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.
NewNational Medical Director Clinical Program Governance, Evaluation, And Innovation - Remote UnitedHealth Group Inc.National Medical Director Clinical Program Governance, Evaluation, And Innovation - RemotePhoenix, AZRemote$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.
NewAppeals Medical Director - Emergency Medicine Required - Remote UnitedHealth Group Inc.Appeals Medical Director - Emergency Medicine Required - RemotePhoenix, AZRemote$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 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.
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.
Assistant Medical Director Arizona Department of AdministrationAssistant Medical DirectorPhoenix, ArizonaAny employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver’s license, complete all required training, and successfully pass all necessary driver’s license record checks. - Collaborates with contractors, external healthcare providers and community resources to coordinate continuity of care for inmates transitioning from correctional facilities to community settings.
NewUM Medical Director - Orthopedic Spine, Neurosurgery Or Spine Surgery - Remote UnitedHealth Group Inc.UM 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 Oncology - Utilization Management - Remote Anywhere In US UnitedHealth Group Inc.Medical Director Oncology - Utilization Management - Remote Anywhere In USPhoenix, AZRemote$238,000–$357,500 / yearServe as a subject matter expert in evidence - based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidence. Engage and collaborate with treating providers telephonically; This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense.
UM Medical Director DME - Pacific or Mountain Time Zone preferred - Remote UnitedHealth Group IncUM Medical Director DME - Pacific or Mountain Time Zone preferred - RemotePhoenix, AZRemoteUM Medical Director DME - Pacific or Mountain Time Zone preferred - Remote at UnitedHealth Group.
Medical Director (Physician) – Adult Medicine HireNow StaffingMedical Director (Physician) – Adult MedicinePhoenix, ArizonaThis position requires a physician leader who can balance clinical oversight, operational leadership, and quality performance , while maintaining an active clinical presence. HireNow Staffing is actively recruiting a seasoned, highly skilled Medical Director (Physician) to join one of our valued client partners.
Physician Clinic Medical Director Concentra Inc.Physician Clinic Medical DirectorPhoenix, AZAt 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.
Medical Coordinator (60091) National Health Care For The Homeless Council IncMedical Coordinator (60091)Phoenix, AZCompletion of a Medical Assistant program, and/or alternate allied health training program deemed appropriate by the CMO, Medical Director, and Chief Nursing Officer to provide competency in the skills necessary to complete the essential duties noted within this job description and must have a minimum of one (1) years of related experience that demonstrates an understanding of the required knowledge, skills, and abilities. Obtains vital records for patients, provides, and assists in housing applications, networks within the community for housing options, transports patients to locations for housing assistance/applications.
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.
Director of M&A Advisory Services Cardone Ventures LLCDirector of M&A Advisory ServicesScottsdale, AZ$230,000–$275,000 / yearPart timeDeep working knowledge of the full spectrum of M&A products and services including buy-side and sell-side deal execution, partnership buyouts, capital structure advisory, valuations, and recurring revenue assessments, with the ability to advise clients across each service line with credibility and precision. Proficiency in building and interpreting financial models including DCF analysis, enterprise valuation, EBITDA normalization, and deal structure modeling, with the ability to translate outputs into clear, client-ready deliverables.
Medical Director Care Coordination Banner HealthMedical Director Care CoordinationPhoenix, AZAlong with other leadership team members, promotes financial stewardship and clinical excellence for the facility regarding operational processes, with the goal of helping to ensure the efficient delivery of cost-effective services to patients, physicians, and hospital departments. Serves as a member of the facility executive leadership team for designated healthcare operations, building and supporting effective collegial relationships with stakeholders and ensuring optimal operating effectiveness and strategic positioning.
Lead Registered Nurse Position in Tempe; SMI Experience; AZ RN License Required (8489) Terros HealthLead Registered Nurse Position in Tempe; SMI Experience; AZ RN License Required (8489)Tempe, AZ$86,000–$93,000 / yearTakes full responsibility for the integrated treatment services for members coordinates care with ACT team members and other providers to ensure member's needs are met and the member continues to receive treatment in the community to the greatest extent possible. Responsible for promoting and role modeling practice according to the recovery model; known as practice engagement skills, including motivational interviewing and ensures that all nursing staff assist patients to define and achieve their own recovery goals.
Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsAZRemote$236,500–$449,300 / yearLicense/Certifications: Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
NewSr. Strategic Operations Director IQVIA Holdings IncSr. Strategic Operations DirectorPhoenix, AZ$123,400–$343,800 / yearDirects the designated customer account globally to provide leadership oversight to customer and IQVIA assigned project teams and lead the development of and adherence by all project teams to an operations manual specific to the designated customer account for all product development projects. Serve as the primary operational management contact globally to the designated customer account; responsible for driving and ensuring appropriate communication channels are maintained and key customer expectations transcend the organization and are adhered to across the portfolio of projects.
Provider Development Director Infusion for HealthProvider Development DirectorMesa, AZ$85,000–$120,000 / yearQualifications: Proven experience in sales, with a strong track record in developing physician relationships and driving referrals in oncology, hematology, gastroenterology, and/or rheumatology, specifically in infusions. As an Outside Sales Rep, you will be responsible for managing provider relationships and generating referrals from physicians, particularly in oncology, hematology, gastroenterology, and rheumatology.
Senior Director, Claims & Litigation Counsel Banner HealthSenior Director, Claims & Litigation CounselPhoenix, AZ$73.76–$140.84 / hourMust demonstrate skills and business acumen through direct leadership experiences such as: anticipating and responding to the needs of internal and external customers; managing a budget and financial plans; building partnerships with management, staff, and stakeholders to achieve goals and objectives; managing problems and situations where uncertainty is inherent; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; demonstrating excellent human relations, organizational and communication skills; and demonstrating a passion for continuously improving and providing high quality care and service excellence to customers, patients, families, employees and/or physicians. This position oversees, leads and mentors Claims Directors managing their own caseloads and the Claims team as a whole and is also active in strategies, mediations and trials with cases involving potential for high exposure and ensures cost effective and successful management of Hospital and Physician Professional Liability (HPPL), General Liability (GL) and Employment Practices Liability (EPL) and other liability claims and litigation.