Medical Director Salary at Barritt Smith Miner Llp BETA

Job Description Job Description Position Summary: The Outpatient Medical Director is responsible for actively participating in the review process of pre-service requests for services, and to follow guidelines in the approval of those services or in making recommendations for other determinations to the provider/vendor (denial/modification/redirection). Additionally, the role will cooperate with and support the other physician reviewers, nurses and Medical Directors by knowing all processes and procedures, while working to deliver excellent care in a cost-effective manner based on medical management referral processing guidelines. The Medical Director will be detail-oriented and able to research and successfully evaluate often-complex clinical information to help formulate decisions and communication with members, providers and internal users. The position will connect the prior authorization process to overall performance of the provider network, actively engaging and aligning the netw

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly ("PACE") in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com. Estimated Start Date:

Overview: Los Angeles, a city full creativity, culture, world-class entertainment, and amazing weather! If youre at a phase in your life where youre looking for an exciting place to live and an exciting place to work look no further than Concentra! Gardena California At Concentra, our physicians spend 90% of their time clinically treating patients; the remaining 10% focused on recruiting, business metrics, patient/client happiness and center management. This role offers an opportunity for physicians to blend their love of patient care with their management skills, working for the leader in the workplace health industry. Our Center Medical Directors are a vital part of a dedicated team of clinicians committed to exceptional patient care. Additionally, they facilitate efficient and effective center operations by balancing the dynamics of patient care and leadership within a clinical environment. This is an extraordinary opportunity for you to make a difference as you watch your direct le

Premier Research is looking for a Executive Director, Medical Affairs (Immunology) to join our General Medicine team. You will help biotech, medtech, and specialty pharma companies transform life-changing ideas and breakthrough science into new medicines, devices, and diagnostics. What we do is profoundly connected to saving and improving lives, and we recognize our team members are the most valuable asset in delivering success. We are Built for You. We are here to help you grow, to give you the skills and opportunities to excel at work with the flexibility and balance your life requires. We are Built by You. Your ideas influence the way we work, and your voice matters here. We are Built with You. As an essential part of our team, you help us deliver the medical innovation that patients are desperate for. Together, we are Built for Biotech™. Join us and build your future here. What you'll be doing: Provides Medical Leadership and Safety monitoring on projects and therapeutic areas Prov

Screening and reviewing prospective, concurrent, and retrospective referrals and authorizations for medical necessity and appropriateness of service and care and discussing with Medical Directors Coordinate health care services with appropriate physi LPN, Medical Director, Health, Healthcare, Benefits

Job Description Job Description Position Summary: The role of the Denial Nurse is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to denials. The Denial Nurse will review for appropriate care and setting and following guidelines/policies as it relates to denials. The Denial Nurse is responsible for processing denial letters for all affiliated groups, interpret denial language provided by the prior authorization nurse, coordinators, and medical directors, and place it into the appropriate templates while translating medical terminology into lay language and grading the reading level as appropriate. Denial nurse will work closely with the coordinators in the department for clinical guidance on denial cases. Essential Duties and Responsibilities include the following: Understand all aspects of the functionality of Access Express with respect to prior authorization and the denials Complete

TLC Animal Clinic in Chino Hills, California is currently seeking a Medical Director to join our outstanding team! Our newly renovated hospital offers large exam rooms, great in-house laboratory & diagnostic equipment, large treatment area and a surgery suite to provide the best quality medicine for our clients & their beloved pets. Our friendly & courteous staff provide the best in patient care & customer service. During your lunch break, take a walk or just sit and relax at Veterans Park and Crossroads Park, located immediately across the street from our front door! Our compensation package includes starting base salaries between $160,000 - $180,000 with generous sign-on and relocation bonuses available. We offer a great benefits package including, but not limited to: health insurance (vision, medical, dental, health savings/flexible spending), life and disability insurance, 401K with company contribution, PTO, generous CE allowance with additional PTO allotted, reimbursement for mem

Medical Director / Executive Medical Director, Clinical Development Our mission at Capsida is to develop a new class of targeted, non-invasive IV administered gene therapies. We have three wholly owned programs in CNS, including potential best-in-class treatments for genetic epilepsy due to STXBP1 mutations and Parkinson’s disease associated with GBA mutations, both of which are expected to have IND submissions in early 2025. Our candidates achieve breakthrough levels of neuronal transduction throughout the brain, up to 70% in certain brain regions, while simultaneously detargeting the liver and other peripheral organs. We also have partnerships with AbbVie, Lilly, and CRISPR Therapeutics. The Medical Director / Executive Medical Director, Clinical Development will have the opportunity to progress the clinical development of our internal pipeline. Key responsibilities will include leading and working in cross functional teams to advance investigational therapies into the clinic, intera