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.
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.
NewMedical Director of MMRC (60602) National Health Care For The Homeless Council IncMedical Director of MMRC (60602)Phoenix, AZThe Medical Director of Respite Centers provides patient care and has direct supervisory responsibilities for physicians, nurse practitioners and physician assistants who provide care in Circle the City's Respite Centers. Embraces and promotes a professional working environment based on understanding and respect for diversity and multi-culturalism in all of its forms; demonstrates sensitivity, acknowledges varied beliefs, attitudes, behaviors, and customs, and encourages communication and appreciation of all forms of diversity.
NewOutpatient Physician Leadership Opportunity In Phoenix, AZ- Associate Market Medical Director ArchWell HealthOutpatient Physician Leadership Opportunity In Phoenix, AZ- Associate Market Medical DirectorPhoenix, AZClinical Duties Include: Rendering outpatient primary care medical and consulting services for ArchWell Health patientsKeeping and maintaining (or causing to be kept and maintained) appropriate records of all professional servicesAppropriately documenting the care of patients which includes ensuring the accuracy of patient records, encounter notes, medical diagnoses, and documentationWorking with care team members and other employees in a collaborative manner consistent with ArchWell Health's policy of providing high quality care while maintaining excellent morale among colleaguesWorking with colleagues to ensure a high-quality patient experience, that minimizes wait times and allows patients with urgent needs to be evaluated in a timely mannerBeing available to participate in public relations, direct sales, or outreach events inside or outside of ArchWell Health centers in order to engage the community and promote the ArchWell Health model of careParticipating in clinical meetings which include reviews of hospitalized patients, clinical outcomes, quality improvement and/or peer review activitiesBeing available for call coverage on nights, weekends and/or holidays with respect to patients of the center(s) where the provider regularly provides clinical services or, if requested, to patients of other ArchWell Health centers, pursuant to a call schedule determined by ArchWell Health in its discretion, provided the provider's obligations will be consistent with the demands placed on other providers. graduatesMinimum of two (2) years of experience post residency (MD/DO)Minimum of one (1) year of recent, relevant value-based care experienceBoard certified/eligible in Internal Medicine or Family Medicine (required for physicians only)Be highly collaborative, and enjoy leading care teams with a patient-centric orientationConfident in the ability to deliver high quality primary care, which includes being available to patients and addressing their medical and social needsDriven to care for those with comorbid conditions, the elderly and/or medically underservedPassionate about their work and energized by being part of a fast growing organizationInternal Candidates must be in good standing with no disciplinary action in the past 12 months at ArchWell Health.
Owner & Medical Director Veterinarian - Mesa, AZ Veterinary Practice PartnersOwner & Medical Director Veterinarian - Mesa, AZMesa, AZLocated in the Mesa and East Valley region, this opportunity offers year-round sunshine, access to hiking and outdoor recreation, and proximity to the greater Phoenix metropolitan area. Whether you enjoy desert landscapes, mountain biking, golf, or vibrant city life nearby, this region offers flexibility and lifestyle balance.
Senior Medical Director, Radiology Service Line Banner HealthSenior Medical Director, Radiology Service LinePhoenix, AZLeadership style and characteristics necessary to effectively perform in this role include: strong work ethic; results-oriented; persuasive; motivational; able to make rational decisions in difficult situations; inspirational; honorable; confident; systems-thinker; innovative; life-long learner; courageous; high-energy; integrity; collaborator; ability to work with teams; good listening; nonvolatile; values multiple disciplines; and passionate about continuously improving and providing high quality care and service excellence to patients, families, employees and physicians. Level of expertise typically gained through five years of experience in progressively responsible clinical practice leadership positions, including prior experience as a system physician leader, for example a Medical Director or CMO for a large multi-specialty group practice, physician practice management organization, hospital/hospital system, or health plan.
UM Medical Director - Orthopedic Spine, Neurosurgery or Spine Surgery - Remote UnitedHealth Group IncUM 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 (Medicaid Segment) - Hybrid Blue Cross Blue Shield of ArizonaMedical Director (Medicaid Segment) - HybridPhoenix, ArizonaProvide 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.
Medical Director (Aetna One Advocate) CVS Health CorpMedical Director (Aetna One Advocate)AZ$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. Serve as lead clinical and business liaison to network providers and facilities, supporting effective execution of medical services programs.
Regional Medical Director - Psychiatrist Family Care CenterRegional Medical Director - PsychiatristMesa, 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.
Physician Clinic Medical Director ConcentraPhysician Clinic Medical DirectorPhoenix, ArizonaAt 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 Director - Goodyear, AZ Veterinary Emergency GroupMedical Director - Goodyear, AZGoodyear, AZEstablish 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.
UM Medical Director - Radiation Oncology Physician - Remote UnitedHealth Group IncUM Medical Director - Radiation Oncology Physician - RemotePhoenix, AZRemote$248,500–$373,000 / yearWork with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review. Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting.
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.
Medical Director Centene Corporation GroupMedical DirectorAZ$225,700–$428,900 / yearCollaborates 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.
Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsAZRemote$236,500–$449,300 / yearCollaborates 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.
NewRemote Medical Director, Pharmacy Centene Corporation GroupRemote Medical Director, PharmacyAZRemote$236,500–$449,300 / yearCollaborates 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.
Medical Director / Leadership Veterinarian – Phoenix, AZ Lakefield Veterinary GroupMedical Director / Leadership Veterinarian – Phoenix, AZPhoenix, ArizonaLakefield Veterinary Group is looking to connect with experienced veterinarians who are interested in Medical Director and leadership opportunities throughout the Phoenix area. While we don't have a specific hospital assigned to this opportunity just yet, we're looking to build relationships with strong veterinary leaders who want to make an impact.
Medical Director (Medicaid Segment) - Remote-AZ Blue Cross and Blue Shield AssociationMedical Director (Medicaid Segment) - Remote-AZPhoenix, AZRemoteProvide 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.