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The Vet Recruiter
Tulsa, OK, United States
Medical Director – Georgetown, Texas – #6681 Medical Director – Georgetown, Texas – #6681 Are you ready to empower others to reach their fullest potential? Help others see the greatest good that lies within them when you take the role of Medical Director at a veterinarian hospital in Georgetown, Texas. We are seeking an ambitious Medical Director
Job Source: The Vet RecruiterUnitedHealth Group
Tulsa, OK, United States
UnitedHealth Group Medical Director DMEPOS - Remote Tucson , Arizona Apply Now Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and reso
Job Source: UnitedHealth GroupUnitedHealth Group
Tulsa, OK, United States
UnitedHealth Group Behavioral Medical Director - Remote Tucson , Arizona Apply Now For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Behavioral Med
Job Source: UnitedHealth GroupIntertek
Tulsa, OK, United States
Intertek Director of Sales Texas Austin , Texas Apply Now Intertek, a leading provider of ATIC (Assurance, Testing, Inspection, and Certification) Services, is looking for a Director of Sales in Dallas, TX, Houston, TX or Austin, TX to join our Building & Construction team. The Building & Construction team provides assurance, testing,
Job Source: IntertekThe Vet Recruiter
Tulsa, OK, United States
Medical Director – Northwest San Antonio, Texas – #6477 Medical Director – Northwest San Antonio, Texas – #6477 The leadership at this remarkable hospital believes you are capable of more than you can ever imagine. Experience a greater level of success: professionally, financially, and personally. Receive a competitive salary, a generous sign-o
Job Source: The Vet RecruiterThe Vet Recruiter
Tulsa, OK, United States
Medical Director – Central San Antonio, Texas – #6428 Medical Director – Central San Antonio, Texas – #6428 Are you ready to empower others to reach their fullest potential? Help others see the greatest good that lies within them when you take the role of Medical Director at a veterinarian hospital in Central San Antonio. We are seeking an ambiti
Job Source: The Vet RecruiterThe Vet Recruiter
Tulsa, OK, United States
Medical Director – Houston Texas, Receive a $20K Stipend – #6216 Medical Director – Houston Texas, Receive a $20K Stipend, – #6216 We are seeking an independent, exceptional leader for a Medical Director role. A servant-leader at heart will enjoy guiding a friendly, fun team of doctors in Houston, Texas that is committed to helping animals live lo
Job Source: The Vet RecruiterUnitedHealth Group
Tulsa, OK, United States
UnitedHealth Group Medical Director, Clinical Advocacy and Support - Remote Greensboro , North Carolina Apply Now Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care
Job Source: UnitedHealth GroupTulsa, OK, United States
Centene Corporation Remote Medical Director Texas Austin , Texas Apply Now You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers.
Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.
Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.
Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.
Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees
Education/Experience: Medical Doctor or Doctor of Osteopathy. 7+ years of clinical experience in the practice of medicine. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred.
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. Current Texas state license as a MD or DO without restrictions, limitations, or sanctions from government programs.
Pay Range: $227,400.00 - $431,900.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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Remote Medical Director Texas jobs in Tulsa, OK, United States
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