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Director Joc Jobs (NOW HIRING)

Cigna

Medical Director, Post Acute Care-2

The Medical Director provides timely expert medical review of medical necessity requests for ... Participate in Joint Operating Committee (JOC) meetings, including the collection and review of ...

RadNet

Territory Sales and Marketing Manager

Mesa, AZ · On-site

$95K/yr

Prepares materials and attends JOC meetings as directed by the VP of Sales & Marketing * IPA's/Medical Groups * Prepares materials and attends JOC meetings as directed by the VP of Sales & Marketing

Spectrum Health

Director STARS

Grand Rapids, MI · On-site

Represents Medicare Stars program in provider JOC (in collaboration with provider team ... Director STARS * Required Bachelor's Degree nursing, public health, health care management, or ...

Corewell Health

Director STARS

Grand Rapids, MI · On-site

Represents Medicare Stars program in provider JOC (in collaboration with provider team ... Director STARS * Required Bachelor's Degree nursing, public health, health care management, or ...

RadNet

Territory Sales and Marketing Manager

Mesa, AZ · On-site

Prepares materials and attends JOC meetings as directed by the VP of Sales & Marketing * IPA's/Medical Groups * Prepares materials and attends JOC meetings as directed by the VP of Sales & Marketing

ECS

Enterprise Operations Manager - SME

Fairfax, VA · On-site

Direct resource allocation and prioritize operational tasks to support mission readiness and system ... Proven experience in leading a Joint Operations Center (JOC) for a four-star combatant command.

Simos

HVAC Project Manager of Special Projects

Tempe, AZ · On-site

$90K - $110K/yr

Direct Deposit or Cash Card pay options * Medical / Dental Insurance * 401k * Life Insurance * Paid ... Experience in JOC (Job Order Contracting) work is a plus * Extremely organized * Ability to manage ...

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Director Joc information

What is the difference between Director Joc vs Project Manager?

AspectDirector JocProject Manager
CredentialsBachelor's degree; often advanced degrees in related fieldsBachelor's degree; certifications like PMP often preferred
Work EnvironmentExecutive-level, strategic planning, overseeing departmentsOperational, managing specific projects and teams
Industry UsageUsed across industries for high-level leadership rolesCommon in construction, IT, marketing, and more for project execution

While both roles involve leadership, the Director Joc focuses on strategic oversight and high-level decision-making, whereas the Project Manager handles day-to-day project execution and team coordination. The roles complement each other but differ in scope and responsibilities.

What cities are hiring for Director Joc jobs? Cities with the most Director Joc job openings:
What are the most commonly searched types of Joc jobs? The most popular types of Joc jobs are:
What states have the most Director Joc jobs? States with the most job openings for Director Joc jobs include:
Director Joc jobs near you
Medical Director, Post Acute Care-2

Medical Director, Post Acute Care-2

Cigna

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

34th of 870 rated healthcare providers

Job description

JOB SUMMARY
eviCore Business Title: Medical Director, Post-Acute Care
Cigna Title: Utilization Review Medical Principal
II. Department Name and Number: Product Clinical Management 2500
III. Reports to: Executive Medical Director, Post Acute Care or Program Chief
Summary:
The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization review criteria and renders a clinical opinion about the medical service under review while located in a state or territory of the United States.
Responsibilities include:
  • Provide timely expert medical review of medical necessity requests for clinical services related to post acute care and render a clinical opinion about the medical service under review, including post-decision reviews.
  • Provide timely and collegial peer-to-peer discussions with treating physicians to clarify clinical information and to explain review outcome decisions.
  • Participate in proactive peer to peers to assist with appropriate and timely discharge planning.
  • Document all actions related to clinical review sessions and attest to review qualifications as required.
  • Conduct weekly Case Conferences with nursing and social worker teams; discussing every assigned member receiving care in a post-acute care facility, focusing on discharge planning, complex medical care management, quality of care, appropriate level of care, and appropriate length of stay.
  • Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certifications.
  • Support the review of eviCore clinical guidelines.
  • Support and communicate eviCore policies and procedures to the provider community.
  • Testify at ALJ Hearings when your cases are being appealed
  • Assist with staff educational training and in-service programs and serve as a clinical resource for eviCore staff.
  • Serve as a Subject Matter Expert when Medical Directors and/or Senior Medical Directors are unavailable.
  • Available for scheduled weekend call from home based on business needs.
  • Participate in Joint Operating Committee (JOC) meetings, including the collection and review of data relevant to the client, and other virtual events with the provider engagement team in your specified territory.
  • Participate in all required educational and quality improvement activities and maintain passing scores in all assessments.
  • Assist in reviewing case determinations from clients responding to a provider or member complaint
  • Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certifications
  • Other duties as assigned

Minimum Education, Licensure and Professional Certification requirement:
  • M.D. or D.O. degree from accredited institution.
  • Minimum of five (5) years of clinical practice experience after completion of all graduate medical education training, including residency and fellowship (when applicable)
  • Active board certification in Physical Medicine and Rehabilitation
  • Active unrestricted license to practice medicine in a state or territory of the United States as a utilization review doctor of medicine or doctor of osteopathic medicine.
  • Knowledge of applicable state and federal laws, URAC and NCQA standards, and utilization management

Competencies:
  • Decision Quality
  • Persuades
  • Interpersonal Savvy
  • Manages Conflict
  • Self-Development

FLSA (Exempt or Non-Exempt) : Exempt
Bonus Type: (Indicate which option is applicable) :
  • Corporate Incentive Plan - CIP (Exempt Team Members)
  • Corporate Success Share Plan - SHARE (Non-Exempt Team Members)
  • Department Incentive Plan
  • Quarterly
  • Monthly

Status: Full time, 1.0 FTE and 5 days/week schedule
Required Skills: Must be able to type 30 WPM, be proficient computer skills and knowledge of Microsoft Office applications
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 207,800 - 346,300 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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