Pediatric Medical Director - Edina

We are seeking a dynamic Medical Director in Edina, Minnesota to provide clinical leadership and strategic direction across our pediatric practices in the State. This pivotal role involves collaborating with key stakeholders to ensure the delivery of high-quality patient care, ef ...

The Medical Director will provide clinical leadership to the Clinical Coverage Review team and work closely with Optum Rx and CCR leadership to establish and implement clinical and operational processes related to outpatient pharmacy and medical coverage determinations. · Review ...

The Medical Director role at Optum involves leading the Clinical Coverage Review team in establishing and implementing clinical and operational processes related to outpatient pharmacy and medical coverage determinations. ...

The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership and staff to establish clinical and operational processes related to benefit coverage determinations. ...

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 ...

We're seeking an experienced Medical Director to join our team at VCA Cedar Animal Hospital.This leadership role offers opportunities to guide medical standards mentor doctors partner with hospital leadership while practicing high-quality medicine. · Fully equipped facility inclu ...

The Medical Director will oversee the quality and effectiveness of medical review services, perform utilization management reviews, and direct/coordinate aspects of the utilization review staff activities. The role also involves providing direction and oversight in the developmen ...

+ Join us as a Medical Director at VCA Cedar Animal Hospital. In this leadership role, you'll have the opportunity to guide medical standards and mentor doctors while practicing high-quality medicine. · + Fully equipped facility including electrocautery, ultrasound, digital denta ...

The Medical Director is responsible for assessing and improving all aspects of quality of patient care as it relates to transfers, patient throughput, follow up and issue resolution while ensuring the delivery of cost effective efficient care. · ...

The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership and staff to establish clinical processes. The role involves reviewing service requests, communicating with providers, and managing medical benefits. · ...

The Medical Director provides physician support to Enterprise Clinical Services operations, collaborating with leadership and staff to establish clinical and operational processes related to benefit coverage determinations. The role involves communication regarding this process w ...

+The Medical Director provides physician support to Enterprise Clinical Services operations. The role involves collaborating with leadership and staff to establish and maintain clinical and operational processes related to benefit coverage determinations. · ...

The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best. · Review and sign off on proposed pharmacist denials for preservice outpatient medication requests after revie ...

The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership to establish clinical processes related to benefit coverage determinations. · ...

The Clinical Coverage Review Medical Director collaborates with Optum Rx and CCR leadership to establish clinical processes for outpatient pharmacy reviews. You will review proposed pharmacist denials for preservice medication requests. · ...

The Medical Director provides physician support to Enterprise Clinical Services operations, · empowering providers and members with the tools and information needed to improve health outcomes, · reduce variation in care, · deliver seamless experience, · and manage healthcare cost ...

The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best.Come make an impact on the communities we serve as you help us advance health optimization on a global scale. · ...

Job summaryThe Medical Director provides physician support to Enterprise Clinical Services operations. · Conduct coverage reviews based on individual member plan benefits. · Document clinical review findings in accordance with policies. · ...

+Job summaryThe Medical Director provides physician support to Enterprise Clinical Services operations. · +Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations · Document clinical r ...

The Medical Director will be responsible for the overall quality, effectiveness and coordination of medical review services. · ...