12 associate medical director jobs found

Looking for an intellectually stimulating role that will challenge you to use your current knowledge and build new skills? Join us as an Associate Medical Director at eviCore, where you’ll be empowered to make a difference in the lives of patients by improving the quality of healthcare nationwide.     What you’ll do:   Use your analytical mindset.  Provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria. Review appeals for denied services related to relevant medical experience and our evidence based guidelines, in accordance with appeal policies, if so delegated.  Be a team player.  Work collaboratively with over 400 eviCore Physician Peers to help ensure patients receive proper care via evidence based decision making.  Provide timely peer-to-peer...

Alpha Medical is seeking an Associate Medical Director with a passion for patient advocacy and improving the way people access healthcare today. The Associate Medical Director will work collaboratively under the supervision of the Medical Director and have a strong focus on the operations for our clinical and provider Team.    As an Associate Medical Director, you will be part of a small but mighty provider and clinical team that’s focused on identifying departmental needs and implementing scalable processes. You will get experience working with stakeholders from various departments, aligning clinical operational roadmaps to Alpha’s strategic growth, assisting with training and development programs, reviewing and suggesting policy updates, performance and provider reviews, and other tasks as assigned.   Alpha Values: We are mission-driven -  We’re changing the paradigm of healthcare for patients who are historically...

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctor’s office. Founded in August 2019, we are obsessed with eliminating wasteful friction that patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications. To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles. Opportunity Overview: We are looking for physicians who have expertise in Cardiology to deliver on Cohere’s Cardiology program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.  Reporting to the Chief Medical Officer...

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctor’s office. Founded in August 2019, we are obsessed with eliminating wasteful friction that patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications. To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles. Opportunity Overview: We are looking for a Medical Director who will lead our Cardiology Associate Medical Directors and perform clinical reviews. Reporting to the Senior Medical Director for Cohere Health, and part of the review team that includes non-clinical intake specialists and nurses, this is a critical...

About Limbix:   Limbix Health, Inc. is a distributed team building digital therapeutics for adolescents experiencing mental health disorders. Our goal is to give all young people access to affordable, effective behavioral health care by giving providers immediate, safe, and evidence-based treatment options they can offer to their patients. We value positive, motivated, authentic, and solutions-oriented individuals who want to join us on this mission.   About the Role:   We are hiring a full-time Clinical Safety Monitor (LMFT/LCSW) to support the work related to trial and product safety by providing clinical and research support to other members of the Clinical and Medical Affairs Teams.  This position will report to the Associate Director of Patient & Clinical Affairs.   About the Team: We strive to execute our work with empathy and excellence, both individually and as a team. We acknowledge and appreciate the complexities of each...

Sitka Medical Associates, a multispecialty value-based physician network is looking for a Gastroenterology licensed in Maine  to join our team to improve access to and delivery of healthcare across the nation. Sitka Medical Associates works alongside Sitka to deliver specialty care through video consults to primary care clinicians via Sitka’s asynchronous video and text messaging platform.    About Sitka At Sitka, we believe that EVERYONE deserves access to specialized healthcare.  Founded in late 2018 by our Founder/CEO Kelsey Mellard, our mission is to foster informed, effective and trusted care delivery for all patients by every provider. Timely access to specialty care is often out of reach for too many Americans, often because of the inefficiencies of the delivery system. Sitka is reimagining specialty care by giving primary care providers (PCPs) access to our network of specialist physicians. Our platform enables virtual consults for...

Company Description: Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.  We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.   Position Responsibilities: Specific Oversee the design and execution of health service-related functions within managed care plans Utilization Management Care Management Population Health Management Grievance and Appeals Provide direction and leadership, as required, to medical management programs, processes and workflows to meet operational goals and anticipate future strategic needs and support related...

Why Charlie Health? Young people across the country need our help. The sad reality is that a mental health crisis has taken hold of our most vulnerable population—leading to record levels of depression, anxiety, substance abuse, and self-harm. From Manhattan to Montana, this reality is compounded by issues of access, both geographic and financial. The mental health landscape is systemically broken, and our young people are suffering as a result. Charlie Health has set out on a mission to reimagine how high acuity care is delivered to young people and families in crisis. Our initial offering is a virtual intensive outpatient program, which places peers with similar mental health experiences and goals into customized virtual groups. Our team of masters-level clinicians lead groups multiple times per week to deliver a higher level of care. Our goal is to help young people and families heal together. Through a combination of exceptional medical and psychological...

This role is eligible for a $10,000 sign-on bonus for external candidates. This role is 100% remote. Qualified candidates, regardless of geographic location, will be considered. The Medical Director provides organizational leadership in the operational areas of care management, utilization review, appeals, quality improvement and related policy and practice initiatives in collaboration with the Corporate Medical Director(s), Utilization Management and the Vice President, Utilization Management Physician. The following responsibilities are in regards to members with medical conditions and their providers: Identifying and implementing evidence-based practice guidelines throughout the provider network. Overseeing the quality of clinical care for network and non-network providers. Engaging the provider network in Continuous Quality Improvement through the diffusion of practice standards, and through an internal quality assurance program that measures network...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: PDP (The appeals are in response to adverse determinations for medical services related to benefit design and coverage, medical necessity, and the application of clinical criteria of medical policies) Communicate with UnitedHealthcare medical directors regarding appeals decision rationales and benefit interpretations Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program...

The Telehealth Physician is responsible for the care of patients that use UCM Digital Health’s online platform. This remote position will speak with patients and guide their care. The ability to work a varying schedule including nights, early mornings, weekends and holidays. POSITION OBJECTIVE The Telehealth Physician oversees overall patient care. This will include obtaining a focused history, an appropriate physical exam, evidenced-based medical decision making (MDM), documentation in the electronic medical record, e-prescribing, writing orders for patient navigation and follow-up care, providing self-care instructions and communicating directly with patients and their caregivers regarding their medical history and concerns. FUNCTIONAL RESPONSIBILITIES AND DUTIES The Telehealth Physician will be responsible for the following responsibilities and duties: Care of Patients (online) Approximately 95% of time Conversing with patients via...