... . In the Medical Director role you will provide oversight for medical policy implementation ... providers. As a Medical Director you will focus primarily on overseeing utilization review ...

... . Position Summary The Behavioral Health Medical Director is a key position on Aetna Better Health of ... and strategy meetings The Behavioral Health Medical Director will report to the Senior ...

... . Position Summary As the Executive Director, Asset Protection Field Operations, you are an ... to leading all aspects of Asset Protection in the field, the Executive Director, Asset Protection ...

... criteria to authorize procedures/services or initiate a Medical Director referral as needed. Required ... communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may ...

... . Caremark is recruiting for an Executive Director, Business Architecture and Process who will be leading ... Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the ...

... Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the ...

... care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs ...

... appropriate referral to medical services staff.• Approve services that do not require a medical review in ... information.• Screens requests for appropriate referral to medical services staff.• Approve services that do ...

... Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and ...

... with an interdisciplinary care management team (nurse case managers, medical directors, dietitians ... reduce medical costs. -Provide comprehensive medication reviews, drug information, and education ...