Medical Director
Nashville, TN · On-site
Provides oversight to the pre bill denial strategy within the payer process. * Schedules and manages meetings with payer medical directors for collaboration and process improvement.
New
Nashville, TN · On-site
Provides oversight to the pre bill denial strategy within the payer process. * Schedules and manages meetings with payer medical directors for collaboration and process improvement.
New
Nashville, TN · On-site
Provides oversight to the pre bill denial strategy within the payer process. * Schedules and manages meetings with payer medical directors for collaboration and process improvement.
New
Franklin, TN · On-site
Provides oversight to the pre bill denial strategy within the payer process. * Schedules and manages meetings with payer medical directors for collaboration and process improvement.
New
Franklin, TN · On-site
Provides oversight to the pre bill denial strategy within the payer process. * Schedules and manages meetings with payer medical directors for collaboration and process improvement.
New
Atlanta, GA · On-site
$91K - $123K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
Atlanta, GA · On-site
$91K - $123K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
Boston, MA · On-site
$260K - $290K/yr
Join Our Team as a Primary Care Regional Medical Director Our organization is actively looking for several Primary Care Regional Medical Directors to lead our primary care practices in the Greater ...
Quick apply
Boston, MA · On-site
$260K - $290K/yr
Join Our Team as a Primary Care Regional Medical Director Our organization is actively looking for several Primary Care Regional Medical Directors to lead our primary care practices in the Greater ...
Vienna, VA · On-site
$93K - $126K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
Vienna, VA · On-site
$93K - $126K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
Citrus Heights, CA · On-site
$97K - $130K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
New
Citrus Heights, CA · On-site
$97K - $130K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
New
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Work within a luxury fitness and ...
... the typical med-spa overhead and politics. Pinch is a top-rated, Chicago-founded concierge ... Earnings built for experienced injectors: Top-of-market, treatment-based pay with no overhead costs.
... the typical med-spa overhead and politics. Pinch is a top-rated, Chicago-founded concierge ... Earnings built for experienced injectors: Top-of-market, treatment-based pay with no overhead costs.
Tinley Park, IL · On-site
$117K - $152K/yr
The Medical Directors provides strategic and operational leadership for the Urgent Aid Centers, including oversight of clinical quality, patient safety, staffing models, and provider engagement. They ...
Tinley Park, IL · On-site
$117K - $152K/yr
The Medical Directors provides strategic and operational leadership for the Urgent Aid Centers, including oversight of clinical quality, patient safety, staffing models, and provider engagement. They ...
... the typical med-spa overhead and politics. Pinch is a top-rated, Chicago-founded concierge ... Earnings built for experienced injectors: Top-of-market, treatment-based pay with no overhead costs.
... the typical med-spa overhead and politics. Pinch is a top-rated, Chicago-founded concierge ... Earnings built for experienced injectors: Top-of-market, treatment-based pay with no overhead costs.
Orlando, FL · On-site
Medical Director Overview Removery is seeking a Medical Director (1099 Independent Contractor) to provide medical oversight for our Orlando, Florida studios . This is a part-time, independent ...
Orlando, FL · On-site
Medical Director Overview Removery is seeking a Medical Director (1099 Independent Contractor) to provide medical oversight for our Orlando, Florida studios . This is a part-time, independent ...
Bronx, NY · On-site
$220K - $265K/yr
Make recommendations to the Board of Directors for appointments to the Medical Staff. Qualifications * A graduate of an accredited medical school and currently registered to practice as a Physician ...
Bronx, NY · On-site
$220K - $265K/yr
Make recommendations to the Board of Directors for appointments to the Medical Staff. Qualifications * A graduate of an accredited medical school and currently registered to practice as a Physician ...
Las Vegas, NV · On-site
$89K - $121K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Deliver treatments in luxury ...
New
Las Vegas, NV · On-site
$89K - $121K/yr
... injectors with an existing book of business who are looking for a platform to grow their practice ... Established protocols and medical oversight Premium Environment: Deliver treatments in luxury ...
New
Hinsdale, IL · On-site
$350K - $420K/yr
... for leadership and clinical oversight of the Program and clinical services in the Program. In collaboration with the campus leadership including their medical directors, and medical staff; the ...
Hinsdale, IL · On-site
$350K - $420K/yr
... for leadership and clinical oversight of the Program and clinical services in the Program. In collaboration with the campus leadership including their medical directors, and medical staff; the ...
Industrial, WV · On-site
$150 - $200/hr
Responsible for maintaining utilization management and clinical practice standards through the ... Be responsive to Corporate, State‑wide, Regional Medical Directors and Regional and Site Managers ...
Industrial, WV · On-site
$150 - $200/hr
Responsible for maintaining utilization management and clinical practice standards through the ... Be responsive to Corporate, State‑wide, Regional Medical Directors and Regional and Site Managers ...
$175K - $190K/yr
Together with the Deputy Medical Directors, the Medical Director will establish, approve, and implement policies for medical services within the School-Based Health Centers. Key Responsibilities:
Quick apply
$175K - $190K/yr
Together with the Deputy Medical Directors, the Medical Director will establish, approve, and implement policies for medical services within the School-Based Health Centers. Key Responsibilities:
$288 - $432/hr
... Directors for the program studies and/or Clinical Development Scientists) or provide medical oversight.**You will be responsible for:*** Lead or support the clinical sub team and oversee the design ...
$288 - $432/hr
... Directors for the program studies and/or Clinical Development Scientists) or provide medical oversight.**You will be responsible for:*** Lead or support the clinical sub team and oversee the design ...
Hinsdale, IL · On-site
$350K - $420K/yr
... for leadership and clinical oversight of the Program and clinical services in the Program. In collaboration with the campus leadership including their medical directors, and medical staff; the ...
Hinsdale, IL · On-site
$350K - $420K/yr
... for leadership and clinical oversight of the Program and clinical services in the Program. In collaboration with the campus leadership including their medical directors, and medical staff; the ...
Detroit, MI · Hybrid
Daymark anticipates hiring one to two Medical Directors in Michigan. WHAT YOU'LL DO You will lead clinicians on your care team, care for patients directly, uphold clinical policy and quality ...
New
Detroit, MI · Hybrid
Daymark anticipates hiring one to two Medical Directors in Michigan. WHAT YOU'LL DO You will lead clinicians on your care team, care for patients directly, uphold clinical policy and quality ...
New
Tulsa, OK · On-site
$36K/yr
Provide system-level leadership and support to Medical Directors across five Ascension St. John locations * Serve as Medical Director for the Ascension St. John Medical Center main campus Emergency ...
Tulsa, OK · On-site
$36K/yr
Provide system-level leadership and support to Medical Directors across five Ascension St. John locations * Serve as Medical Director for the Ascension St. John Medical Center main campus Emergency ...
$13K - $44.3K
2% of jobs
$44.3K - $75.5K
1% of jobs
$75.5K - $106.8K
5% of jobs
$106.8K - $138.1K
3% of jobs
$138.1K - $169.4K
5% of jobs
$197.7K is the 25th percentile. Wages below this are outliers.
$169.4K - $200.6K
9% of jobs
$200.6K - $231.9K
19% of jobs
The median wage is $238.9K / yr.
$231.9K - $263.2K
22% of jobs
$278.3K is the 75th percentile. Wages above this are outliers.
$263.2K - $294.5K
17% of jobs
$294.5K - $325.7K
10% of jobs
$325.7K - $357K
6% of jobs
$13K
$232.4K
$357K
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Posted yesterday
New
6.5
Based on 2,308 frontline employees who took The Breakroom Quiz
614th of 898 rated healthcare providers
This position is incentive eligible.
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Medical Director for our Work from Home team where excellence creates excellence.
BenefitsWork from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Medical Director role today!
Job Summary and QualificationsThe Medical Director serves as a clinical resource and consultant to hospitals by providing identification, facilitation, and resolution of denials. The Medical Director will be responsible for timely completion of assigned peer to peers and documentation of the outcomes. The Medical Director will also provide physician education regarding accurate determination and documentation of the admission status/level of care and presence of complications or comorbidities.
What you will do in this role
Conducts peer to peers with health plan counterpart for denied inpatient cases.
Acts as a liaison with payers to facilitate approvals and prevent any denials. Facilitates, mentors, and educates other physicians regarding payer requirements.
Performs data analysis related to utilization review (UR) metrics, works with hospital utilization management committees upon request to develop, implement, and monitor action plans related to denial reduction and authorization of level of care.
Offers input on managed care contracting issues, best demonstrated practices, process improvement and utilization management activities, barriers to achieving goals and objectives of initiatives, and denials prevention initiatives.
Demonstrates leadership, collaboration, and effective communication skills.
Participate in the concurrent and retrospective appeal peer-review process.
Provides oversight to the pre bill denial strategy within the payer process.
Schedules and manages meetings with payer medical directors for collaboration and process improvement. Functions as a core team member of the denial management team.
Educates physicians about ICD coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual patient records.
What Qualifications you will need:
Licensed (or eligible for licensure) Physician (MD/DO) in a state in the United States.
Board Certification Required (Internal Medicine and Family Medicine preferred)
Preferred work experience as a a physician advisor.
Minimum of 5 years of experience in clinical practice.
Knowledge of InterQual, Milliman or related evidenced based criteria sets.
Familiar with Joint Commission, State and Federal standards/requirements, and DRG vs Per diem reimbursement models.
Knowledgeable about third party payer source criteria of medical necessity.
Organized and able to meet deadlines consistently.
Computer experience required with skills including but not limited to Microsoft Windows, spreadsheets, and word processing.
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a Medical Director. Unlock your leadership potential with HCA Healthcare.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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Hospitals and health care and social assistance
10,000+ Employees
Nashville, TN, US