137 Results for

Medical Director Jobs in Portland, ME

Jobs

Senior Medical Director-Clinical Informatics CVS Health Corp

$184,112–$396,550 / year

The Senior Medical Director brings hands-on clinical and Epic build expertise, partners closely with operational and technical leadership across the enterprise to align the Epic roadmap with organizational strategy, has excellent clinical judgement and keeps patient experience, safety, and outcomes at the center of everything we do, and represents the clinical voice in enterprise governance, escalation, and innovation efforts. The Senior Medical Director for Clinical Informatics and Healthcare Delivery (HCD) Technology Product serves as the senior physician leader across healthcare delivery technical domains, providing clinical insight and technical expertise to drive end-to-end technology execution and ensure that Epic-enabled solutions advance core business outcomes.

12 days ago

Medical Director - Radiation Oncology - MD or DO CVS Health Corp

$174,070–$374,920 / year

The 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.

30+ days ago

Medical Director - Health Plan Martin's Point Health Care LLC

Portland, ME

$238,389.30–$294,480.90 / year

Works with Informatics, Network Management, and Medical Economics to create and maintain a system where Network providers are properly assessed regarding cost management and develops a plan and schedule for communication with outliers. The Medical Director works collaboratively with other plan functions that interface with Medical Management such as Health Management, Quality, Network Management, Member Services, benefits & claims management, and Compliance.

5 days ago

REMOTE - Vice President Medical Director of Clinical Programs Martin's Point Health Care LLC

Portland, ME

Remote

Demonstrated experience working across health plan functions, such as utilization management, care management, quality, appeals and grievances, population health, medical economics, provider relations, pharmacy, compliance, or network. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day.

30+ days ago

Medical Director of Trauma Central Maine Medical Center

LEWISTON, Maine

$472,000–$502,000 / year
Full time

The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

23 days ago

Medical Director - ENT CVS Health Corp

$174,070–$374,920 / year

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 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.

30+ days ago

Gastroenterology Medical Director Prime Healthcare Services Inc

LEWISTON, ME

$720,000–$810,000 / year

The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region''s only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. The ideal candidate is a respected physician leader who is committed to clinical excellence, multidisciplinary collaboration, physician development, and improving access and outcomes for patients requiring gastrointestinal services.

30+ days ago

Medical Director of Trauma Prime Healthcare Services Inc

LEWISTON, ME

$472,000–$502,000 / year

The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region''s only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

22 days ago

Medical Director Acute Rehab Prime Healthcare Services Inc

LEWISTON, ME

$275,000–$330,000 / year

The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region''s only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. This physician leader ensures high-quality, patient-centered care while driving program growth, regulatory compliance, and superior functional outcomes in alignment with Prime Healthcare's mission.

30+ days ago

Child Abuse Pediatrician - Medical Director Spurwink Services

South Portland, ME

Full time
Quick Apply

QUALIFICATIONS: Experience and Education Required: Medical degree from an accredited school of medicine; successful completion of residency in the practice of general psychiatry, with subspecialty training in child psychiatry preferred. The Spurwink Center for Safe and Healthy Families, located in South Portland, Maine is seeking a full-time BC/BE Child Abuse Pediatrician to serve as the Medical Director of a well-established child abuse clinic.

28 days ago

Medical Director (Aetna One Advocate) CVS Health Corp

$174,070–$374,920 / year

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. Serve as lead clinical and business liaison to network providers and facilities, supporting effective execution of medical services programs.

20 days ago

Gastroenterology Medical Director Central Maine Medical Center

LEWISTON, Maine

$720,000–$810,000 / year
Full time

The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. The ideal candidate is a respected physician leader who is committed to clinical excellence, multidisciplinary collaboration, physician development, and improving access and outcomes for patients requiring gastrointestinal services.

30+ days ago

Medical Director Acute Rehab Central Maine Medical Center

LEWISTON, Maine

$275,000–$330,000 / year
Full time

The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. This physician leader ensures high-quality, patient-centered care while driving program growth, regulatory compliance, and superior functional outcomes in alignment with Prime Healthcare’s mission.

30+ days ago

Medical Director - Portland, Maine Veterinary Emergency Group (VEG)

Portland, ME

Establish and maintain a positive culture through team huddles, recognizing achievements and demonstrating appreciation for performance of the VEG Spikes, our unique, customer-centered way of doing things—like ensuring people see a doctor right away and allowing families to stay with their pets. This means transforming how ER works, from our open-concept hospitals, where you can handle emergency cases of every kind (even exotics!) to our immersive, customer-focused experience, which helps us give people and their pets the care they deserve.

30+ days ago

Medical Director VCA Inc

Lewiston, ME

With access to endless resources, we continuously learn and share knowledge to build fulfilling careers, push our profession forward and make a lasting impact on our shared future. With a network of 1,000 animal hospitals, we impact pets, people and our communities by delivering world-class medicine with hometown care to over 4.5 million pets annually.

30+ days ago

Medical Director - Portland, Maine Veterinary Emergency Group

Portland, ME

Establish and maintain a positive culture through team huddles, recognizing achievements and demonstrating appreciation for performance of the VEG Spikes, our unique, customer-centered way of doing things-like ensuring people see a doctor right away and allowing families to stay with their pets. This means transforming how ER works, from our open-concept hospitals, where you can handle emergency cases of every kind (even exotics! to our immersive, customer-focused experience, which helps us give people and their pets the care they deserve.

30+ days ago

Executive Director-Digital Product - Medical Cost Initiatives CVS Health Corp

Remote

$175,100–$334,750 / year

Lead multidisciplinary technology teams -including Product Managers, Epic Analysts, Software Engineers, Data Scientists, and Designers-to build seamless, end-to-end clinical technology pathways that reduce medical costs, while driving patient experience and outcomes. Healthcare Operations & Domain Knowledge: Deep familiarity with clinical operations, Quality Improvement (QI) methodologies, Value-Based Care (VBC) constructs, and Fee-For-Service (FFS) operational dynamics, and medical cost initiative care pathways.

12 days ago

Remote Medical Director, Pharmacy Centene Corporation Group

Remote

$236,500–$449,300 / year

Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: 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.

12 days ago

Medical Management Director Community Health Options

Remote

$132,700–$153,700 / year

Community Health Options DEI initiatives are applicable, but not limited to, our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of DEI, which encourages and enforces: Respectful, open communication and cooperation between all employees. The Director of Care Management, Utilization Management, and Appeals role involves overseeing and enhancing our care management programs, utilization management processes, and appeals operations.

5 days ago

Director Medical Practice - MD/DO Martin's Point Health Care LLC

Portland, ME

$238,389.30–$294,480.90 / year

The primary focus of the DMP is to provide clinical leadership to their designated site(s), to be the clinical dyad partner to the Director of Practice Operations (DPO), and to advise, assess and manage clinician performance with respect to quality of care, patient access and experience and value-based care performance. The DMP not only manages the care of a panel of patients by using best practices to diagnose and treat a variety of diseases and injuries, supporting call coverage for the practice, they also are responsible for managing all clinicians in their designated practice in conjunction with practice site operations leadership.

30+ days ago

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Medical Director Jobs in Portland, ME

Senior Medical Director-Clinical Informatics CVS Health Corp

Medical Director - Radiation Oncology - MD or DO CVS Health Corp

Medical Director - Health Plan Martin's Point Health Care LLC

REMOTE - Vice President Medical Director of Clinical Programs Martin's Point Health Care LLC

Medical Director of Trauma Central Maine Medical Center

Medical Director - ENT CVS Health Corp

Gastroenterology Medical Director Prime Healthcare Services Inc

Medical Director of Trauma Prime Healthcare Services Inc

Medical Director Acute Rehab Prime Healthcare Services Inc

Child Abuse Pediatrician - Medical Director Spurwink Services

Medical Director (Aetna One Advocate) CVS Health Corp

Gastroenterology Medical Director Central Maine Medical Center

Medical Director Acute Rehab Central Maine Medical Center

Medical Director - Portland, Maine Veterinary Emergency Group (VEG)

Medical Director VCA Inc

Medical Director - Portland, Maine Veterinary Emergency Group

Executive Director-Digital Product - Medical Cost Initiatives CVS Health Corp

Remote Medical Director, Pharmacy Centene Corporation Group

Medical Management Director Community Health Options

Director Medical Practice - MD/DO Martin's Point Health Care LLC

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