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Medical Director
1 week ago
Horizon Ventures Bellwood, United StatesOn behalf of our client, a renowned rehabilitation clinic with approximately 160 beds in the Koblenz area, we are seeking you as part of our personnel consulting services for the position of: · Medical Director (m/f/d) Psychiatry | Rehabilitation · The Offer / Your Benefits · A r ...
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Phoenix Industries Melrose Park, United StatesMedical Director Central Laboratory Location: Melrose Park Employment Type(s): Full-time Your new workplace: Hospital for specialized care and academic teaching hospital with approximately [insert number] beds in the Schleswig region. The central laboratory is equipped with state ...
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Medical Director
1 day ago
HCSC Chicago, United StatesAt HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. · Come join us and be part of a purpos ...
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Medical Director
1 week ago
Skyline Enterprises Whiting, United StatesFull-Life Technologies Limited ("Full-Life") is a global company that specializes in radiotherapeutics and operates in Belgium, Germany, and China. Our goal is to control the entire process of researching, developing, producing, and commercializing radiopharmaceuticals in order t ...
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Medical Records Director
1 day ago
Niles Nursing & Rehabilitation Center Niles, United States**NILES NURSING & REHABILIATION HAS AN EXCITING OPPORTUNITY FOR A MEDICAL RECORDS DIRECTOR TO JOIN OUR AMAZING TEAM** · This position is a Full-Time, Monday through Friday with some weekends required. · Responsible for maintaining health information, medical supplies and inventor ...
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Director, Medical Director
2 weeks ago
Trinity Health Berwyn, IL, United StatesOPPORTUNITY HIGHLIGHTS The Division of Hematology/Oncology at Loyola Medicine is seeking a Medical Director for the MacNeal Community Cancer Center located in Berwyn, Illinois. · The Medical Director is responsible for building a robust general hematology and medical oncology pr ...
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Director, Medical School Education
1 week ago
The University of Chicago Chicago, United StatesDepartment · BSD PSM - Undergraduate Medical Education · About the Department · The Pritzker School of Medicine is one of few medical schools to be located physically on its University campus, offering both intellectual and social advantages to students who spend their medical sc ...
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Medical Director Health Services
1 week ago
Elevance Health Westchester, IL, United StatesHealth Solutions is focused on ensuring Elevance Health consumers have access to the highest quality, most affordable care possible. The team is responsible for driving strategic cost of care initiatives that deliver greater value, developing and advancing Elevance Health's clini ...
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Contingent Medical Director- Hospice
1 week ago
Trinity Health Oak Brook, United States**Employment Type:** · Part time · **Shift:** · **Description:** · **Hospice Medical Director- Contingent - Loyola** · **What you will do:** · The Hospice Medical Director will be responsible for the overall medical direction of patient and family services. The Hospice Medical Di ...
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Contingent Medical Director- Hospice
1 week ago
Trinity Health Corporation Oak Brook, United StatesEmployment Type: · Part time · Shift: · Description: · Hospice Medical Director- Contingent - Loyola · What you will do: · The Hospice Medical Director will be responsible for the overall medical direction of patient and family services. The Hospice Medical Director will work wit ...
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Contingent Medical Director- Hospice
2 weeks ago
Trinity Health Oak Brook, United StatesEmployment Type:Part timeShift:Description:Hospice Medical Director- Contingent - Loyola What you will do:The Hospice Medical Director will be responsible for the overall medical direction of patient and family services. The Hospice Medical Director will work with the Executive D ...
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Director of Quality and Medical Staff
1 week ago
Loyola University Health System Maywood, IL, United States Full timeEmployment Type: Full time Shift: · Day Shift · The Director of Clinical Laboratories at Loyola University Medical Center, under the direction of the Regional Administrative Director coordinates and ensures the effectiveness of the core lab, microbiology, transfusion medicine, ...
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Medical Director Central Emergency Department
2 weeks ago
BlueWave Solutions Des Plaines, IL, United States Freelance**Medical Director of Central Emergency Department (m/f/d)**: Full-time | Nuremberg · At our facility, you will not only experience top-quality medical care, but also have excellent career opportunities. Join our team and actively shape the future of healthcare. We offer more tha ...
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AbbVie North Chicago, United States**Company Description** · The Executive Medical Director is responsible for the safety strategy for solid tumors late-stage oncology portfolio, and to supervise, manage and mentor the safety physicians (Group MDs, Senior MDs and medical directors) and the MSE staff supporting the ...
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Regional Director, Medical Group Finance
2 weeks ago
Trinity Health Westchester, United StatesEmployment Type: · Full time · Shift: · Day Shift · Description: · Loyola University Medical Center is in search of a dynamic healthcare leader to serve as Regional Director of Medical Group Finance for the Illinois and Indiana health care ministries and support the mission ...
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Medical Director
23 hours ago
Esperanza Health Centers Bensenville, United States: · All candidates must submit a Cover Letter and Resume with the application. · Esperanza Health Centers offers benefits to all its full-time employees: · Continued Medical Education 5 days plus $2000|Eligibility for loan repayment through NHSC| BCBS Medical PPO Plans| Ameritas ...
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Medical Director
1 week ago
Esperanza Health Centers Archer Heights, United States:All candidates must submit a Cover Letter and Resume with the application. · Esperanza Health Centers offers benefits to all its full-time employees: · Continued Medical Education 5 days plus $2000|Eligibility for loan repayment through NHSC| BCBS Medical PPO Plans| Ameritas Den ...
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Medical Director
2 weeks ago
Quest Diagnostics Wood Dale, United StatesThe Role · Reporting to the Regional Medical Director, the Medical Director is integral to Quest Diagnostics' vision of empowering better health with diagnostic insights. This is a senior leadership position in one of Quest Diagnostics' six regions. The Medical Director is the ho ...
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Medical Director
3 days ago
Esperanza Health Centers Archer Heights, United States:All candidates must submit a Cover Letter and Resume with the application. · Esperanza Health Centers offers benefits to all its full-time employees: · Continued Medical Education 5 days plus $2000|Eligibility for loan repayment through NHSC| BCBS Medical PPO Plans| Ameritas Den ...
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Medical Director
2 weeks ago
Quest Diagnostics Wood Dale, IL, United StatesThe Role · Reporting to the Regional Medical Director, the Medical Director is integral to Quest Diagnostics' vision of empowering better health with diagnostic insights. This is a senior leadership position in one of Quest Diagnostics' six regions. The Medical Director is the h ...
Medical Director - Westchester, IL, United States - Elevance Health
Description
Health Solutions is focused on ensuring Elevance Health consumers have access to the highest quality, most affordable care possible. The team is responsible for driving strategic cost of care initiatives that deliver greater value, developing and advancing Elevance Health's clinical strategy, building and managing relationships with care providers, and generating health insights through advanced analytics.
Medical Director-Internal Medicine
Responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
This role is a hybrid opportunity. Must be willing to commute into the office a minimum of one (1) day a week.
Must reside within 50-miles of an Elevance Pulse Point location .
How will you make an impact:
Supports clinicians to ensure timely and consistent responses to members and providers.
Provides guidance for clinical operational aspects of a program.
Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
Serves as a resource and consultant to other areas of the company.
May be required to represent the company to external entities and/or serve on internal and/or external committees.
May chair company committees.
Interprets medical policies and clinical guidelines.
May develop and propose new medical policies based on changes in healthcare.
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
Identifies and develops opportunities for innovation to increase effectiveness and quality.
This level may provide oversight, direction, and guidance to Medical Director Associates.
Works independently with oversight from immediate manager.
May be responsible for an entire clinical program and/or independently performs clinical reviews.
The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities.
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
Preferred Skills, Capabilities and Experiences:
Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
5-7 yrs leadership experience is strongly preferred.
Strong background in the area of medical management strongly preferred.
Ability to work on a state level interfacing with key stakeholders.
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