Medical Director - Vascular Surgery - Remote UnitedHealth Group Inc.Medical Director - Vascular Surgery - RemoteChicago, ILRemote$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 MPO CVS Health CorpMedical Director MPOIL$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
NewMedical Director Habitat HealthMedical DirectorChicago, IL$290,000–$350,000 / yearApplies strong clinical judgment in evaluation, diagnosis, and management; consistently applies geriatric principles including preventive care and harm reduction, produces high-quality documentation supporting continuity, coding integrity, and coordination; leads safe medication management including deprescribing and polypharmacy reduction. Provides evidence-based person-centered direct clinical care as primary care provider (at approximately 50% clinical panel, subject to census and operational need) and supervising physician, collaborating with the IDT on person-centered care planning across medical, behavioral, and functional domains.
NewAppeals Medical Director- Cardiology Elevance Health IncAppeals Medical Director- CardiologyChicago, IL$247,840–$446,112 / yearMinimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
Associate Medical Director, Physician Assistant Program National Louis UniversityAssociate Medical Director, Physician Assistant ProgramChicago, ILThe Associate Medical Director will assist the Program Director by providing medical guidance for didactic and the program and clinical curricular components in which PA students learn and practice the skills essential to professional interactions with physicians in the medical workplace. National Louis University is seeking a board-certified Osteopathic, Allopathic Physician, or Physician Assistant for a part-time Associate Medical Director position in a new Physician Assistant (PA) program.
Medical Director Veterinarian- Plum Creek Alliance Animal HealthMedical Director Veterinarian- Plum CreekCrete, IL$100,000–$200,000 / yearPlum Creek Animal Medical Center is seeking a Medical Director Veterinarian to lead our established veterinary practice as we enter an exciting new chapter, including overseeing an upcoming hospital remodel that will help shape the future of our veterinary facility. Our veterinary team provides comprehensive care including wellness and preventive veterinary medicine, illness and urgent care, surgery, dentistry, therapeutic laser therapy, in-house diagnostics, digital full-body and dental radiology, ultrasonography, acupuncture, and medical boarding.
Appeals Medical Director - Medicare Elevance HealthAppeals Medical Director - MedicareChicago, IL$247,840–$446,112 / yearMinimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
Associate Medical Director Elevance HealthAssociate Medical DirectorChicago, IL$188,051–$294,910 / yearMinimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Associate Medical Director - Outpatient Rehab Elevance HealthAssociate Medical Director - Outpatient RehabChicago, IL$188,051–$294,910 / yearMinimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
a PHP/IOP Medical Director and Outpatient Psychiatrist Endeavor Healtha PHP/IOP Medical Director and Outpatient PsychiatristNaperville, ILProvide evidence-based psychiatric evaluation and medication management for patients with various mental health conditions, including mood disorders, anxiety disorders, psychosis, and substance use disorders. We're looking for a Psychiatrist to join our nationally recognized team, where clinical excellence, collaboration, and patient-centered care take center stage.
Medical Director -Spine CVS Health CorpMedical Director -SpineILRemote$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. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications.
Clinical Director - Medical Group Endeavor HealthClinical Director - Medical GroupElmhurst, IL$370,000–$700,000 / yearAs a valued member of an integrated team, your placement within the pay range is dependent on a variety of factors, including but not limited to FTE, prior experience, certifications, degrees, subspecialties, projected volumes, and quality performance. Collaborate with program directors, research leadership, and institutional partners to advance education, research and innovation within the specialty.
Psychiatrist Medical Director (State Inpatient Psychiatric Facility) - Chicago, IL CLFC Healthcare and CommunicationsPsychiatrist Medical Director (State Inpatient Psychiatric Facility) - Chicago, ILChicago, IL$180–$190This position is ideal for an experienced psychiatrist ready to step into, or continue in, a Medical Director role where they can influence clinical quality, mentor physicians, and lead psychiatric services without the administrative burdens of private practice, on a predictable weekday schedule with long-term contract stability. CLF Consultants LLC seeks an Illinois-licensed, board-certified Psychiatrist to serve as Medical Director of the Alton Mental Health Center, a State-operated inpatient psychiatric facility of the Illinois Department of Human Services.
National Medical Director Clinical Program Governance, Evaluation, And Innovation - Remote UnitedHealth Group Inc.National Medical Director Clinical Program Governance, Evaluation, And Innovation - RemoteChicago, ILRemote$386,500–$579,500 / yearThe portfolio of efforts for which the incumbent will provide guide and lead, in collaboration with the National CMO of CEG 3includes: Clinical Program Governance process and team which is charged with ensuring deployed clinical programs represent our best opportunity to improve health, optimize member and provider experience while reducing unwarranted healthcare spending. This physician is responsible for supporting and driving key clinical program governance, disciplined evaluation, and leading a team testing innovative solutions and care models in close collaboration with the National CMO of the UCS Clinical Evidence Group.
Medical Director US (Part-Time, Contract Position) DeciphexMedical Director US (Part-Time, Contract Position)Naperville, ILYou'll serve as our named Laboratory Director across US operations, working closely with Diagnexia's senior clinical leadership, including our CMO, to build a service that puts technology at the centre of better patient care. If you want meaningful clinical and regulatory leadership, direct client engagement, and the chance to genuinely build something - without giving up your existing practice - this role is designed for exactly that.
Appeals Medical Director - Emergency Medicine Required - Remote UnitedHealth Group Inc.Appeals Medical Director - Emergency Medicine Required - RemoteChicago, ILRemote$248,500–$373,000 / yearCommunicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. 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.
Appeals Medical Director - Remote UnitedHealth Group Inc.Appeals Medical Director - RemoteChicago, ILRemote$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.
Medical Director - ENT CVS Health CorpMedical Director - ENTIL$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.
NewAssociate Medical Director Envision Physician Services - EM/HMAssociate Medical DirectorHarvey, ILPosition Profile: 48,000 Annual Volume 28 ED beds 5 Fast Track beds 4 Psych beds 41 hours of daily physician coverage 35 hours of daily experienced APP coverage Scribe coverage EPIC EMR W2 status with comprehensive benefits program Urgent Aid Centers in Flossmoor, Tinley Park and Calumet City for 24/7 minor emergencies Facility Information: Established in 1923 as a 50?bed community hospital, UChicago Medicine Ingalls Memorial has evolved into a 478?bed, nationally recognized health system serving Chicago's Southland. Leadership Opportunity in Chicago's suburb— Join UChicago Ingalls Memorial as ED Associate Medical Director - The Associate Medical Director role will be working in the Emergency Medicine specialty, located in UChicago Medicine Ingalls Memorial Hospital - EM Harvey, IL.
UM Medical Director - Orthopedic Spine, Neurosurgery Or Spine Surgery - Remote UnitedHealth Group Inc.UM Medical Director - Orthopedic Spine, Neurosurgery Or Spine Surgery - RemoteChicago, ILRemote$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.