Medical Director, Hereditary Cancer & High-Risk Program Ochsner Clinic FoundationMedical Director, Hereditary Cancer & High-Risk ProgramNew Orleans, LouisianaThe Medical Director will provide direct clinical oversight of the hereditary cancer and high-risk clinic, ensuring high-quality, patient-centered care for individuals with increased cancer risk due to family history, genetic predisposition, or other risk factors. The Medical Director will work closely with a broad range of colleagues, including primary care providers, oncologists, surgeons, gastroenterologists, gynecologists, and other specialists, to build strong referral relationships and increase program visibility.
Behavioral Health Medical Director Humana IncBehavioral Health Medical DirectorLARemote$223,800–$313,100 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOLA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Medical Director MPO CVS Health CorpMedical Director MPOLA$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.
Physician- Medical Director - Infection Control Ochsner Clinic FoundationPhysician- Medical Director - Infection ControlNew Orleans, LouisianaThis position involves the handling of hazardous drugs and/or hazardous drug contaminated products either through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste, including contact with patients who may receive hazardous drugs. · Expertise in Epidemiology and disease transmission: can manage active clinical process elements bringing the best, current science regarding infection prevention to the caregivers and clinicians in all patient care settings including the clinics.
Physician- Research Medical Director, Oncology Service Line Ochsner Clinic FoundationPhysician- Research Medical Director, Oncology Service LineNew Orleans, Louisianah) In partnership with the Director of Clinical Research and in collaboration with the Oncology COE Service Line dyad leadership team, identify and communicate strategic research initiatives in the Oncology COE to Executive Leadership Team to plan for future Research growth. The role of the Research Medical Director (RMD) for the Oncology Center of Excellence (COE) is to assist Ochsner Health in delivering on the Research strategic imperatives of growth, innovation, and dissemination of research findings by improving communication, collaboration, operations, and infrastructure to support our physician scientists’ ability to conduct research.
Medical Director - Spine CVS Health CorpMedical Director - SpineLA$174,070–$374,920 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Leads 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.
Medical Director - Medicaid Appeals CVS Health CorpMedical Director - Medicaid AppealsLA$174,070–$374,920 / yearOur 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. You will support the Medical Management staff ensuring timely and consistent responses to member and provider appeals, state fair hearings, and escalated complaints.
Medical Director - ENT CVS Health CorpMedical Director - ENTLA$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.
Behavioral Health Medical Director, Medicaid Humana IncBehavioral Health Medical Director, MedicaidLA$223,800–$313,100 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Perform computer-based reviews of moderately complex to complex clinical scenarios, including review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and potential participation in care management activities.
Medical Director, Nephrology Transplant Ochsner Clinic FoundationMedical Director, Nephrology TransplantNew Orleans, LouisianaThe Ochsner Transplant Institute is the largest and most comprehensive transplant program in the Gulf South, and its kidney transplant program has built a strong national reputation for quality, collaboration, and forward-thinking care delivery. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Medical Director MedVetMedical DirectorNew Orleans, LouisianaThe MD partners with their dyad HD to improve and sustain MedVet’s focus on evaluating, planning, and implementing the delivery of best-in-class healthcare to MedVet patients in support of our mission: Leading Specialty Healthcare for Pets . The MD promotes a culture that supports the development of engaged and empowered caregivers (employees) who deliver the MedVet Experience in a healthy and sustainable manner while living MedVet’s core values of Teamwork, Leadership , and Compassion .
Medical Director-Medicaid (ABH VA) CVS Health CorpMedical Director-Medicaid (ABH VA)LARemote$174,070–$374,920 / yearAetna operates Medicaid managed care plans in Arizona, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia, and West Virginia. This work-from-home position will primarily support Aetna Better Health of Virginia, while also providing support across the Northeast Region (Maryland, New Jersey, New York, and Pennsylvania) and other health plans as needed.
Medical Director Behavioral Health, Medicaid Humana IncMedical Director Behavioral Health, MedicaidLARemote$223,800–$313,100 / yearResponsibilities: Use your medical background, experience, and judgement to make determinations whether requested services, requested level of care, or requested site of service should be authorized, with all work occurring within a context of regulatory compliance and assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management, with clinical scenarios arising from outpatient or inpatient environments.
Medical Director needed for Primary Care in New Orleans, LA - 280K + Full Benefits HealthPlus StaffingMedical Director needed for Primary Care in New Orleans, LA - 280K + Full BenefitsNew Orleans, LouisianaIf interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We will work on your behalf to obtain as much info as you need to make a well-informed decision.
Medical Director needed for Primary Care in New Orleans, LA - 280K + Phenomenal Benefits HealthPlus StaffingMedical Director needed for Primary Care in New Orleans, LA - 280K + Phenomenal BenefitsNew Orleans, LouisianaIf interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We will work on your behalf to obtain as much info as you need to make a well-informed decision.
Primary Care Medical Director Opportunity in New Orleans, Louisiana | Value-Based Care Leadership Healthcare UnitedPrimary Care Medical Director Opportunity in New Orleans, Louisiana | Value-Based Care LeadershipNew Orleans, LouisianaThe organization serves medically complex and socially vulnerable patients through an integrated care model that includes primary care, behavioral health, pharmacy, care management, social services, and additional onsite support. Healthcare United is seeking a full-time Primary Care Medical Director to provide clinical leadership for an established value-based healthcare organization in New Orleans, Louisiana.
Join ChenMed as a Market Medical Director - New Orleans, LA ChenMed Family of CompaniesJoin ChenMed as a Market Medical Director - New Orleans, LANew Orleans, LATeam Collaboration : Work closely with the Division President and Market General Management and other leadership to manage day-to-day operations and improve financial performance. Leadership and Coaching : Lead and mentor your centers clinical team, including primary care providers, to enhance performance and patient care.
Behavioral Health Medical Director - Psychiatrist - Louisiana Market Elevance HealthBehavioral Health Medical Director - Psychiatrist - Louisiana MarketMetairie, LouisianaWe 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. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
Center Clinical Director, Associate ChenMedCenter Clinical Director, AssociateNew Orleans, Louisiana$238,832–$341,189 / yearPartners with Clinical COE and Talent Acquisition to support clinical talent lifecycle to accelerate Clinical talent growth, including hiring of PCPs, NPs, and Medical Directors, managing, and mentoring physicians, role modeling exemplary clinical leadership. Oversees and facilitates talent development of the PCPs, NPs, and Medical Directors in his/her centers including, but not limited to leading facilitated practice (physician shadowing/coaching), conducting 1:1s with direct reports, executing leadership development plans and performance management.