NewREMOTE - Vice President Medical Director of Clinical Programs Martin's Point Health Care LLCREMOTE - Vice President Medical Director of Clinical ProgramsNVRemoteli>HMO/Managed Care experience, including Utilization and/or Quality Program management and exposure to peer review, case management, population health, appeals, chronic and complex disease management, HEDIS reporting, and provider relations. In collaboration with the MPHC Chief Medical Officer (CMO), advocates with government/state regulatory entities, professional and medical society chapters, federal regulators/contactors, and as part of external communications and media relations to advance HP's clinical value story, evidence-based medical policies, and member health.
Medical Director, Select Health, Nevada Intermountain Health IncMedical Director, Select Health, NevadaNV$159.78–$181.48 / hourli>Excellent communication skills including ability to establish and maintain rapport with coworkers, providers, brokers, employers, plan members, representatives/executives from other health care entities, government and regulatory bodies and others in the community. Reporting to the Select Health Chief Medical Officer, this Medical Director role is a part-time local Medical Director with a heavily matrixed accountability to the Select Health Market President to aid in local clinical relationships, product and plan performance and to understand local market specifics.
Behavioral Health Medical Director - AI Policy & Governance CVS Health CorpBehavioral Health Medical Director - AI Policy & GovernanceNV$174,070–$374,920 / yearRole summary: The Behavioral Health (BH) Medical Director (MD) for AI Policy & Governance provides clinical leadership to ensure artificial intelligence (AI)including predictive models and generative AIis designed, validated, implemented, and monitored in ways that are clinically sound, ethical, safe, compliant, and equitable. -Ensure equitable performance across populations (e.g., depending on how model was trained, training data may not always be representative), identify and mitigate algorithmic bias in care decisions; align AI deployment with organizational values and patient trust.
Medical Director, Behavioral Health - SIU CVS Health CorpMedical Director, Behavioral Health - SIUNV$174,070–$374,920 / yearThe Behavioral Health (BH) Medical Director (Special Investigations Unit) will be responsible for performing reviews of BH medical records and/or CPT code/HCPCS codes of known or suspected acts of healthcare fraud and abuse. Serves as a clinical liaison supporting SIU Investigators, Managers, and Directors as appropriate in matters pertaining to the investigation of suspected healthcare fraud cases.
Medical Director Veterinarian | Carson City, NV CareVet HealthMedical Director Veterinarian | Carson City, NVCarson City, Nevada$120,000–$200,000 / yearul style="margin: 0px; padding: 0px; font-family: verdana;">Oversees surgical and medical cases for all doctors, ensuring positive outcomes, accurate estimates, and client communication and education. . Minimizes waste and controls costs relating to medical supplies, surgical instruments, and drug inventories. .
Physician Clinic Medical Director Concentra Inc.Physician Clinic Medical DirectorSparks, NV$287,000–$310,000 / yearp>This position is eligible to earn a base compensation rate in the state range of $287,000 to $310,000 annually PLUS a Director Stipend, depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. At 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.
Medical Director - Sr Clinical Solution - Population Health (Medicare) CVS Health CorpMedical Director - Sr Clinical Solution - Population Health (Medicare)NVRemote$184,112–$396,550 / yearThe role will leverage existing data and reporting sources as well as develop new analytics to support health plan senior leadership to identify, develop, implement, and evaluate the effectiveness of strategic initiatives including trends, policies and programs, designed to drive the delivery of high value healthcare supporting a sustainable competitive business advantage for members. Clinical Solutions Medical Director, Population Health, Medicare position will serve as the liaison between data analytics/reporting teams and the clinical leadership team to identify trends in population health while providing a clinical perspective to effectively communicate and support clinical solutions aimed at improving patient care, safety and health outcomes of the Medicare membership.
Remote National Medical Director Centene Corporation GroupRemote National Medical DirectorNVRemote$236,500–$449,300 / yearli>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.
Hospice Medical Director Gentiva Health Services IncHospice Medical DirectorCarson City, NV$275,000–$300,000 / yearp>Compensation may vary within the salary range provided based on several factors including but not limited to a candidate's location, experience, education, skills, licensure, certifications and department equity. We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert clinical oversight to our hospice physicians.
NewPhysician Clinic Medical Director-Urgent Care/Occupational Medicine KPG HealthcarePhysician Clinic Medical Director-Urgent Care/Occupational MedicineSparks, NVp class="MsoNormal" style="line-height:normal;background:white;margin:6pt 0in 6pt 17.8pt">KPG Healthcare is currently seeking Physician Clinic Medical Director-Urgent Care/Occupational Medicines to fill opportunities throughout our network of hospitals. From 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.
Medical Director - Behavioral Health CVS Health CorpMedical Director - Behavioral HealthNV$174,070–$374,920 / yearIn this role has Medical Director (Behavioral Health) you will: Provide comprehensive behavioral health care management to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues. Provide psychiatric leadership for NCQA-compliant clinical quality improvement activities in collaboration with clinical and quality improvement staff.
NewMedical Director - Urgent Care/OccMed KPG HealthcareMedical Director - Urgent Care/OccMedSparks, NVp class="MsoNormal" style="line-height:normal;background:white;margin:6pt 0in 6pt 17.8pt">KPG Healthcare is currently seeking Medical Director - Urgent Care/OccMeds to fill opportunities throughout our network of hospitals. From 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.
Medical Director - Commercial CVS Health CorpMedical Director - CommercialNV$174,070–$374,920 / yearli>Act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. In this role you will: You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of care.
Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Reno, NVli>Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Chief Medical Officer, Nevada Children's Hospital Intermountain Health IncChief Medical Officer, Nevada Children's HospitalNVThe Chief Medical Officer partners closely with the Chief Nursing Officer and serves as a hospital-wide champion for safety, quality and experience, and provides leadership oversight and support for the development of a culture of high reliability and the measurement of care by identifying opportunities, building relationships, and executing on strategies to drive the performance and measured improvement of all physicians and advanced practice providers (APP). Job Description: The CMO provides oversight and ensures productive relationships with the medical staff, assures clinical excellence, helps leadership in planning and executing Intermountain and the Hospital's strategic plan, assures financial success, maintains accreditation/regulatory compliance, and promotes a positive work environment.
PHYSICIAN - Primary Care Carson Tahoe Regional HealthcarePHYSICIAN - Primary CareCarson City, NVPhysician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
PHYSICIAN | Gastroenterologist Carson Tahoe Regional HealthcarePHYSICIAN | GastroenterologistCarson City, NVPhysician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
Hematology Oncology Physician Carson Tahoe Regional HealthcareHematology Oncology PhysicianCarson City, NVPhysician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
PHYSICIAN - Neurologist Carson Tahoe Regional HealthcarePHYSICIAN - NeurologistCarson City, NVPhysician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
PHYSICIAN - Inpatient Psychiatry Carson Tahoe Regional HealthcarePHYSICIAN - Inpatient PsychiatryCarson City, NVWe serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Physician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer.
PHYSICIAN - Primary Care Family Medicine, Full Time Carson Tahoe Regional HealthcarePHYSICIAN - Primary Care Family Medicine, Full TimeCarson City, NVp>Physician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
PHYSICIAN - Outpatient Psychiatry Carson Tahoe Regional HealthcarePHYSICIAN - Outpatient PsychiatryCarson City, NVp>Physician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
PHYSICIAN - Otolaryngologist Carson Tahoe Regional HealthcarePHYSICIAN - OtolaryngologistCarson City, NVp>Physician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
PHYSICIAN NON EX Carson Tahoe Regional HealthcarePHYSICIAN NON EXCarson City, NVPhysician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive Medical Director, Chief Medical Officer. Orders appropriate laboratory tests, radiology tests, prescribes pharmaceuticals, and provides treatment options to patients using best judgement of medical decision-making.
Nurse Practitioner Palliative UnitedHealth Group IncNurse Practitioner PalliativeReno, NV$104,500–$156,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.