-specialty group practice, physician practice management organization, hospital/hospital system, or health plan.
Appeals Medical Director - Remote UnitedHealth Group Inc.Appeals Medical Director - RemotePhoenix, AZRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewAppeals And Grievances Medical Director Reconsiderations - Remote UnitedHealth Group Inc.Appeals And Grievances Medical Director Reconsiderations - RemotePhoenix, AZRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
Regional Medical Director - Psychiatrist Family Care CenterRegional Medical Director - PsychiatristPeoria, AZFull timeIf you’d like to work for one of the nation's fastest-growing behavioral health providers while collaborating with a multidisciplinary team to make a positive impact on the well-being of your local community, we look forward to hearing from you. COLLABORATIVE TEAM: Join forces with a diverse clinical team comprised of licensed therapists, psychiatrists, psychiatric NPs/PAs, psychologists, TMS specialists and support staff to provide comprehensive care.
Physician Clinic Medical Director ConcentraPhysician Clinic Medical DirectorPhoenix, ArizonaAt Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure.
UM Medical Director - Orthopedic Spine, Neurosurgery or Spine Surgery - Remote UnitedHealth Group IncUM Medical Director - Orthopedic Spine, Neurosurgery or Spine Surgery - RemotePhoenix, AZRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy.
Medical Director - Urgent Care/OccMed KPG HealthcareMedical Director - Urgent Care/OccMedPhoenix, AZFrom our location in the Western U.S., we build relationships nationwide, ensuring our professionals can access the ideal opportunity for their backgrounds, interests and experience. KPG Healthcare is currently seeking Medical Director - Urgent Care/OccMeds to fill opportunities throughout our network of hospitals.