Health Plan Medical Director Jobs (NOW HIRING)

The Senior Medical Director represents the health plan externally with providers, regulators, and community partners. Does this position require Patient Care? Yes Qualifications Essential Function:

... Medical Director of Utilization Management to provide clinical leadership within a growing ... health plan environment serving Medicare and Medicaid populations. This is an outstanding ...

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work ... Two years health plan medical utilization management and/or case management experience.

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work ... Two years health plan medical utilization management and/or case management experience.

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work ... Two years health plan medical utilization management and/or case management experience.

Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work ... Two years health plan medical utilization management and/or case management experience.

Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ... Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ... directed. #LI-Hybrid

Searching for an energetic, assertive and results driven Sales Director, Health Plan Growth to join our dynamic team of sales individuals. Reporting to the SVP of Health Plan Growth , you are ...

Supports URAC and NCQA accreditation activity and client and health-plan delegation audits ... The Medical Director provides clinical mentorship and day-to-day guidance to nurse reviewers and ...

It's an exciting time to join the WellSense Health Plan, a growing regional health insurance ... Job Summary: The Medical Director will report to the Senior Medical Director of Utilization ...

... healthcare for the plan's members. * Oversee the Associate Medical Directors and Medical ... Consultants to ensure that all departments of the plan have access to physician input. This ...

... effective health plan performance as per DHCS, DMHC, CMS, and CCA clinical requirements. This ... The Sr. Medical Director - P&O also works in partnership with the appropriate cross functional ...

... effective health plan performance as per DHCS, DMHC, CMS, and CCA clinical requirements. This ... The Sr. Medical Director - P&O also works in partnership with the appropriate cross functional ...

Build relationships with and collaborate with health plan medical directors, local hospitals, specialists and other organizations to help meet the outcomes and decrease the fragmentation of care.

The San Diego PACE Medical Director of Resource Management will play a critical role in promoting ... Develops and implements San Diego PACE Health Plan medical policies. * Stabilizes, improves and ...

Care Health Plan is an independent public agency created by the state of California to provide ... Job Summary The Medical Director, Utilization Management provides clinical oversight of ...

LTSS Medical Director - Massachusetts Contract: 09/21/2026 to 10/04/2027 (Contract to Hire if right ... Represent the health plan in Board of Hearing cases. * Provide appropriate utilization management ...

Build collaborative relationships with referring physicians, specialists, and health plan medical directors to create seamless care coordination for our patients * Shape our approach to complex case ...

AlohaCare is a local, non-profit health plan serving Hawai`is low-income residents with free ... The Medical Director of CCS (Medical Director) is a key operational and strategic leader who ...