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Medical Director jobs at Danaher

- 363 jobs
  • Director, Medical & Scientific Affairs - Cardiometabolic

    Danaher 4.6company rating

    Medical director job at Danaher

    Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? At Beckman Coulter Diagnostics, one of Danaher's 15+ operating companies, our work saves lives-and we're all united by a shared commitment to innovate for tangible impact. You'll thrive in a culture of belonging where you and your unique viewpoint matter. And by harnessing Danaher's system of continuous improvement, you help turn ideas into impact - innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic laboratory's role in improving patient health for more than 90 years. Our diagnostic solutions are used in routine and complex clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one million tests are run on Beckman Coulter Diagnostics systems, impacting 1.2 billion patients and more than three million clinicians per year. From uncovering the next clinical breakthrough, to rapid and reliable sample analysis, to more rigorous decision making-we are enabling clinicians to deliver the best possible care to their patients with improved efficiency, clinical confidence, adaptive collaboration, and accelerated intelligence. Learn about the Danaher Business System which makes everything possible. The Director, Medical & Scientific Affairs - Cardiometabolic is responsible for setting the vision and strategic direction for the Cardiometabolic disease area and leading daily business operations support related to product development and clinical research, product quality, compliance, commercial/marketing activities and customer interactions. This senior role assists the Chief Medical Officer as the medical representative of Beckman to external partners and professional societies. This disease area is a key focus area for Beckman Coulter, providing the successful candidate an exciting opportunity to build and grow the cardiovascular disease area leadership, ultimately impacting patient outcomes. This position reports to the Chief Medical Officer and is part of the Medical & Scientific Affairs organization, a team of medical specialists dedicated to all medical aspects of safe and effective therapeutic areas. The Beckman cardiovascular test portfolio enables better patient outcomes for those afflicted with cardiovascular disease. This role may be fully remote, working remotely to cover a global business area. Beckman Coulter has a major site presence in South Florida, Southern California, Hebron Kentucky, and Minneapolis Minnesota, as well as major hubs in Europe and Asia. In this role, you will have the opportunity to: Steer collaborative efforts between business leaders and research team to define bench and human clinical research priorities for product development, regulatory submissions, and marketing, based on intended clinical applications, business, and regulatory strategy Establish and cultivate strategic academic partners suited for future research and innovation partnerships. Work with collaborators and product teams to solicit investigator-initiated research proposals that are aligned with Beckman research needs including specific disease states Lead and own the global strategies for health economics, policy, and reimbursement (HEPR) for Beckman solutions Build, sustain and serve as the leader for influential relationships with Key Opinion Leaders (KOLs) to drive scientific exchange and shape the future of cardiometabolic technologies Communicate and translate clinical/scientific insights and research concepts from KOLs into actionable guidance for product development teams Strategically support the development and execution of pre-launch product initiatives, commercialization, and life cycle management of cardiometabolic products through education, innovation, evidence generation and research Prepare and deliver training on new industry campaigns and clinical evidence as well as work with the marketing team on providing clinical input in campaigns, insights articles and other outreach The essential requirements of the job include: Doctorate level requirement (M.D., Ph.D, Pharm.D, DNP) with a minimum of 20 years of medical & clinical affairs experience Excellent presentation, verbal, and written communication skills with the ability to communicate clinical and business issues to audiences of diverse backgrounds Strong leadership skills, able to create a dynamic environment that fosters transparency, collaboration, and innovative thinking Strong problem solving and negotiation skills; ability to influence and make recommendations at multiple levels of the company Minimum of 5 years of project management skills to establish strategic goals and to prioritize, plan, delegate and evaluate deliverables - with a continuous improvement mindset Has extensive clinical experience and a knowledge base beyond cardiology that extends to complementary areas such as cardiometabolic Experience in clinical research roles in academia, healthcare, life sciences, or a medical technology business Travel, Motor Vehicle Record & Physical/Environment Requirements: Ability to travel a minimum of 20-25% of the time (domestic and international) It would be a plus if you also possess previous experience in: 10+ years of product and domain knowledge of healthcare technologies and market trends 8+ years' experience working in the medical technology, medical device, or pharmaceutical industry in Medical or Clinical Affairs roles MBA or Masters degree in business related field Beckman Coulter Diagnostics, a Danaher operating company, offers a broad array of comprehensive, competitive benefit programs that add value to our lives. Whether it's a health care program or paid time off, our programs contribute to life beyond the job. Check out our benefits at Danaher Benefits Info. At Beckman Coulter Diagnostics we believe in designing a better, more sustainable workforce. We recognize the benefits of flexible, remote working arrangements for eligible roles and are committed to providing enriching careers, no matter the work arrangement. This position is eligible for a remote work arrangement in which you can work remotely from your home. Additional information about this remote work arrangement will be provided by your interview team. Explore the flexibility and challenge that working for Beckman Coulter Diagnostics can provide. The annual salary range for this role is $220,00 - $260,000. This is the range that we in good faith believe is the range of possible compensation for this role at the time of this posting. This range may be modified in the future. This job is also eligible for bonus/incentive pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance and 401(k) to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. #LI-LM3 Join our winning team today. Together, we'll accelerate the real-life impact of tomorrow's science and technology. We partner with customers across the globe to help them solve their most complex challenges, architecting solutions that bring the power of science to life. For more information, visit **************** Danaher Corporation and all Danaher Companies are committed to equal opportunity regardless of race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. The U.S. EEO posters are available here. We comply with federal and state disability laws and make reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact:************** or applyassistance@danaher.com.
    $80k-130k yearly est. Auto-Apply 50d ago
  • Field Reimbursement Director (Remote USA)

    Danaher 4.6company rating

    Medical director job at Danaher

    At Cepheid, we are passionate about improving health care through fast, accurate diagnostic testing. Our mission drives us, every moment of every day, as we develop scalable, groundbreaking solutions to solve the world's most complex health challenges. Our associates are involved in every stage of molecular diagnostics, from ideation to development and delivery of testing advancements that improve patient outcomes across a range of settings. As a member of our team, you can make an immediate, measurable impact on a global scale, within an environment that fosters career growth and development. Cepheid is proud to work alongside a community of six fellow Danaher Diagnostics companies. Together, we're working at the pace of change on diagnostic tools that address the world's biggest health challenges, driven by knowing that behind every test there is a patient waiting. Learn about the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role will cross functionally collaborate with sales, marketing and the value and access team to effectively coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal role supporting commercial customer engagement and responding to customer inquiries in the southeast of the US.. In this role, you will have the opportunity to: Provide education to internal colleagues, healthcare providers, lab professionals, office staff and financial decision makers on Cepheid diagnostics coverage, coding and reimbursement landscape. Develop and maintain a comprehensive understanding of national, regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer meetings. Proactively and reactively navigate and address customer inquiries relating to payer coverage, coding and reimbursement. Support customers with approved resources for denied claims, payer coverage expansion and inadequate reimbursement. Respond to and coordinate with sale colleagues request for virtual / on-site customer business reviews, coverage and reimbursement support. The essential requirements of the job include: Bachelor's with 12+ years of related work experience OR Master's degree in field with 8+ years of related work experience. 7+ years market access experience working directly with customers in pharmaceutical, biotech or diagnostics (preferred) Demonstrated knowledge of all payer segments (e.g. Commercial, Medicare, Medicaid) Demonstrated and presentation skills It would be a plus if you also possess previous experience in: 2+ years marketing / sales experience (commercial operations, Sales training, sales, marketing) Microsoft Excel, PowerPoint and Word expertise Leading without authority Payer Medical / Diagnostic Policy review and interpretation Travel, Motor Vehicle Record & Physical/Environment Requirements: This position requires up to 50% domestic travel within the named region Cepheid, a Danaher company, offers a broad array of comprehensive, competitive benefit programs that add value to our lives. Whether it's a health care program or paid time off, our programs contribute to life beyond the job. Check out our benefits at danaherbenefitsinfo.com. At Cepheid we believe in designing a better, more sustainable workforce. We recognize the benefits of flexible, remote working arrangements for eligible roles and are committed to providing enriching careers, no matter the work arrangement. This position is eligible for a remote work arrangement in which you can work remotely from your home. Additional information about this remote work arrangement will be provided by your interview team. Explore the flexibility and challenge that working for Cepheid can provide. The salary range for this role is $170,000 - $220,000. This is the range that we in good faith believe is the range of possible compensation for this role at the time of this posting. We may ultimately pay more or less than the posted range. This range may be modified in the future. This job is also eligible for bonus/incentive pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance and 401(k) to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Join our winning team today. Together, we'll accelerate the real-life impact of tomorrow's science and technology. We partner with customers across the globe to help them solve their most complex challenges, architecting solutions that bring the power of science to life. For more information, visit **************** Danaher Corporation and all Danaher Companies are committed to equal opportunity regardless of race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. The U.S. EEO posters are available here. We comply with federal and state disability laws and make reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact:************** or applyassistance@danaher.com.
    $69k-85k yearly est. Auto-Apply 60d+ ago
  • Assistant Director of Nursing (ADON, RN)

    Hearthstone Health Campus 3.6company rating

    Bloomington, IN jobs

    JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! WHAT WE'RE LOOKING FOR: The Assistant Director of Nursing (ADON) supports the Director of Nursing (DON) by planning, organizing, developing, and overseeing the Nursing Service Department's daily functions. This role ensures compliance with federal, state, and local standards to maintain high-quality care, as directed by the Executive Director, Medical Director, or Director of Health Services. Key Responsibilities Coordinates with the DON to help select, retain, develop, and lead the clinical team. Assists in coordinating nursing and ancillary services as needed with other department leaders to ensure the continuity of the residents' total regimen of care. Assists in implementing our clinical staffing model and performs administrative duties such as completing medical forms, reports &audits, evaluations, charting, etc. as necessary. Participates in the implementation and maintenance of the company's Quality Assurance Performance Improvement (QAPI) program. Participates and prepares for facility surveys (inspections) and accreditation programs conducted by authorized regulatory agencies and/or the company. Qualifications Associate degree or advanced degree in Nursing 0-1 Years of relevant experience preferred Must have and maintain a current, valid state RN license and current, valid CPR certification required. WHERE YOU'LL WORK : Location: US-IN-Bloomington LET'S TALK ABOUT BENEFITS: Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. Get Paid Weekly + Earn Bonus Compensation - Enjoy weekly pay and earn additional bonus compensation. Receive a guaranteed tenure bonus and have the potential to earn a performance bonus twice annually. The bonus is based on the hire date and performance metrics. Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. Unlimited PTO + Paid Parental Leave - Unlimited paid time off and fully paid parental leave for new parents. Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. GET IN TOUCH: BreAnn APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.
    $70k-92k yearly est. 2h ago
  • Medical Director

    Arc Group 4.3company rating

    Jacksonville, FL jobs

    Job DescriptionMEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization and have a positive impact on the lives of millions of people. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Medicare Contractor Medical Director (CMD) provides medical leadership and decision making for an organization that serves as a Medicare Administrative Contractor (MAC). This role serves as a liaison between the Centers for Medicare and Medicaid Services (CMS) and stakeholders. CMDs play a vital role in developing Local Coverage Determinations (LCDs) and ensuring compliance with Medicare policies, reviewing medical claims, and promoting evidence-based healthcare. ESSENTIAL DUTIES & RESPONSIBILITIES Clinical Expertise and Consultation 30% Provide leadership in clinical program outreach to the practitioner/provider/supplier/beneficiary community. Provide direction and assistance to clinical staff in conducting provider education, as well as assist in the development of clinical guidelines as needed. Keep clinical knowledge up to date and abreast of medical practice and technology changes. Serve as a subject matter expert in medical and clinical areas relevant to the Medicare program. Provide clinical consultation to internal teams (e.g., medical review staff, appeals teams) and external stakeholders. Provide the clinical expertise, scientific literature analysis, claims data analytics to effectively focus medical polical policy and reviews on identified problem areas. Collaboration and Leadership 30% Collaborate with CMS and other Medicare Contractors (e.g., A/B or DME MACs and others) to develop and update medical policies and articles based on clinical evidence and regulatory requirements. Work with multidisciplinary teams within the MAC to improve processes and ensure compliance with CMS directives. Liaise with CMS staff, medical societies, and other stakeholders to align goals and address emerging issues. Represent the MAC at CMS meetings and industry conferences. Strengthen the quality improvement procedures with emphasis on decision consistency and clinical education of clinical staff through various mechanisms including but not limited to overseeing Inter-Reviewer Reliability (IRR) reviews. Program Integrity 20% Support program integrity initiatives, including identifying trends in inappropriate billing practices or noncompliance. Ensure the proper application of Medicare regulations, national and local coverage determinations (NCDs and LCDs), and clinical guidelines. Participate in all phases of LCD development by leading the Local Coverage Determination (LCD) process to include development, revision, retirement, education, and decision making. Collaborate with investigative teams and law enforcement when required. Medical Review (MR) and Appeals 10% Oversee medical review activities to ensure appropriate and consistent decisions on claim determinations including pre- and post-payment determinations. Provide leadership in developing and implementing MR Quality Assurance Programs. Provide leadership in effectively focusing MR and developing internal MR guidelines. Review complex or high-level appeals and provide guidance on the application of Medicare policies. Provide support to the claim appeal process including assistance in the development of position papers and participation in the administrative process when needed such as Administrative Law Judge (ALJ) hearings. Provider Education and Communication 10% Provide leadership in the provider community (including interacting with hospital/specialty associations). Educate providers, individually or as a group, regarding identified problems or medical policy. Maintain Professional and Organization Relationships Performs other duties as the supervisor may, from time to time, deem necessary. Travel within and outside the assignedjurisdictions, as needed. Expected to be no more than 3-4 weeks/year but could vary based on business needs. REQUIRED QUALIFICATIONS MD or DO degree from accredited Medical School Minimum of three years clinical practice experience as an attending physician Extensive knowledge of the Medicare program, particularly the coverage and payment rules Work experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines. Knowledge, skill, and experience to evaluate clinical evidence, and to develop evidence-based medical necessity standards within the Medicare fee-for-service benefit structure Ability to develop strategies and processes to ensure evidence-based decision-making for policy in the Medicare population Basic understanding of medical coding conventions Ability to effectively communicate, collaborate with, and provide education on health care policy issues to both internal team members and external entities Ability to work collaboratively with internal staff to evaluate aberrancies, determine appropriate billing, coding, pricing, and utilization of services Proficiency with effective public speaking and ability educate providers Ability to work collaboratively with clinical and non-clinical team members Ability and desire to educate team members and external entities (i.e., CMS, providers, other federal agencies, law enforcement, etc.) Computer literacy, including proficiency using word processing, spreadsheets, presentation, and virtual meeting applications Ability to complete independent or computer-based training and education Certifications, Licenses, Registration: Current, active, valid, unrestricted license to practice medicine in at least one state or territory within the United States, never suspended or revoked in any state or territory of the United States Eligible for licensure within jurisdiction of enterpriseoperations Board Certified Doctor of Medicine or a Doctor of Osteopathy in a specialty recognized by the American Board of Medical Specialties for at least three years PREFERRED QUALIFICATIONS Experienced Physical Medicine and Rehabilitation (PM&R), Oncology, Radiology, Ophthalmology or Infectious Diseases professionals with five years of clinical practice MBA, MHA, MS in Management, or formal accredited coursework in medical systems management Demonstrated successful working experience in organized medicine group(s) (e.g., AMA, specialty society, state health department) as a committee chairperson or other leadership Medical Director experience in Medicare-related or commercial healthcare organization Coding and billing experience utilizing HCPCs, CPT, and ICD-10 codes Experience using GRADE methodology for literature analysis and performing systematic reviews Experience working with physician groups, beneficiary organizations, and/or congressional offices Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke at ******************** or apply online while viewing all of our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.
    $144k-225k yearly est. Easy Apply 29d ago
  • Medical Director - Inpatient Utilization Management

    Wellmark Blue Cross Blue Shield 4.5company rating

    Sioux Falls, SD jobs

    Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors-our members. If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here . Job Description About the Opportunity : As an experienced M.D. or D.O. in adult acute care setting(s), you will use evidence-based decision making to perform inpatient case reviews that are timely and clinically appropriate. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a medically necessary determination. While case reviews are this role's primary priority and function, you will have the opportunity to make recommendations on efficiencies and innovations to ensure our members are getting appropriate and timely care based on their health plan coverage. You will partner across the organization with other internal teams, such as Business Analytics, Claims, Operations, Actuarial, and BlueCard, to name a few. Join us on this continuous journey as we make health care better for our members! About You : You are decisive and have a strong ability to influence internally and externally by appropriately and effectively presenting evidence-based medicine to support a determination. Critical thinking, sound judgment, and decisiveness are key; however, you will be able to draw from your colleagues' subject matter expertise from various departments, to help make evidence-based prior authorization decisions. You are collaborative by nature and are energized by the opportunity to work in a highly integrated and matrixed culture. Managed care experience in a large commercial organization, such as at another Blue Cross & Blue Shield plan, a plus. If this sounds like you, apply to our Medical Director-Inpatient Utilization Management opportunity today! Iowa or South Dakota-based candidates preferred but open to remote for the right candidate. This full-time position will also work a rotating on-call schedule for weekend and holiday reviews. Qualifications Required Qualifications - Must have: Graduate of an accredited medical school; M.D. or D.O. degree is required. Active and unrestricted license to practice medicine in Iowa or Iowa Administrative Medical License is required within 3 months from date of hire AND must be licensed in the state in which you reside. While obtaining license, the incumbent will participate in training, provide operational guidance and advice, and participate in projects as assigned while licensure is pending approval. Current Board Certification in Emergency Medicine, Family Medicine, or Internal Medicine through the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). 3-5 years of adult inpatient clinical experience in an acute care hospital setting (e.g. inpatient unit or emergency department) sufficient to enable medical judgments regarding appropriateness of inpatient care, medical necessity, and post-acute care. Ability to participate in rotating on call schedule for weekends and holiday reviews. Strong analytical and critical thinking skills; makes sound evidence-based decisions. Demonstrated commitment to service excellence (timeliness, accuracy, quality) and advocacy for member care. Strong consulting and interpersonal skills. Quickly builds rapport and establishes credibility. Excellent verbal and written communication skills. Ability to communicate effectively and with clarity with internal and external audiences, and clinical peers, even when conveying difficult decisions and complex information. Strong change management skills. Creates a clear view of future state and inspires others to advance the vision. Ability to mentor and guide others and work within the teams. This includes sharing accountability, influencing without direct authority, and effectively listening to others. Self-starter with strong organization and time management skills. Flexible with changing priorities. Works well independently and collaborates as a member of a cross-functional team; ability to navigate in a dynamic corporate environment. Strong technical acumen. Learns new systems and processes quickly (e.g. Microsoft Office, clinical platforms, etc.). Preferred Qualifications - Great to have : Previous administrative medical experience (e.g. clinical coordination, medical consulting, health plan, provider group, hospital group, etc.). Additional Information What you will do as a Medical Director for Inpatient Utilization Management (UM): a. Demonstrate ability to apply clinical experience in the care of patients in an acute care hospital setting to render medical necessity determinations for adult acute inpatient care. The foundation for Wellmark's definition of medical necessity is Evidence-Based Medicine and evidence of sound clinical reasoning. b. Concisely, effectively, and consistently synthesize clinical information to document a clear summary for the basis of medical necessity determinations. The documentation in the UM record will reflect the ability to act timely and decisively based on the clinical records that were submitted to support the medical necessity for inpatient level of care. c. Develop an effective and collaborative relationship with Wellmark's UM leaders to continually improve the end-to-end UM process by providing ideas and feedback on improvement. Actively identify opportunities for process improvement or the need for new processes that are observed in the course of day-to-day work. Demonstrates openness to receiving and acting on constructive feedback. d. Defend UM decisions internally and externally using evidence-based medicine, sound clinical reasoning, and critical thinking skills. Actively listen for relevant new information and compelling counterarguments. Revise decision when the fact basis requires it. e. Demonstrate sound judgment by seeking consultation from leader on complex UM case reviews. f. Effectively engage in peer-to-peer calls. Seek to understand new information that the provider may offer. Effectively and concisely uphold the UM decision or revise the UM decision based on new information when necessary. g. Perform overflow Outpatient reviews as needed. h. Deep knowledge of, and proficiency in applying, Wellmark's medical policies, especially for commonly requested outpatient services. i. Participate in rotating on call schedule for weekend and holiday reviews. j. Other duties as assigned. This job requires a non-compete agreement. An Equal Opportunity Employer The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law. Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected] Please inform us if you meet the definition of a " Covered DoD official ". At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources: Nonimmigrant Workers and Green Card for Employment-Based Immigrants
    $285k-405k yearly est. 1d ago
  • Medical Director

    Cotiviti 4.8company rating

    Remote

    The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The CMD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The CMD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back end support for the client's Medical Director. The CMD will evolve as the trusted advisor for the Health Plan in terms of medical payment policy. Responsibilities Supporting existing client growth and new sales activity by identifying value-creation opportunities for our clients. Presents appropriate payment policy to clients for adoption based on review of data analytics. Defines mission and strategy with Client Engagement Leader; delivers strategy to client's medical policy team. Works alongside Medical Policy team to evaluate and validate editing. Acts as a clinical liaison with our health plan clients. Lend guidance to the research & development efforts of our Medical Policy and Solutions teams. Have in-depth knowledge of claims, claims adjudication, medical policy edits and configurations. Inspire trust and credibility, deliver on commitments, provide value-add analytics. Assist in discovering opportunities for other Cotiviti product sales. Other duties as assigned. Qualifications Minimum Qualifications: Licensed MD/DO with clinical and health plan experience. Position Requirements: Experience in Health plan operations as a Medical Director, with focus on medical policy, medical coding, payment integrity and/or fraud/waste/abuse. Experience in clinical medicine. Adaptive capacity for rapidly changing priorities and workloads, multitasking, prioritizing and meeting deadlines. Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels. Comfortable with presenting to small and large groups of people. Strong organizational, analytical and problem-solving skills. Results driven with focus on producing high-quality, error free service and deliverables. Ability to work well independently and in a team environment. Excellent verbal and written communication skills. Proficient with Microsoft Office Suite (Word, Excel, Power Point); advanced Excel proficiency preferred. Exhibits behaviors consistent with Cotiviti values. Job Demands: The role can work at home anywhere in the continental United States (some travel is required ~10%). Able to use computer keyboard for extended periods of time. After hours and/or weekend work may be required where necessary for major deliverables /deadlines. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $225,000 to $275,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/1/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/1/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #director #immigration
    $225k-275k yearly Auto-Apply 1d ago
  • Research Medical Director (Medicaid Medical Policy)

    Cotiviti 4.8company rating

    Remote

    The Research Medical Director is a key member of the Clinical and Policy research development area at Cotiviti. The Research Medical Director is responsible for providing leadership guidance to the clinical teams and ensuring the Rules and policies are accurately interpreted and developed. This role is also responsible for analyzing, interpreting, and developing additional policies that will allow us to enhance our medical policy library. The Medical Director will guide both internal and external processes as related to PPM polices and rules. This is a full-time role and can work remotely in the US. Responsibilities Interpret and assess payment policy and medical coding information / guidelines against our policy library for maintenance of existing policy and development of new policy. Conducts thorough research and analysis for medical policy items. Performs multi-faceted analytics for data and report analysis. Responsible for translating industry references into Cotiviti policy. Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library. Identifies new opportunities as appropriate from both clinical reference and analytical sources. Analyze research inquiries from a multitude of sources and apply solid clinical judgment to determine potential impact to medical policies. Ability to determine if an update to existing policy logic or content is warranted based on changes to industry. Perform QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy. In addition to QA, provides feedback to the originator as needed. Educates client-facing MDs and Client Policy Managers (CPMs) on new changes and policy updates by actively participating in monthly meetings for client facing MDs and CPMs. Ensures work is accurate, complete and finished in a timely manner including documentation of notable changes. Maintains current knowledgebase of industry and content, best practices, applications, procedures and policies. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications MD or DO degree (required). Additionally, an MBA degree is preferred. 10+ years of Research experience. Knowledge of healthcare payers, policy payment and correct coding knowledge (preferred). Possess in depth knowledge of claims, claims adjudication, medical policy rules and edits. Strong organizational and project management experience preferred. Proven success as a manager in a scalable organization that has significant scope, complexity and breadth. Strong personal leadership - in terms of the role of a leader, the impact on the company and creating. momentum for culture and accelerating the strategy. Relationship development skills to forge positive and lasting relationships with key business partners and clients. Ability to achieve sustainable results through others, including the development and assignment of other MDs and administrative staff as leaders, mentors, trainers, etc. Mental Requirements: Ability to work well independently and in a team environment. Ability to handle multiple tasks, prioritize and meet deadlines. Highly organized. Excellent written and verbal communication skills, strong listening skills. Ability to work in a fast paced, entrepreneurial environment with a strong bias for deep analysis, timely action and thorough execution. Understanding of and ability to lead and manage in a matrix environment where team work is essential. Ability to make good decisions that are strategically relevant to the company's goals and objectives. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Base compensation ranges from $225,000 to $275,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 08/04/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/04/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #director
    $225k-275k yearly Auto-Apply 35d ago
  • Medical Director - Inpatient Utilization Management

    Wellmark 4.5company rating

    Sioux City, IA jobs

    Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors-our members. If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here. Job Description About the Opportunity: As an experienced M.D. or D.O. in adult acute care setting(s), you will use evidence-based decision making to perform inpatient case reviews that are timely and clinically appropriate. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a medically necessary determination. While case reviews are this role's primary priority and function, you will have the opportunity to make recommendations on efficiencies and innovations to ensure our members are getting appropriate and timely care based on their health plan coverage. You will partner across the organization with other internal teams, such as Business Analytics, Claims, Operations, Actuarial, and BlueCard, to name a few. Join us on this continuous journey as we make health care better for our members! About You: You are decisive and have a strong ability to influence internally and externally by appropriately and effectively presenting evidence-based medicine to support a determination. Critical thinking, sound judgment, and decisiveness are key; however, you will be able to draw from your colleagues' subject matter expertise from various departments, to help make evidence-based prior authorization decisions. You are collaborative by nature and are energized by the opportunity to work in a highly integrated and matrixed culture. Managed care experience in a large commercial organization, such as at another Blue Cross & Blue Shield plan, a plus. If this sounds like you, apply to our Medical Director-Inpatient Utilization Management opportunity today! Iowa or South Dakota-based candidates preferred but open to remote for the right candidate. This full-time position will also work a rotating on-call schedule for weekend and holiday reviews. Qualifications Required Qualifications - Must have: Graduate of an accredited medical school; M.D. or D.O. degree is required. Active and unrestricted license to practice medicine in Iowa or Iowa Administrative Medical License is required within 3 months from date of hire AND must be licensed in the state in which you reside. While obtaining license, the incumbent will participate in training, provide operational guidance and advice, and participate in projects as assigned while licensure is pending approval. Current Board Certification in Emergency Medicine, Family Medicine, or Internal Medicine through the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). 3-5 years of adult inpatient clinical experience in an acute care hospital setting (e.g. inpatient unit or emergency department) sufficient to enable medical judgments regarding appropriateness of inpatient care, medical necessity, and post-acute care. Ability to participate in rotating on call schedule for weekends and holiday reviews. Strong analytical and critical thinking skills; makes sound evidence-based decisions. Demonstrated commitment to service excellence (timeliness, accuracy, quality) and advocacy for member care. Strong consulting and interpersonal skills. Quickly builds rapport and establishes credibility. Excellent verbal and written communication skills. Ability to communicate effectively and with clarity with internal and external audiences, and clinical peers, even when conveying difficult decisions and complex information. Strong change management skills. Creates a clear view of future state and inspires others to advance the vision. Ability to mentor and guide others and work within the teams. This includes sharing accountability, influencing without direct authority, and effectively listening to others. Self-starter with strong organization and time management skills. Flexible with changing priorities. Works well independently and collaborates as a member of a cross-functional team; ability to navigate in a dynamic corporate environment. Strong technical acumen. Learns new systems and processes quickly (e.g. Microsoft Office, clinical platforms, etc.). Preferred Qualifications - Great to have: Previous administrative medical experience (e.g. clinical coordination, medical consulting, health plan, provider group, hospital group, etc.). Additional Information What you will do as a Medical Director for Inpatient Utilization Management (UM): a. Demonstrate ability to apply clinical experience in the care of patients in an acute care hospital setting to render medical necessity determinations for adult acute inpatient care. The foundation for Wellmark's definition of medical necessity is Evidence-Based Medicine and evidence of sound clinical reasoning. b. Concisely, effectively, and consistently synthesize clinical information to document a clear summary for the basis of medical necessity determinations. The documentation in the UM record will reflect the ability to act timely and decisively based on the clinical records that were submitted to support the medical necessity for inpatient level of care. c. Develop an effective and collaborative relationship with Wellmark's UM leaders to continually improve the end-to-end UM process by providing ideas and feedback on improvement. Actively identify opportunities for process improvement or the need for new processes that are observed in the course of day-to-day work. Demonstrates openness to receiving and acting on constructive feedback. d. Defend UM decisions internally and externally using evidence-based medicine, sound clinical reasoning, and critical thinking skills. Actively listen for relevant new information and compelling counterarguments. Revise decision when the fact basis requires it. e. Demonstrate sound judgment by seeking consultation from leader on complex UM case reviews. f. Effectively engage in peer-to-peer calls. Seek to understand new information that the provider may offer. Effectively and concisely uphold the UM decision or revise the UM decision based on new information when necessary. g. Perform overflow Outpatient reviews as needed. h. Deep knowledge of, and proficiency in applying, Wellmark's medical policies, especially for commonly requested outpatient services. i. Participate in rotating on call schedule for weekend and holiday reviews. j. Other duties as assigned. This job requires a non-compete agreement. An Equal Opportunity Employer The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law. Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected] Please inform us if you meet the definition of a "Covered DoD official". At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants
    $224k-318k yearly est. 1d ago
  • Medical Director - Inpatient Utilization Management

    Wellmark Blue Cross Blue Shield 4.5company rating

    Des Moines, IA jobs

    Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors-our members. If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here . Job Description About the Opportunity : As an experienced M.D. or D.O. in adult acute care setting(s), you will use evidence-based decision making to perform inpatient case reviews that are timely and clinically appropriate. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a medically necessary determination. While case reviews are this role's primary priority and function, you will have the opportunity to make recommendations on efficiencies and innovations to ensure our members are getting appropriate and timely care based on their health plan coverage. You will partner across the organization with other internal teams, such as Business Analytics, Claims, Operations, Actuarial, and BlueCard, to name a few. Join us on this continuous journey as we make health care better for our members! About You : You are decisive and have a strong ability to influence internally and externally by appropriately and effectively presenting evidence-based medicine to support a determination. Critical thinking, sound judgment, and decisiveness are key; however, you will be able to draw from your colleagues' subject matter expertise from various departments, to help make evidence-based prior authorization decisions. You are collaborative by nature and are energized by the opportunity to work in a highly integrated and matrixed culture. Managed care experience in a large commercial organization, such as at another Blue Cross & Blue Shield plan, a plus. If this sounds like you, apply to our Medical Director-Inpatient Utilization Management opportunity today! Iowa or South Dakota-based candidates preferred but open to remote for the right candidate. This full-time position will also work a rotating on-call schedule for weekend and holiday reviews. Qualifications Required Qualifications - Must have: Graduate of an accredited medical school; M.D. or D.O. degree is required. Active and unrestricted license to practice medicine in Iowa or Iowa Administrative Medical License is required within 3 months from date of hire AND must be licensed in the state in which you reside. While obtaining license, the incumbent will participate in training, provide operational guidance and advice, and participate in projects as assigned while licensure is pending approval. Current Board Certification in Emergency Medicine, Family Medicine, or Internal Medicine through the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). 3-5 years of adult inpatient clinical experience in an acute care hospital setting (e.g. inpatient unit or emergency department) sufficient to enable medical judgments regarding appropriateness of inpatient care, medical necessity, and post-acute care. Ability to participate in rotating on call schedule for weekends and holiday reviews. Strong analytical and critical thinking skills; makes sound evidence-based decisions. Demonstrated commitment to service excellence (timeliness, accuracy, quality) and advocacy for member care. Strong consulting and interpersonal skills. Quickly builds rapport and establishes credibility. Excellent verbal and written communication skills. Ability to communicate effectively and with clarity with internal and external audiences, and clinical peers, even when conveying difficult decisions and complex information. Strong change management skills. Creates a clear view of future state and inspires others to advance the vision. Ability to mentor and guide others and work within the teams. This includes sharing accountability, influencing without direct authority, and effectively listening to others. Self-starter with strong organization and time management skills. Flexible with changing priorities. Works well independently and collaborates as a member of a cross-functional team; ability to navigate in a dynamic corporate environment. Strong technical acumen. Learns new systems and processes quickly (e.g. Microsoft Office, clinical platforms, etc.). Preferred Qualifications - Great to have : Previous administrative medical experience (e.g. clinical coordination, medical consulting, health plan, provider group, hospital group, etc.). Additional Information What you will do as a Medical Director for Inpatient Utilization Management (UM): a. Demonstrate ability to apply clinical experience in the care of patients in an acute care hospital setting to render medical necessity determinations for adult acute inpatient care. The foundation for Wellmark's definition of medical necessity is Evidence-Based Medicine and evidence of sound clinical reasoning. b. Concisely, effectively, and consistently synthesize clinical information to document a clear summary for the basis of medical necessity determinations. The documentation in the UM record will reflect the ability to act timely and decisively based on the clinical records that were submitted to support the medical necessity for inpatient level of care. c. Develop an effective and collaborative relationship with Wellmark's UM leaders to continually improve the end-to-end UM process by providing ideas and feedback on improvement. Actively identify opportunities for process improvement or the need for new processes that are observed in the course of day-to-day work. Demonstrates openness to receiving and acting on constructive feedback. d. Defend UM decisions internally and externally using evidence-based medicine, sound clinical reasoning, and critical thinking skills. Actively listen for relevant new information and compelling counterarguments. Revise decision when the fact basis requires it. e. Demonstrate sound judgment by seeking consultation from leader on complex UM case reviews. f. Effectively engage in peer-to-peer calls. Seek to understand new information that the provider may offer. Effectively and concisely uphold the UM decision or revise the UM decision based on new information when necessary. g. Perform overflow Outpatient reviews as needed. h. Deep knowledge of, and proficiency in applying, Wellmark's medical policies, especially for commonly requested outpatient services. i. Participate in rotating on call schedule for weekend and holiday reviews. j. Other duties as assigned. This job requires a non-compete agreement. An Equal Opportunity Employer The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law. Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected] Please inform us if you meet the definition of a " Covered DoD official ". At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources: Nonimmigrant Workers and Green Card for Employment-Based Immigrants
    $221k-314k yearly est. 1d ago
  • Medical Director - Inpatient Utilization Management

    Wellmark 4.5company rating

    Des Moines, IA jobs

    Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors-our members. If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here. Job Description About the Opportunity: As an experienced M.D. or D.O. in adult acute care setting(s), you will use evidence-based decision making to perform inpatient case reviews that are timely and clinically appropriate. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a medically necessary determination. While case reviews are this role's primary priority and function, you will have the opportunity to make recommendations on efficiencies and innovations to ensure our members are getting appropriate and timely care based on their health plan coverage. You will partner across the organization with other internal teams, such as Business Analytics, Claims, Operations, Actuarial, and BlueCard, to name a few. Join us on this continuous journey as we make health care better for our members! About You: You are decisive and have a strong ability to influence internally and externally by appropriately and effectively presenting evidence-based medicine to support a determination. Critical thinking, sound judgment, and decisiveness are key; however, you will be able to draw from your colleagues' subject matter expertise from various departments, to help make evidence-based prior authorization decisions. You are collaborative by nature and are energized by the opportunity to work in a highly integrated and matrixed culture. Managed care experience in a large commercial organization, such as at another Blue Cross & Blue Shield plan, a plus. If this sounds like you, apply to our Medical Director-Inpatient Utilization Management opportunity today! Iowa or South Dakota-based candidates preferred but open to remote for the right candidate. This full-time position will also work a rotating on-call schedule for weekend and holiday reviews. Qualifications Required Qualifications - Must have: Graduate of an accredited medical school; M.D. or D.O. degree is required. Active and unrestricted license to practice medicine in Iowa or Iowa Administrative Medical License is required within 3 months from date of hire AND must be licensed in the state in which you reside. While obtaining license, the incumbent will participate in training, provide operational guidance and advice, and participate in projects as assigned while licensure is pending approval. Current Board Certification in Emergency Medicine, Family Medicine, or Internal Medicine through the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). 3-5 years of adult inpatient clinical experience in an acute care hospital setting (e.g. inpatient unit or emergency department) sufficient to enable medical judgments regarding appropriateness of inpatient care, medical necessity, and post-acute care. Ability to participate in rotating on call schedule for weekends and holiday reviews. Strong analytical and critical thinking skills; makes sound evidence-based decisions. Demonstrated commitment to service excellence (timeliness, accuracy, quality) and advocacy for member care. Strong consulting and interpersonal skills. Quickly builds rapport and establishes credibility. Excellent verbal and written communication skills. Ability to communicate effectively and with clarity with internal and external audiences, and clinical peers, even when conveying difficult decisions and complex information. Strong change management skills. Creates a clear view of future state and inspires others to advance the vision. Ability to mentor and guide others and work within the teams. This includes sharing accountability, influencing without direct authority, and effectively listening to others. Self-starter with strong organization and time management skills. Flexible with changing priorities. Works well independently and collaborates as a member of a cross-functional team; ability to navigate in a dynamic corporate environment. Strong technical acumen. Learns new systems and processes quickly (e.g. Microsoft Office, clinical platforms, etc.). Preferred Qualifications - Great to have: Previous administrative medical experience (e.g. clinical coordination, medical consulting, health plan, provider group, hospital group, etc.). Additional Information What you will do as a Medical Director for Inpatient Utilization Management (UM): a. Demonstrate ability to apply clinical experience in the care of patients in an acute care hospital setting to render medical necessity determinations for adult acute inpatient care. The foundation for Wellmark's definition of medical necessity is Evidence-Based Medicine and evidence of sound clinical reasoning. b. Concisely, effectively, and consistently synthesize clinical information to document a clear summary for the basis of medical necessity determinations. The documentation in the UM record will reflect the ability to act timely and decisively based on the clinical records that were submitted to support the medical necessity for inpatient level of care. c. Develop an effective and collaborative relationship with Wellmark's UM leaders to continually improve the end-to-end UM process by providing ideas and feedback on improvement. Actively identify opportunities for process improvement or the need for new processes that are observed in the course of day-to-day work. Demonstrates openness to receiving and acting on constructive feedback. d. Defend UM decisions internally and externally using evidence-based medicine, sound clinical reasoning, and critical thinking skills. Actively listen for relevant new information and compelling counterarguments. Revise decision when the fact basis requires it. e. Demonstrate sound judgment by seeking consultation from leader on complex UM case reviews. f. Effectively engage in peer-to-peer calls. Seek to understand new information that the provider may offer. Effectively and concisely uphold the UM decision or revise the UM decision based on new information when necessary. g. Perform overflow Outpatient reviews as needed. h. Deep knowledge of, and proficiency in applying, Wellmark's medical policies, especially for commonly requested outpatient services. i. Participate in rotating on call schedule for weekend and holiday reviews. j. Other duties as assigned. This job requires a non-compete agreement. An Equal Opportunity Employer The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law. Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected] Please inform us if you meet the definition of a "Covered DoD official". At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants
    $221k-314k yearly est. 1d ago
  • Medical Director - Inpatient Utilization Management

    Wellmark Blue Cross Blue Shield 4.5company rating

    Cedar Rapids, IA jobs

    Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors-our members. If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here . Job Description About the Opportunity : As an experienced M.D. or D.O. in adult acute care setting(s), you will use evidence-based decision making to perform inpatient case reviews that are timely and clinically appropriate. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a medically necessary determination. While case reviews are this role's primary priority and function, you will have the opportunity to make recommendations on efficiencies and innovations to ensure our members are getting appropriate and timely care based on their health plan coverage. You will partner across the organization with other internal teams, such as Business Analytics, Claims, Operations, Actuarial, and BlueCard, to name a few. Join us on this continuous journey as we make health care better for our members! About You : You are decisive and have a strong ability to influence internally and externally by appropriately and effectively presenting evidence-based medicine to support a determination. Critical thinking, sound judgment, and decisiveness are key; however, you will be able to draw from your colleagues' subject matter expertise from various departments, to help make evidence-based prior authorization decisions. You are collaborative by nature and are energized by the opportunity to work in a highly integrated and matrixed culture. Managed care experience in a large commercial organization, such as at another Blue Cross & Blue Shield plan, a plus. If this sounds like you, apply to our Medical Director-Inpatient Utilization Management opportunity today! Iowa or South Dakota-based candidates preferred but open to remote for the right candidate. This full-time position will also work a rotating on-call schedule for weekend and holiday reviews. Qualifications Required Qualifications - Must have: Graduate of an accredited medical school; M.D. or D.O. degree is required. Active and unrestricted license to practice medicine in Iowa or Iowa Administrative Medical License is required within 3 months from date of hire AND must be licensed in the state in which you reside. While obtaining license, the incumbent will participate in training, provide operational guidance and advice, and participate in projects as assigned while licensure is pending approval. Current Board Certification in Emergency Medicine, Family Medicine, or Internal Medicine through the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). 3-5 years of adult inpatient clinical experience in an acute care hospital setting (e.g. inpatient unit or emergency department) sufficient to enable medical judgments regarding appropriateness of inpatient care, medical necessity, and post-acute care. Ability to participate in rotating on call schedule for weekends and holiday reviews. Strong analytical and critical thinking skills; makes sound evidence-based decisions. Demonstrated commitment to service excellence (timeliness, accuracy, quality) and advocacy for member care. Strong consulting and interpersonal skills. Quickly builds rapport and establishes credibility. Excellent verbal and written communication skills. Ability to communicate effectively and with clarity with internal and external audiences, and clinical peers, even when conveying difficult decisions and complex information. Strong change management skills. Creates a clear view of future state and inspires others to advance the vision. Ability to mentor and guide others and work within the teams. This includes sharing accountability, influencing without direct authority, and effectively listening to others. Self-starter with strong organization and time management skills. Flexible with changing priorities. Works well independently and collaborates as a member of a cross-functional team; ability to navigate in a dynamic corporate environment. Strong technical acumen. Learns new systems and processes quickly (e.g. Microsoft Office, clinical platforms, etc.). Preferred Qualifications - Great to have : Previous administrative medical experience (e.g. clinical coordination, medical consulting, health plan, provider group, hospital group, etc.). Additional Information What you will do as a Medical Director for Inpatient Utilization Management (UM): a. Demonstrate ability to apply clinical experience in the care of patients in an acute care hospital setting to render medical necessity determinations for adult acute inpatient care. The foundation for Wellmark's definition of medical necessity is Evidence-Based Medicine and evidence of sound clinical reasoning. b. Concisely, effectively, and consistently synthesize clinical information to document a clear summary for the basis of medical necessity determinations. The documentation in the UM record will reflect the ability to act timely and decisively based on the clinical records that were submitted to support the medical necessity for inpatient level of care. c. Develop an effective and collaborative relationship with Wellmark's UM leaders to continually improve the end-to-end UM process by providing ideas and feedback on improvement. Actively identify opportunities for process improvement or the need for new processes that are observed in the course of day-to-day work. Demonstrates openness to receiving and acting on constructive feedback. d. Defend UM decisions internally and externally using evidence-based medicine, sound clinical reasoning, and critical thinking skills. Actively listen for relevant new information and compelling counterarguments. Revise decision when the fact basis requires it. e. Demonstrate sound judgment by seeking consultation from leader on complex UM case reviews. f. Effectively engage in peer-to-peer calls. Seek to understand new information that the provider may offer. Effectively and concisely uphold the UM decision or revise the UM decision based on new information when necessary. g. Perform overflow Outpatient reviews as needed. h. Deep knowledge of, and proficiency in applying, Wellmark's medical policies, especially for commonly requested outpatient services. i. Participate in rotating on call schedule for weekend and holiday reviews. j. Other duties as assigned. This job requires a non-compete agreement. An Equal Opportunity Employer The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law. Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected] Please inform us if you meet the definition of a " Covered DoD official ". At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources: Nonimmigrant Workers and Green Card for Employment-Based Immigrants
    $219k-310k yearly est. 1d ago
  • Medical Director for Utah based Oncology-Hematology Pharmaceutical Company

    Archer Hires 4.6company rating

    Lehi, UT jobs

    We are interviewing immediately on behalf of a Utah-based pharmaceutical company with an immediate need for a Oncology/Hematology Medical Director. The company is extremely well funded, and specialize in phase 1 and 2 clinical trials. They are on pace to file 3 INDs this year. The company headquarters are at the base of the mountains and there are seven ski resorts within an hour of our clients new location. They offer outstanding compensation, sign on bonuses, executive relo package, stock, etc. Job Description The Medical Director contributes to the development and execution of early-stage clinical development. Prepares clinical trial protocols Monitors adverse events and study management Works closely with senior management developing and maintaining an innovative culture and environment. Qualifications Positions requires: M.D or D.O. with oncology research experience 3 years of industry experience OR outstanding educational/academic oncology/hematology clinical trials experience Additional Information Call me and I will be happy to go into further details. We are scheduling meetings immediately for the Utah company, and other nationwide clients, as well. re well situated, but know of colleagues considering changes, we offer up to $2000 referral rewards. A bit about us: Our partnership team specializes in placing clinical drug development professionals and represents clients ranging from small research labs to major biotech and pharma companies. Collectively we have orchestrated thousands of placements including over 300 with just one biotech client. I can be reached anytime (before and after hours and weekends are fine). I very much look forward to working with you. Always thanks. David Bates ***This position description is intended to identify some of the duties and responsibilities of this position. The employer reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at their sole and absolute discretion. Archer Hires is an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $166k-246k yearly est. 1d ago
  • Dermatologist - Medical Director (approximately ten percent FTE)

    CDR Companies 4.6company rating

    Tallahassee, FL jobs

    Evita Med Spa is seeking a board-certified Dermatologist to join our team as Medical Director at our Tallahassee location. This role serves as the clinical authority and strategic advisor of the med spa, overseeing all aesthetic medical services to ensure safe, effective, and ethical care. In this leadership role, the Medical Director, a board-certified dermatologist, is responsible for maintaining full compliance with Florida medical laws and regulations, while guiding clinical operations and standards of care. Key responsibilities include developing and enforcing protocols, supervising licensed medical staff, and advocating a culture of excellence in patient outcomes, safety, and professional integrity. ESSENTIAL FUNCTIONS: Develop, review, and periodically update clinical and supervisory protocols, including standard operating procedures (SOPs), treatment protocols, informed consent forms, and written supervisory guidelines that ensure compliance with current medical standards, legal requirements, and appropriate delegation of duties to licensed staff. Conduct periodic patient chart audits and treatment plan reviews to verify accuracy, compliance, and quality of care. Provide supervision of licensed medical staff (APRNs, PAs, RNs) in accordance with Florida Board of Medicine regulations. Ensure proper delegation of medical procedures, confirming that all staff operate within their licensed scope of practice and training. Provide timely clinical consultation and escalation during medical emergencies, complications, or adverse events, ensuring immediate intervention and patient safety. Oversee the ongoing management of complications, patient complaints, and post-treatment follow-up, including coordinating care, reviewing outcomes, and ensuring thorough documentation and resolution. Maintain compliance with Florida state laws and regulations related to medical supervision, delegation, and the use of FDA-regulated devices. Adhere to all applicable OSHA, HIPAA, and healthcare compliance standards governing medical practice in a clinical setting. Participate in monthly or quarterly meetings with the med spa leadership to review operational performance, clinical compliance, and patient care issues. OTHER PRINCIPAL DUTIES: Other duties that may arise from time-to-time commensurate with the title and position. Requirements Board certification in Dermatology is required. Active medical license in the State of Florida. Must be within 25 miles of their primary practice, as registered with the Board of Medicine. If in a different county, the county must be contiguous, and the distance must not exceed 75 miles from the primary practice (Leon, Gadsden, Wakulla, Jefferson). Must list the Med Spa location with the Florida Board of Medicine as a practice location and may supervise only one office in addition to the primary place of practice. Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree in Dermatology from an accredited institution. Exceptional verbal and written communication skills, with demonstrated empathy and professionalism in patient interactions. Proven leadership abilities with strong problem-solving skills. Positive, professional demeanor with a collaborative team spirit. Motivated to contribute to the growth and success of a dynamic med spa practice. Willingness to help grow a newer Medical Clinic. Passionate about delivering high-quality patient care and improving patient outcomes. Detail-oriented with a strong drive for excellence and achievement. Committed to maintaining the highest standards of patient safety and clinical quality. Demonstrated ability to handle sensitive and confidential information with discretion. CDR Health Care Inc./Evita Med Spa is an Equal Opportunity Employer M/F/D/V and EO/AAN/D. Must be able to work in the United States to apply.
    $166k-234k yearly est. Auto-Apply 60d+ ago
  • Dermatologist - Medical Director (approximately ten percent FTE)

    CDR Companies 4.6company rating

    Tallahassee, FL jobs

    Job Description Evita Med Spa is seeking a board-certified Dermatologist to join our team as Medical Director at our Tallahassee location. This role serves as the clinical authority and strategic advisor of the med spa, overseeing all aesthetic medical services to ensure safe, effective, and ethical care. In this leadership role, the Medical Director, a board-certified dermatologist, is responsible for maintaining full compliance with Florida medical laws and regulations, while guiding clinical operations and standards of care. Key responsibilities include developing and enforcing protocols, supervising licensed medical staff, and advocating a culture of excellence in patient outcomes, safety, and professional integrity. ESSENTIAL FUNCTIONS: Develop, review, and periodically update clinical and supervisory protocols, including standard operating procedures (SOPs), treatment protocols, informed consent forms, and written supervisory guidelines that ensure compliance with current medical standards, legal requirements, and appropriate delegation of duties to licensed staff. Conduct periodic patient chart audits and treatment plan reviews to verify accuracy, compliance, and quality of care. Provide supervision of licensed medical staff (APRNs, PAs, RNs) in accordance with Florida Board of Medicine regulations. Ensure proper delegation of medical procedures, confirming that all staff operate within their licensed scope of practice and training. Provide timely clinical consultation and escalation during medical emergencies, complications, or adverse events, ensuring immediate intervention and patient safety. Oversee the ongoing management of complications, patient complaints, and post-treatment follow-up, including coordinating care, reviewing outcomes, and ensuring thorough documentation and resolution. Maintain compliance with Florida state laws and regulations related to medical supervision, delegation, and the use of FDA-regulated devices. Adhere to all applicable OSHA, HIPAA, and healthcare compliance standards governing medical practice in a clinical setting. Participate in monthly or quarterly meetings with the med spa leadership to review operational performance, clinical compliance, and patient care issues. OTHER PRINCIPAL DUTIES: Other duties that may arise from time-to-time commensurate with the title and position. Requirements Board certification in Dermatology is required. Active medical license in the State of Florida. Must be within 25 miles of their primary practice, as registered with the Board of Medicine. If in a different county, the county must be contiguous, and the distance must not exceed 75 miles from the primary practice (Leon, Gadsden, Wakulla, Jefferson). Must list the Med Spa location with the Florida Board of Medicine as a practice location and may supervise only one office in addition to the primary place of practice. Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree in Dermatology from an accredited institution. Exceptional verbal and written communication skills, with demonstrated empathy and professionalism in patient interactions. Proven leadership abilities with strong problem-solving skills. Positive, professional demeanor with a collaborative team spirit. Motivated to contribute to the growth and success of a dynamic med spa practice. Willingness to help grow a newer Medical Clinic. Passionate about delivering high-quality patient care and improving patient outcomes. Detail-oriented with a strong drive for excellence and achievement. Committed to maintaining the highest standards of patient safety and clinical quality. Demonstrated ability to handle sensitive and confidential information with discretion. CDR Health Care Inc./Evita Med Spa is an Equal Opportunity Employer M/F/D/V and EO/AAN/D. Must be able to work in the United States to apply.
    $166k-234k yearly est. 18d ago
  • Associate Medical Director (Co-Leadership Role)

    EVB 4.2company rating

    Plainfield, IL jobs

    Brand-new facility featuring separate suites for surgery, radiology, dental, and feline care Fully equipped with digital dental radiography, ultrasound, EMR, and therapeutic laser Designed for growth, with multiple exam rooms and space for specialty expansion Supportive operations team and clinical staff ready to bring your vision to life Job Description Location: Plainfield, IL Are you ready to shape the future of veterinary care while stepping into a meaningful leadership role? Join a thriving, newly renovated veterinary hospital just 35 miles southwest of Chicago that blends cutting-edge medical care with community-focused values. We're seeking a dynamic Associate Medical Director to co-lead a state-of-the-art facility and help build a practice where people and pets alike feel at home. This is more than a job - it's a career-defining opportunity to co-own your impact and your future. What Makes This Role Unique? Leadership with Purpose : Partner with the Medical Director and a dedicated clinical team to foster a culture of collaboration, growth, and gold-standard care. Equity Opportunity : Access to our Leadership Equity Program - earn ownership in the company without cash investment. Career Growth : Influence hospital operations and clinical protocols while developing your own leadership path. Supportive Culture : Work in a high-trust, low-ego environment that prioritizes well-being and mentorship. Modern Facilities : Practice in a fully equipped hospital with digital dental radiography, EMR, ultrasound, therapeutic laser, and room to grow with specialty services. Qualifications Who You Are A veterinarian with clinical excellence and a genuine passion for client communication. A leader or aspiring leader who thrives on collaboration and mentorship. A problem solver who remains calm and confident in clinical or surgical pressure situations. Someone who values community and wants to make a long-term impact on a local level. Additional Information Estimated Compensation Range (Full-Time Medical Director): Base Salary: $150k - $250k/$300k+/year Plus: Production-based bonuses, equity partnership , and full benefits (health, CE, PTO, etc.) $50k signing/retention bonus
    $150k-250k yearly 1d ago
  • Medical Director & Practice Co-Owner

    EVB 4.2company rating

    Plano, TX jobs

    Brand-new facility featuring separate suites for surgery, radiology, dental, and feline care Fully equipped with digital dental radiography, ultrasound, EMR, and therapeutic laser Designed for growth, with multiple exam rooms and space for specialty expansion Supportive operations team and clinical staff ready to bring your vision to life Job Description Location: Plano, TX or Brookfield, WI Are you ready to lead with purpose and passion? We're seeking a Medical Director to co-lead a brand-new, high-tech veterinary hospital in a thriving community - and co-own it. This rare opportunity blends clinical leadership with ownership, offering a career-defining role where you'll shape the culture, guide the medical vision, and share in the long-term success of the practice. Whether you're based in Plano, Texas - a growing city that blends urban innovation with suburban comfort - or Brookfield, Wisconsin , known for its family-friendly charm and natural beauty - you'll be at the helm of something extraordinary. Why This Role Is Different Own Your Future : Access an equity partnership in a fast-growing veterinary group with no cash buy-in required . Leadership That Matters : Build your team, shape clinical protocols, and nurture a collaborative, positive work culture. Freedom to Practice : Tailor services to your medical passions - from surgery to diagnostics to specialty care - all within a fully equipped, modern facility. Balanced Lifestyle : Enjoy flexible hours, no weekends, and no after-hours on-call responsibilities. Additional Information Estimated Compensation Range (Full-Time Medical Director): Base Salary: $150k - $250k/$300k+/year Plus: Production-based bonuses, equity partnership , and full benefits (health, CE, PTO, etc.) $50k signing/retention bonus
    $150k-250k yearly 1d ago
  • Medical Director & Practice Co-Owner

    EVB 4.2company rating

    Brookfield, WI jobs

    Brand-new facility featuring separate suites for surgery, radiology, dental, and feline care Fully equipped with digital dental radiography, ultrasound, EMR, and therapeutic laser Designed for growth, with multiple exam rooms and space for specialty expansion Supportive operations team and clinical staff ready to bring your vision to life Job Description Location: Plano, TX or Brookfield, WI Are you ready to lead with purpose and passion? We're seeking a Medical Director to co-lead a brand-new, high-tech veterinary hospital in a thriving community - and co-own it. This rare opportunity blends clinical leadership with ownership, offering a career-defining role where you'll shape the culture, guide the medical vision, and share in the long-term success of the practice. Whether you're based in Plano, Texas - a growing city that blends urban innovation with suburban comfort - or Brookfield, Wisconsin , known for its family-friendly charm and natural beauty - you'll be at the helm of something extraordinary. Why This Role Is Different Own Your Future : Access an equity partnership in a fast-growing veterinary group with no cash buy-in required . Leadership That Matters : Build your team, shape clinical protocols, and nurture a collaborative, positive work culture. Freedom to Practice : Tailor services to your medical passions - from surgery to diagnostics to specialty care - all within a fully equipped, modern facility. Balanced Lifestyle : Enjoy flexible hours, no weekends, and no after-hours on-call responsibilities. Additional Information Estimated Compensation Range (Full-Time Medical Director): Base Salary: $150k - $250k/$300k+/year Plus: Production-based bonuses, equity partnership , and full benefits (health, CE, PTO, etc.) $50k signing/retention bonus
    $150k-250k yearly 1d ago
  • Medical Director Medical Affairs Oncology / Hematology

    Archer Hires 4.6company rating

    Santa Monica, CA jobs

    Transition from medical practice to BioPharma Industry Clinical Physician Real work/life balance. 40 hour work weeks. No malpractice. No huge patient loads. No insurance grief. Excellent compensation. Outstanding incentive/bonus programs. Full executive relocation packages. *Direct biopharma industry experience is preferred, but not required. However, prior experience conducting clinical trials as a Principal Investigator or Co-Principal Investigator is required. Job Description Medical Affairs Medical Director Oncology / Hematology Biopharma Company, East and West Coast The Medical Affairs Medical Director (MD) provides cross-functional leadership and medical guidance in the formation, refinement and execution of medical strategies as related to phase 3b and 4 clinical hematology/oncology studies. The Medical Affairs Medical Director is responsible for clinical and strategic leadership of medical affairs activities including launch readiness support and lifecycle management for late stage development in hematology/oncology. This includes development, administration and execution of the US medical plans as well as alignment with tactical global product strategies. Job Responsibilities • Clinical and strategic leadership of medical affairs activities including launch readiness support and lifecycle management for late stage development in hematology/oncology. •Provide strategic input for global development programs. •Collaborate with Global Development and Medical Affairs leads to ensure the Evidence Generation Plan and activities aligned with regional needs. •Develop and execute tactical Medical Affairs strategies related to external partner management, medical education, evidence generation and scientific communications • Work in conjunction with Early Development team to devise and implement high value strategies for pipeline expansion, acceleration and product life cycle development. • Enable a positive team environment and interact with regional and global clinical, scientific and marketing teams. Qualifications Basic Qualifications • MD or DO with Oncology or Hematology expertise. • Clinical trials experience as a Principal Investigator or Co-Principal Investigator, or prior direct biotech/pharmaceutical industry experience. Desirable Qualifications • Board certification or eligibility in Oncology or Hematology • 3-5+ years of pharma/biotech industry experience • Prior Oncology or Hematology clinical trials experience with working knowledge of GCP, scientific methodology, protocol design, and regulatory requirements designated for review by regulatory authorities. • Proven successful management of teams either directly, or in a matrix environment, with cross-functional responsibilities. • Excellent written and verbal communication skills with successful presentation capabilities. Additional Information A bit about us: Our recruiting partnership specializes in placing clinical drug development professionals and represents clients ranging from small research labs to major biotech and pharma companies. Collectively we have orchestrated thousands of placements including over 300 with just one biotech client. For further information, or to apply for any of our positions directly, conatct Recruiter David Bates at ************. I can be reached anytime (before and after hours and weekends are fine). I very much look forward to working with you. ***The above statements are intended to describe the general nature and level of the work being performed by the individual assigned to this job. They are not an exhaustive list of all duties and responsibilities associated with it. Archer Hires is an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $178k-268k yearly est. 1d ago
  • Medical Director, Structural Heart

    J&J Family of Companies 4.7company rating

    Irvine, CA jobs

    At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at ******************* **Job Function:** Medical Affairs Group **Job Sub** **Function:** Medical Affairs **Job Category:** People Leader **All Job Posting Locations:** Irvine, California, United States of America **Job Description:** **About MedTech** Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments. Are you passionate about improving and expanding the possibilities of Cardiovascular? Ready to join a team that's reimagining how we heal? Our Cardiovascular team develops leading solutions for heart recovery, electrophysiology, and stroke. You will join a proud heritage of continually elevating standards of care for stroke, heart failure and atrial fibrillation (AFib) patients. Your unique talents will help patients on their journey to wellness. Learn more at *******************/medtech This is a [hybrid] role available in Irvine, CA. We invite candidates from any location to apply. We are searching for the best talent for **Medical Director, Structural Heart** . **Role Purpose** The Director will have medical affairs responsibility in providing therapeutic and clinical expertise in support of the development of medical devices for the treatment of structural heart diseases. This position will play a pivotal role in shaping the medical direction of our structural heart business, ensuring compliance with regulatory standards and driving innovation in medical technology development. This role will provide strong strategic input on long term product opportunities and portfolio strategies related to structural heart interventions, work closely with the Clinical Research team in support of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management, and work closely with the R&D teams during product development and with marketing and commercial teams during product launches to provide training and education. The Director will help shape the industry and build strong relationships externally with key customers and stakeholders (Key Opinion Leaders, Interventional Cardiologists, Regulatory Agencies, Professional Societies, etc.) to anticipate industry trends, understand clinical/medical insights, unmet medical needs and global standards of care to deliver quality products/solutions. **What you will be doing:** **Clinical Leadership** + Lead the support for all clinical studies - both for regulatory purposes as well as physician initiated collaborative studies. They will be responsible and accountable for case support plan and execution, physician training, internal field training, training materials, data analysis, publication support and collection of data for supporting platform claims. + Contribute to the development and execution of product and/or procedural evidence generation and dissemination strategies for company sponsored and investigator initiated research. + Collaborate with evidence generation colleagues from Preclinical Research and Clinical Research teams in the USA and internationally to develop global strategies for evidence generation for new and existing products in order to support regulatory approval/clearance, health technology assessment, customer access and post-marketing support + Provide scientific expertise, oversight and approval for clinical trial concept, design, analysis and reporting of clinical research in assigned areas + Provide oversight for the development of materials to be used for study execution (investigator brochures, training materials, etc.) + Work closely with Medical Safety team to ensure adverse events from clinical research studies are reviewed, trended and escalated as needed + Provide scientific input and expertise in the analysis of study results + Work with Regulatory and Clinical partners to prepare report on clinical investigations in preparation for submission to regulatory agencies and/or for publication, to meet evidence requirements + Account for the medical content of internal product documentation and regulatory submissions for new products and for renewals. + Safeguard patient safety. + Approve Design History Files, Technical Guides and Clinical Evaluation Reports (CERs) as part of the creation of product-specific design dossiers/technical files + Review and approve educational, promotional and reporting materials for use by internal stakeholders. + Strategize and prioritize publication proposals in collaboration with Clinical Science. **Cross Function Collaborations** + Work with business partners including but not limited to R&D, Clinical Research, Business Development, Regulatory Affairs, Quality & Compliance, Health Economics & Market Access, and Professional Medical Education to influence overall regulatory and commercial strategy, as well as support product development, pre- and post-approval clinical studies, downstream claims, safety assessments, and product launch and training. + Have a leadership role in governance forums including Business Unit leadership teams, cross-functional product core teams, EGS teams, portfolio/strategy management teams, and Safety and Quality Review Boards. + Support the commercial launch of the platform by activating sites, providing physician training, and collect regular feedback on product performance and improvements. + Provide support to Marketing, R&D, Communications, Legal, Quality Assurance/Risk Management/Product Safety and Commercial teams by providing medical and scientific insights to drive optimal business strategic direction and tactical business activities **External Engagements** + Engage Key Opinion leaders, Professional Societies, Payers and Providers to understand trends in care and uncover critical insights to support product innovation + Develop relationships with top academic leaders who are investigating structural heart interventions + Collaborate with other functions interacting with structural heart interventions customers / physicians + Ability and willingness to travel up to 35% of the time **Program Oversight and Team Development** + Align strategy, budget and resource allocation in close partnership with the cross-functional partners. + Recruit, mentor, and support the professional growth of the Structural Heart Interventions Medical Affairs team + Responsible for ensuring subordinates follow all Company guidelines related to Health, Safety and Environmental practices and that all resources needed to do so are available and in good condition + Responsible for ensuring personal and Company compliance with all Federal, State, local and Company regulations, policies, and procedures **Qualifications** **Education** + A degree in medicine (MD, DO, etc.) with training in Interventional Cardiology is required. **Experience and Skills:** + Minimum 10 years relevant experience in related studies such as Structural Heart Interventions is required. + Relevant business experience in product development for Structural Heart Interventions. is highly desired. + Cardiovascular industry and structural heart interventions knowledge strongly preferred with proven ability to learn complex technology/clinical applications is required. + Significant experience with clinical research is required. + Strong leadership skills and demonstrated ability to build successful relationships with internal and external partners globally is required. + Previous people management experience is required. + Demonstrated capability, expertise and success in building teams to meet the needs of a global set of businesses is preferred. + Strong communication and negotiation skills to successfully influence and implement policy with key customers and partners is essential. + Must be able to collaborate well with multiple partners and work effectively in a matrix environment. + Previous industry experience leading Medical/Clinical teams in a regulated, commercial biomedical or medical device business is strongly preferred. + Experience in product risk evaluation and mitigation is preferred. + Demonstrated success in medical data generation, interpretation and publications is highly preferred. + A willingness and ability to travel approximately 35% domestic and international is required. The anticipated base pay range for this position is 160,000 - 276,000. At Johnson & Johnson, we're on a mission to change the trajectory of health for humanity. That starts by creating the world's healthiest workforce. Through innovative programs and policies, we empower the physical, mental, emotional and financial health of our employees and the ones they love! At Johnson & Johnson, we offer a variety of outstanding health and financial benefits, including competitive compensation, 401k, pension, medical, dental, and vision insurance, exercise reimbursement, flexible time off, paid volunteer and parental leave, and more! For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit ******************* . Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. _Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation,_ **_external applicants please contact us via_** **_*******************/contact-us/careers_** **_. internal employees contact AskGS to be directed to your accommodation resource._** **_\#PULSE #EP_** **Required Skills:** **Preferred Skills:**
    $218k-311k yearly est. 60d+ ago
  • Chief Media Officer

    Acquisition.com 4.5company rating

    Las Vegas, NV jobs

    Role Our goal is to make real business education accessible to everyone, as the Chief Media Officer you are one of the most important teammates in helping steward that vision to life. The Chief Media Officer at Acquisition.com is the architect of our media ecosystem - responsible for turning the brand, personalities, and intellectual property of Acquisition.com into the most trusted and powerful educational and business media platform in the world. The CMO's job is to: Scale the reach of our thought leadership (Alex, Leila, Sharran, and corporate Acquisition.com) to tens of millions of entrepreneurs worldwide. Power the Acquisition.com flywheel by creating content that drives demand into the Advisory Practice, Venture Capital Portfolio ultimately amplifying deal flow into our PE Portfolio. Protect and elevate the brand so Acquisition.com remains positioned as a trusted institution, not a “guru business.” Innovate at the edge by embedding AI, automation, and proprietary systems into creative workflows, making us the most technologically advanced media organization in our category. This role is not about running social media accounts it's about transforming Acquisition.com into a category-defining media company that reinforces our mission: to make real world business education accessible to everyone . Responsibilities1. Brand Strategy & Narrative Own the brand narrative across all channels, ensuring every touchpoint reinforces Acquisition.com's mission and positioning as “the business that builds businesses.” Shape distinct yet aligned strategies for: Alex Hormozi: Flagship educator brand (books, long-form thought leadership, tactical playbooks). Leila Hormozi: Leadership, culture, scaling, and organizational excellence. Sharran Srivatsaa: Strategic investing, scaling portfolios, finance, leadership and advisory authority. Acquisition.com Corporate: The umbrella brand that ties together free content, Advisory Practice, and Investment arms. Develop a tiered media strategy: mass reach content (free), credibility-building content (brand + PR), and conversion-driven content (funnels into inbound leads). 2. People & Organizational Infrastructure Build a multi-brand, multi-platform media org with pods dedicated to: long-form video, short-form content, podcasts, PR & publishing, paid growth, and platform innovation. Recruit, develop, and retain top creative, editorial, and operational talent who want to grow under the Acquisition.com banner. You must exhibit strong people leadership to build the size organization we wish to build . Create clear role ladders and growth pathways to address team feedback around career development and role clarity. Establish redundancies and cross-training to eliminate key-man risk (e.g., editing, thumbnails, platform strategy). 3. Content & Creative Direction Translate company initiatives (e.g., $100M Money Models launch, Advisory Practice L1-L3 funnel, portfolio investments) into content campaigns that educate, inspire, and convert. Drive platform-specific excellence (e.g., optimizing YouTube long-form, TikTok virality, LinkedIn authority). Build content franchises that become synonymous with Acquisition.com (e.g., “Cash Cows,” “Do the Opposite,” vlogs/BTS, book-backed campaigns). 4. Systems, Data & AI Integration Oversee adoption of project management systems (Asana, ClickUp, etc.) to streamline production and accountability. Build a real-time media dashboard with clear KPIs (impressions, engagement, CTRs, funnel impact, CAC lift, etc.) visible across Media, Marketing, and Sales. Lead the AI-first transformation of media: leveraging AI for editing, copywriting, thumbnail/title testing, and data-driven creative decision-making. Document playbooks and SOPs to ensure consistency, scalability, and faster onboarding of new hires. 5. Cross-Company Integration Work hand-in-hand with: Marketing & Sales → ensure media campaigns are tightly coupled with launches, lead magnets, and funnel performance. Advisory Practice → use media to elevate the perception of our Advisory Practice, codify expertise into shareable formats, and highlight client successes. Investments → amplify portfolio stories and demonstrate Acquisition.com's business expertise reinforcing our positioning. Ensure media is measurably driving growth across all three company divisions: $100M Brand, Advisory Practice, and Portfolio. Results Expected Reach & Impact: Double impressions, subscribers, and audience touchpoints year over year. Flywheel Contribution: Media drives measurable increases in Advisory Practice pipeline and portfolio visibility. Differentiation: Acquisition.com is seen as the #1 educational authority in entrepreneurship-trusted, institutional, and above the noise. Systems & Scale: Media team operates with clarity, accountability, and speed-able to 3-5x output without sacrificing quality. Culture & Talent: Acquisition.com is recognized as the best place in the industry for media professionals to grow their careers . Requirements 10-15+ years in media leadership with proven ability to scale multi-brand ecosystems. Experience growing both personal brands and corporate brands at enterprise scale. Track record of building and leading teams of 30-100+ creatives/strategists. Fluency in all major platforms + deep understanding of content formats, growth levers, and monetization. Expertise in organizational design, data-driven storytelling, and AI/automation. Strong executive presence-comfortable operating as a member of the C-suite and shaping company strategy. Compensation $375,000-$475,000 + bonus Relocation Package Details We offer a comprehensive relocation package to support your move. This includes temporary housing, assistance with moving expenses, and coverage of housing transition costs. Full details will be shared during the interview process. Benefits: We offer a comprehensive, evolving benefits package designed to support your health, family, and wellbeing. Some key offerings: Flexible Unlimited Paid Time Off and Company-wide Holidays Employer sponsored Medical, Dental, & Vision plans $900 annual Employer HSA contribution FSA options including dependent care Employee assistance program and mental health resources Employer match program for 401(k), eligible for both Traditional and Roth accounts $1,200 annual wellness reimbursement through JOON that supports health, family care, pet care, fitness, and more! For local or visiting team members, enjoy access to a state of the art gym at our HQ in Las Vegas * Benefits eligibility applies only to full-time roles. ACQ Core Values: Our core values are the heart and soul of this incredible company. The right person for this role will appreciate each of these values, personally subscribe to them, and understand why each is critical to having a great business. Competitive Greatness Be at your best when your best is needed. Enjoyment of a hard challenge. Those who have the drive to constantly improve, the superior intellect and long term commitment to see incremental improvements become compounding returns. Sincere Candor Have the self awareness to accurately perceive and communicate hard truths that improve others and self, the courage to do so, and the humility to accept them, even when it hurts. Nothing great can be built without feedback: internally or externally. Unimpeachable Character Be the type of person with whom people are always proud to associate, personally and professionally. We look for true alignment of thoughts, words, and actions towards a goal worth pursuing.
    $150k-236k yearly est. Auto-Apply 60d+ ago

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