Jobs near Brea: 8,961
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Relevance Score ranked on: MEDICAL DIRECTOR
Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual
Cypress
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical c...
Search Terms: Medical Director, Director, Appeals, Cardio, Medical
87.4
12mi
Updated: December 13
Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual
Cypress
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical c...
Search Terms: Medical Director, Director, Appeals, Cardio, Medical
87.4
12mi
Updated: December 13
Medical Director- Utilization Management for Carelon Health
CERRITOS
Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits wi...
Search Terms: Medical Director, Director, Health, Management, Medical
86.7
10mi
Updated: December 12
Associate Medical Director, Clinical Operations
CERRITOS, 12900 PARK PLAZA DR
Perform physician-level case review, following initial nurse review, of high-tech diagnostic imaging, upper endoscopy, other surgical procedures, surgical site of care and sleep testing. Imaging modalities include CT, CTA, MRI, MRA, PET, Ultrasounds, Nuclear Medicine imaging and Cardiology diagnostic...
Search Terms: Medical Director, Operations, Clinical, Medical, Director
84.6
10mi
Updated: December 04
Associate Medical Director, Clinical Operations (Surgery)
CERRITOS, 12900 PARK PLAZA DR
Determine medical necessity of requests using applicable clinical criteria, which may include AIM Appropriateness Guidelines, client-specific health plan medical policy, well established evidenced based guidelines, state mandated policies, and CMS Coverage Determinations, as applicable. Perform physi...
Search Terms: Medical Director, Clinical, Operations, Medical, Director
84.5
10mi
Updated: December 03
Center Medical Director (CMD)
Anaheim
Provides medical oversight to Medical Staff Associates, including the training of other physicians and Medical Staff Associates. Usually serves as the primary center physician registered as the Laboratory Director with the Food and Drug Administration (FDA). Job Description. Serves as the primary phy...
Search Terms: Medical Director, Director, Medical, Associate, Staff
84.3
7.1mi
Updated: November 22
Physician Medical Director
City Of Industry
THE DETAILS - Spends 100% of time in a center providing direct patient care, leading by example, and creating an exceptional patient experience. - Ensures day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure. - Monitor...
Search Terms: Medical Director, Medical, Director, Physician, Support Staff
83.8
7.5mi
Updated: November 13
Associate Medical Director - Sleep Medicine
CERRITOS
Determine medical necessity of requests using applicable clinical criteria, which may include Carelon Medical Benefits Management Appropriateness Guidelines, client-specific health plan medical policy, well established evidenced based guidelines, and CMS Coverage Determinations, as applicable. Perfor...
Search Terms: Medical Director, Medicine, Sleep, Director, Associate
83.4
10mi
Updated: November 19
Associate Medical Director/Medical Director Neuroscience Clinical Development
Irvine
With supervision, oversees the direction, planning, execution and interpretation of clinical trials or research activities of a clinical development program. Participates in cross-functional teams to generate, deliver and interpret high-quality clinical data supporting overall product scientific and ...
Search Terms: Medical Director, Director, Medical, Clinical, Neuroscience
82.7
15mi
Updated: November 21
Specialty Medical Director - Criticalist, Internist, Surgeon - Open to All Specialties
Fountain Valley
Introduction. Join us as a board certified or residency trained Specialty Medical Director at VCA West Coast Specialty & Emergency Animal Hospital you’ll quickly discover that you’re well supported by world-class medicine, technology, facilities and a talented team. You’ll be empowered to do your bes...
Search Terms: Medical Director, Director, Surgeon, Medical, Internal
82.7
15mi
Updated: November 20
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