Vice President of Medical Directors - Health Plan Experience Metroplus Health Plan IncVice President of Medical Directors - Health Plan ExperienceNew York, NY$360,000–$380,000 / yearSupports Utilization Management (UM) department staff and nurse Care Managers on concurrent review and preauthorization referrals and ensures that members receive appropriate services consistent with their benefits, regulatory requirements, and established clinical criteria. Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical quality, utilization, and assuring appropriate health care delivery, the Vice President of Medical Directors serves in a policy, operational and strategic capacity.
Executive Director, Enterprise Billing Strategy, Bureau of Office of Chief Medical Officer City of New YorkExecutive Director, Enterprise Billing Strategy, Bureau of Office of Chief Medical OfficerQueens, NYA master's degree from an accredited college in hospital administration, public health, community health, health administration, emergency preparedness planning/management, emergency medical services, fire safety, law enforcement, homeland security, project management, public administration, business administration, management, or administration and three years of full-time satisfactory experience in a health services setting such as a laboratory, hospital, or other patient care facility, or in a public health, community health, environmental health, school health, social services, or mental hygiene program, of which at least 18 months of experience must have been in a managerial or administrative capacity requiring independent decision-making concerning program management, planning, evaluation for quality improvement and assurance, allocation of resources, and the scheduling and assignment of work; or. The Executive Director must bring a demonstrated, hands-on track record of personally standing up billing infrastructure for non-traditional provider types community health workers, doulas, peer specialists, and health educators in a Medicaid-dominant payer environment, from initial design through first revenue generation, with measurable financial results.
Medical Director - Health Plan Metroplus Health Plan IncMedical Director - Health PlanNew York, NYRemote$260,000–$275,000 / yearConducts peer to peer discussions, as applicable, and educates physicians (in-network and out-of-network) and others on current policies and medical management issues. Conducts analyses to identify trends and patterns suggestive or indicative of inappropriate or excessive use of services or equipment (fraud, waste, and abuse).
UM Medical Director Impresiv HealthUM Medical DirectorJersey City, NJRemoteDemonstrate ability to respect and maintain the confidentiality of all sensitive documents, records, discussions, and other information generated in connection with activities conducted in, or related to, patient healthcare, business or employee information and make no disclosure of such information except as required in the conduct of business. What You Will Do: Conduct timely utilization review and medical necessity determinations for inpatient admissions, continued stays, concurrent review, and post-acute care settings (e.g., SNF, IRF, LTACH, home health) for Medicare Advantage members.
Associate Medical Director Westchester Medical Center Health NetworkAssociate Medical DirectorValhalla, NYJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Job Summary: The Associate Medical Director of Clinical Logistics is responsible for assisting the SVP, Chief Logistics Officer/Medical Director in tasks including, but not limited to, providing oversight of Transfer Center Operations required to provide appropriate, effective, and efficient patient care.
Medical Director, Pediatric Neurology Program at Valley Medical Group in Bergen County, NJ Valley Medical GroupMedical Director, Pediatric Neurology Program at Valley Medical Group in Bergen County, NJParamus, NJ$250,000–$270,000 / yearIn this position, you will be part of a larger multi-specialty group including experienced providers in Endocrinology, Developmental Pediatrics, Gastroenterology and Nutrition, Pulmonary and Sleep Medicine, Food Allergy, Cardiology, and PM&R, all in collaboration with the Mount Sinai Kravis Childrens Hospital and the Mount Sinai Health System. The Icahn School of Medicine is one of three medical schools that have earned distinction by multiple indicators: ranked in the top 20 by U.S. News & World Report's "Best Medical Schools," aligned with a U.S. News & World Report "Honor Roll" Hospital, and No. 14 in the nation for National Institutes of Health funding.
BMIRH Medical Director, Bureau of Maternal Infant and Reproductive Health City of New YorkBMIRH Medical Director, Bureau of Maternal Infant and Reproductive HealthQueens, NYThe Division of Family and Child Health (DFCH) of the New York City Department of Health and Mental Hygiene is charged with the creation and oversight of programs, policies, services, and environments that support physical and socio-emotional health, and promote primary and reproductive health services, health equity, social justice, safety and well-being for New York City families and children. Collaborating with the Bureau's Research and Evaluation staff to support data collection and analysis; helping to inform the language and message for narrative descriptions of collected data; conducting literature reviews and inform program data collection tools and evaluation for all maternal health projects including participation in the Maternal, Mortality Review Committee work.
Medical Director (Child and Adolescent Psychiatrist - Remote) Brightline IncMedical Director (Child and Adolescent Psychiatrist - Remote)NYRemote$250,000–$280,000 / yearExperience working collaboratively with cross-functional teams (Product, Engineering, and Clinical Operations) to establish technology-driven, state-of-the-art care delivery models. Brightline is based in Palo Alto and is backed by investors including Boston Childrens Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.
Medical Director, Medical Affairs, ALS Shionogi & Co LtdMedical Director, Medical Affairs, ALSFlorham Park, NJ$230,000–$280,000 / yearDevelop and maintain excellent working relationships with both US and global Clinical Development, Marketing, and Regulatory functions, ensuring seamless communications and provision of up to date scientifically accurate clinical information to external and internal sources. In collaboration with the VP Medical Affairs and Executive Medical Director, propose strategic medical affairs plans to support programs in the US for pre-approval, marketed, and late development products and compounds with a focus on rare diseases.
Medical Director, Global Medical Affairs - Women's Cancer Eisai USMedical Director, Global Medical Affairs - Women's CancerNutley, NJUnder the direction of the Vice President, this role will be responsible for working with key stakeholders to develop and execute the medical affairs plan, including post-marketing research, medical education, research grants, medical advisory boards, and scientific communication/publication components of overall medical operating plan. The Medical Director will utilize expert medical/scientific knowledge in assigned therapeutic area to provide strategic input for the development of product strategies and liaise with external stakeholders to solicit feedback and strengthen Eisai's medical reputation in the disease state community.
Psychiatrist :-Medical Director | Middletown, CT | Direct Hire The Provider FinderPsychiatrist :-Medical Director | Middletown, CT | Direct HireMiddletown, New Jerseycare programs, services and operations; Participates on various committees and boards; Leads the recruitment and hiring of staff, including outreach, interview and selection; May testify in court as needed; May conduct training; May be responsible for coordination of accreditation activities; May serve as agency liaison with external medical, behavioral health planning, advisory. groups, courts and other state medical and service agencies; May monitor contracts with medical services vendors; May participate in quality assurance studies and investigations; May develop processes and practices to improve quality and cost of patient care; Performs related duties as required.
Family/Adolescent Medicine - Physician - Medical Director - Mount Sinai Adolescent School Based Health Center - Manhattan, NY Mount Sinai Health SystemFamily/Adolescent Medicine - Physician - Medical Director - Mount Sinai Adolescent School Based Health Center - Manhattan, NYManhattan, NY$175,000–$190,000 / yearCommitment to MSAHC's mission, vision and approach in order to ensure a patient-centric culture which is collaborative and multidisciplinary; A commitment to working with young people and a work ethic in which a commitment to understanding and solving the needs of each patient is a priority; A proactive, hands-on thinker whose priority is to be a partner with the MSAHC Medical Director; Working knowledge and understanding of managed care and healthcare financing; Personal qualities of integrity, credibility, empathy, compassion and patience; Exceptional management skills. An accessible, visible and flexible management style that inspires trust and confidence in staff to work hard and well together: A multi-tasker with the ability to respond to changing priorities in a fast-paced environment; Keen problem-solving skills which enable sound decision making and support long-term solutions demonstrated resourcefulness in setting priorities and guiding investment in people and systems.
NewVeterinarian Medical Director Global Talent PartnersVeterinarian Medical DirectorNew Jersey, NJ$150,000–$175,000 / yearWith $150K$175K compensation, a signing bonus, strong technician support, modern facilities and New York City just 30 minutes away, this is a role offering both professional and lifestyle appeal. Global Talent Partners is delighted to present an exciting opportunity for an experienced Medical Director to join a modern, well-established small animal hospital in Northern New Jersey.
Medical Director, Medical & Scientific Communications IQVIA Holdings IncMedical Director, Medical & Scientific CommunicationsNew York, NY$134,300–$374,300 / yearAs a member of a highly collaborative leadership team, you will provide scientific leadership, develop talent, foster client partnerships, and ensure operational excellence across a diverse portfolio of programs and accounts. As part of the IQVIA Health Communications Group, you'll work alongside industry-leading experts while helping shape the future of medical communications through strategic partnership, scientific excellence, and meaningful client impact.
Associate Medical Director - NYC Health + Hospitals/Gotham Health, Broadway - Brooklyn, New York Physician Affiliate Group of New York, P.C.(PAGNY)Associate Medical Director - NYC Health + Hospitals/Gotham Health, Broadway - Brooklyn, New YorkBrooklyn, NYHelps to onboard, train, coach, and supervise providers under their direct supervision, in coordination with the Regional Medical Director and CMO; works with HR-Talent Acquisition and affiliate HR to recruit, screen and hire new providers under the direction of the CMO. PAGNY is one of the largest physician groups in the country and directly employs nearly 4,000 physicians and allied health professionals who provide services to NYC Health + Hospitals, the largest municipal health care system in the nation serving more than a million New Yorkers annually.
Medical Director (Medical Education - Publication) VMLY&R (Inactive)Medical Director (Medical Education - Publication)New York, NY$75,000–$180,000 / yearWe unite cutting-edge media intelligence and data solutions, world-class creativity, next-generation production, transformative enterprise solutions and expert strategic counsel in a single company - powered by exceptional talent and our agentic marketing platform, WPP Open, to help our clients navigate change, capture opportunity and deliver transformational growth. The agency is recognized by the Forrester Wave Reports, as a Leader among Marketing Creative and Content Service Providers, Commerce Services, Global Digital Experience Services, Global Marketing Services and, most recently, Marketing Measurement & Optimization.
Medical Director Acute Care - Psychiatry - Mount Sinai Behavioral Health Center - Manhattan, NY Mount Sinai Health SystemMedical Director Acute Care - Psychiatry - Mount Sinai Behavioral Health Center - Manhattan, NYNew York, NY$255,000–$400,000 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Senior* Clinical Development Medical Director Novartis AGSenior* Clinical Development Medical DirectorEast Hanover, NJ$85,100–$121,600 / yearWorking knowledge of renal disease area is required, with proven ability to interpret, discuss and present efficacy and safety data relating to clinical trial(s) and proven ability to understand and interpret basic and clinical scientific research reportsDemonstrated ability to establish effective scientific partnerships with key stakeholdersWorking knowledge of GCP, clinical trial design, statistics, and regulatory and clinical development processesPrevious global people management experience is preferred, though this may include management in a matrix environment. Minimum Requirements: MD or equivalent medical degree is required in addition to advanced knowledge and clinical training in medical/scientific area; Clinical practice experience 4 years (including residency) and board certification or eligibility in disease area preferredMinimum of 10 years of experience in clinical research or drug developmentExperience in an academic clinical research or industry environment spanning clinical activities in Phases I through IV is required.
Center Medical Director CVS Health CorpCenter Medical DirectorNew York, NY$174,070–$374,920 / yearThe CMD will have mission-critical leadership responsibilities, which include setting an example for how thoughtful primary care is practiced, serving as a formal mentor, coach, and advisor to providers in Oak Street clinics, and participating in critical organizational-wide strategic initiatives. Support consistent and robust OSH care model implementation by ensuring care teams are effectively preparing for and executing daily huddles, patient care planning and management, admission prevention work, and clinical documentation workflows.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONY$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.