NewMedical Director - Sleep Medicine - Remote UnitedHealth Group Inc.Medical Director - Sleep Medicine - RemotePhoenix, AZRemote$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.
NewUM Medical Director - Pediatrics/Internal OR Family Medicine - Remote UnitedHealth Group Inc.UM Medical Director - Pediatrics/Internal OR Family Medicine - RemotePhoenix, AZRemote$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.
NewMedical Director - Clinical Advocacy And Support - Remote - PST Preferred UnitedHealth Group Inc.Medical Director - Clinical Advocacy And Support - Remote - PST PreferredPhoenix, AZRemote$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.
NewMedical Director - Spine And Brain Surgery - Remote UnitedHealth Group Inc.Medical Director - Spine And Brain 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. 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.
National Medical Director, Clinical AI Innovation And Performance - Remote UnitedHealth Group Inc.National Medical Director, Clinical AI Innovation And Performance - RemotePhoenix, AZRemote$386,500–$579,500 / yearThe MD will establish efficient and consistent annotation, training and testing models to ensure medical policies are accurately interpreted, evidence based, consistently applied, and operationally effective, This role serves as the clinical authority for guideline interpretation, clarification, and enhancement, ensuring that approved medical policy and supporting evidence are translated into UM clinical criteria that enable appropriate coverage decisions, support safe and effective care, and scale across enterprise operations. MD will also be a key member of the UCS clinical and AI leadership team, collaborating on clinical program design, data models, AI use and modernization.
NewMedical Director-Medical ICU & Critical Care | Banner-University | Phoenix Banner HealthMedical Director-Medical ICU & Critical Care | Banner-University | PhoenixPhoenix, AZBUMC-P is a 733 bed, Level 1 Trauma facility: as the largest and one of the most comprehensive tertiary care facilities in Arizona, it provides a full complement of subspecialties including cardiac care, transplant services, oncology, high-risk obstetrics, CARF certified stroke, head injury and general inpatient rehabilitation, epilepsy center, Alzheimer's Institute, and outpatient clinics on campus in primary and specialty care. Phoenix is the United States' sixth-largest city with a population of over 1.4 million, home to 200+ golf courses, MLB Spring Training mecca, daytrip drive to six different lakes, culturally enriches with a plethora of museums, as well as an extensive offering of casual patio dining, destination spas, and upscale shopping.
NewMedical Director - Orthopedic Surgeon - Remote From Anywhere UnitedHealth Group Inc.Medical Director - Orthopedic Surgeon - Remote From AnywherePhoenix, AZRemote$248,500–$373,000 / yearWe 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director, Behavioral Health (PST Zone) Molina Healthcare IncMedical Director, Behavioral Health (PST Zone)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.
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.
Medical Director - Medicaid Appeals CVS Health CorpMedical Director - Medicaid AppealsAZ$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 - Spine CVS Health CorpMedical Director - SpineAZ$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 - ENT CVS Health CorpMedical Director - ENTAZ$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.
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 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.
NewAppeals 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.
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.
Medical Director (Medicaid Segment) - Remote-AZ Blue Cross Blue Shield of ArizonaMedical Director (Medicaid Segment) - Remote-AZPhoenix, ArizonaRemoteProvide professional oversight for the various clinical peer committees including, but not limited to, the Clinical Quality Improvement Committee, Credentialing Committee, Medical Directors Committee, and Medical Management Committee. Work to ensure productive relationships with all customers, employers, members, and providers to ensure members receive the appropriate health care in the most appropriate setting with the best value in health care.
Regional Medical Director - Psychiatrist Family Care CenterRegional Medical Director - PsychiatristPeoria, AZFull timeIf you’d like to work for one of the nation's fastest-growing behavioral health providers while collaborating with a multidisciplinary team to make a positive impact on the well-being of your local community, we look forward to hearing from you. COLLABORATIVE TEAM: Join forces with a diverse clinical team comprised of licensed therapists, psychiatrists, psychiatric NPs/PAs, psychologists, TMS specialists and support staff to provide comprehensive care.
UM 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.
NewMedical Director- Post Acute The Cigna GroupMedical Director- Post AcuteAZ$207,800–$346,300 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. with a current, active, U.S. state medical license and board certified in Primary Care (Internal Medicine, Family Medicine), Emergency Medicine, or PM&R Medicine, recognized by the American Board of Medical Specialties or American Osteopathic Association.