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Chief Medical Officer jobs at Hackensack Meridian Health - 205 jobs

  • Family Medicine Residency Program Director/Medical Director

    Hackensack Meridian Health 4.5company rating

    Chief medical officer job at Hackensack Meridian Health

    Hackensack Meridian Health is seeking an experienced, visionary, and passionate Program Director / Medical Director to lead the Family Medicine Residency Program at JFK University Medical Center. This is an outstanding leadership opportunity for a dedicated physician committed to academic excellence, clinical innovation, and the training of the next generation of family medicine physicians. Position Overview: The Program Director will provide strategic and operational leadership for the Family Medicine Residency Program, ensuring full compliance with ACGME and institutional requirements. This role is responsible for cultivating a supportive and academically rigorous learning environment, fostering faculty development, and ensuring the continued success of the program. As Medical Director of the Family Medicine Center, the selected physician will oversee day-to-day clinical operations, quality and safety initiatives, and patient care processes aligned with Joint Commission and NCQA Patient-Centered Medical Home standards. The Medical Director will serve as a role model for compassionate, evidence-based care, and an advocate for both patients and staff. Key Responsibilities: Provide strategic leadership and direction for the Family Medicine Residency Program in collaboration with department and institutional leadership. Oversee the design, implementation, and evaluation of the residency curriculum, ensuring alignment with ACGME milestones and competencies. Recruit, mentor, and develop residents and faculty to foster excellence in teaching, research, and clinical practice. Ensure continuous program improvement through data-driven assessment, scholarly activity, and adherence to accreditation standards. Direct and support quality improvement initiatives to enhance patient outcomes, safety, and satisfaction. Maintain clinical engagement (approximately 20% clinical time) providing high-quality, patient-centered care within the Family Medicine Center. Oversee compliance with institutional, state, and federal regulations related to residency education and clinical operations. Collaborate with health system leadership on strategic planning, budgeting, and staff development initiatives. Promote diversity, equity, and inclusion within the residency program and clinical environment. Qualifications: MD or DO degree with Board Certification in Family Medicine (ABFM or AOA). Minimum of 5 years of progressive leadership experience in graduate medical education and clinical practice. Demonstrated expertise in curriculum development, faculty mentorship, and quality improvement initiatives. Proven ability to lead and inspire teams, manage complex academic programs, and drive innovation in medical education. Excellent communication, organizational, and interpersonal skills. Eligibility for medical licensure in New Jersey. HOW TO APPLY: Nancy Massa, Physician Recruiter Email: ******************** Phone: ************ (Call or Text) HMH is committed to pay equity and transparency for our team members. The minimum base salary for this position is $280,035. The posted rate of pay in this job posting is a reasonable good-faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting base salary is provided for informational purposes only and is not a guarantee of a specific offer. The base compensation determined at the time of the offer may be different than the posted base salary based on a number of non-discriminatory factors, including but not limited to: Specialization: Area of specialization and sub-specialization. Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant experience in the areas of specialization and sub-specialization. Leadership: Relevant experience as a department chair or chief, practice group leader, or other leadership roles. Education and Certifications: Degrees attained, residencies, fellowships, board certifications, research, and publications. Productivity: Levels of productivity, quality and patient satisfaction. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the specialty and/or sub-specialty. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. In addition to our compensation for full-time and part-time (20+ hours/week) positions, HMH offers a comprehensive benefits package, including health, dental, vision, tuition reimbursement, and retirement benefits. The final compensation and benefits package will be discussed during the interview process.
    $280k yearly 3d ago
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  • Director, Development - Raritan Bay Medical Center

    Hackensack University Medical Center 4.5company rating

    Chief medical officer job at Hackensack Meridian Health

    Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Reporting to the Senior Vice President of Healthcare Development, with a dotted line reporting to the Chief Hospital Executive (CHE), the Director, Development functions as the lead development officer for the general and active management of the affairs of the hospital foundation. Responsibilities include working collaboratively with the CHE to ensure the development and execution of approved fundraising plans and a comprehensive, integrated fundraising program, as well as monitoring of financial assets and fund allocation, in consultation with the hospital foundation Board and HMH Foundation Operations. The Director provides leadership to the board to motivate and execute a comprehensive, compelling and successful fundraising plan. This is an on-site position with some travel throughout NJ region. Responsibilities A day in the life of a Director, Development at Hackensack Meridian Health includes: * In collaboration with the CHE and Senior Vice President of Healthcare Development, manage the affairs of the hospital foundation, including but not limited to: Developing, executing and monitoring a comprehensive development program; setting and achieving goals; legal, financial and general management; Board management and trustee recruitment. * Responsible for setting realistic, challenging goals and directing major gift activity aimed at meeting those goals within budget. * Develop and maintain senior level communication with CHE, Board of Trustees and Senior Vice President of Healthcare Development to align priorities, goals and strategies in the creation and implementation of a comprehensive development program for the hospital. Maintain high visibility with and participate in management groups and maintain a regular physical presence at the medical center. Ensure that fund raising strategies are consistent with hospital and network goals and work closely with leaders on collaborative projects. * Manage a portfolio of major gift donors and prospects. Create and execute cultivation, solicitation and stewardship strategies for donors and prospects. Work closely with affiliated foundations to ensure appropriate solicitation and minimal duplication in crossover catchment areas. * Provide leadership and support to the hospital foundation Board of Trustees. Recruit and orient new trustees, prepare annual budgets and plans, report regularly to board on progress against goals, motivate Board effectiveness and ensure the effective involvement of trustees with all hospital foundation activities. Effectively articulate strategy to the board, motivate trustees and direct board activities necessary to achieve results. * Oversee the coordination of activities with planned giving, annual fund, grants and strategic events departments for the successful implementation of related programs and achievement of goals in these areas. * Recruit hosts for and coordinate appropriate cultivation gatherings of prospects at various educational, social and hospitality events. * Collaborate effectively as part of the hospital's leadership team to ensure that the hospital's philanthropy objectives are met through developing important relationships with physicians, nurses and staff to promote a culture of philanthropy and grateful patient prospect pipeline. * Work collaboratively with physicians and help to engage grateful patients in fundraising for the hospital. Must maintain patient confidentiality. 10. Act as a liaison between program members, the Foundation, and clinicians and administrators, navigating the health care system on behalf of Foundation Signature Services program members, nurturing donor relationships, and providing continuity of a consistently high level of service. Express genuine compassion and ability to maintain confidentiality. * If applicable, participate in auxiliary meetings and events to help achieve compliance and to provide funding information, as well as secure auxiliary funding. * Other duties and/or projects as assigned. * Adheres to HMH Organizational competencies and standards of behavior. Qualifications Education, Knowledge, Skills and Abilities Required: * Ten or more years of professional experience in the development field. * Demonstrated success with major gifts and campaigns. * Established track record closing six- and seven-figure gifts independently. * Bachelor's degree in a related field. * Highly functional with Google and People Soft software platforms. * Highly articulate and professional with strong oral and written communication skills. Education, Knowledge, Skills and Abilities Preferred: * Experience managing legal, financial, and general management responsibilities for a not-for-profit organization. * Masters degree or specialized certification. * Certified Fund Raising Executive (CFRE). * Experience in a healthcare environment, preferably a hospital system. * Experience working with Raiser's Edge and/or other fundraising/CRM management software. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! Compensation Minimum rate of $124,571.20 Annually HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: * Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. * Experience: Years of relevant work experience. * Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. * Skills: Demonstrated proficiency in relevant skills and competencies. * Geographic Location: Cost of living and market rates for the specific location. * Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. * Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits. HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran. Our Network Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience. Apply Save Job saved
    $124.6k yearly Auto-Apply 60d+ ago
  • REMOTE - Medical Director, Health Plan

    Martin's Point Health Care 3.8company rating

    Portland, ME jobs

    Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Medical Director (MD) provides clinical leadership and direction to the utilization & care management functions of Martin's Point's Health Plans. The MD works collaboratively with other plan functions that interface with Medical Management such as Health Management, Compliance and Appeals, , Network Management, Member Services, benefits & claims management, and Compliance. In this role, there is the opportunity to assist in or drive short and long-range clinical programming, quality management, and external relationships. The Medical Director reports to the Vice President Health Plan Medical Director and works closely with the other Health Plan leaders. Job Description Key Outcomes: Responsible and accountable to the Health Plan Medical Director for helping to manage health plan medical costs by assuring clinically appropriate health care delivery for health plan products and services utilizing Evidence-Based Guidelines to ensure the right service at the right time and place for each member Performs medical necessity reviews of requests for health plan-covered services (benefits). Reviews disputes and appeals of said services for clinical appropriateness and in compliance with government program rules Contributes to case reviews to ensure the quality and safety of care and services delivered to Martin's Point Health Plan members. Assists in the construction of the annual Utilization Management, Care Management, and Disease Management Program Descriptions and works to ensure the programs meet accreditation and regulatory standards (e.g. NCQA, CMS, TRICARE) Participates in medical policy review and policy development. Works with Informatics, Network Management, and Medical Economics to create and maintain a system where Network providers are properly assessed in regard to cost management and develops a plan and schedule for communication and solutioning with outliers. Develops an in-depth understanding of ACOs and contributes to their management and strategic deployment. Provides support to Health Plan risk adjustment activities as needed. Is conversant with Health Plan key performance metrics, in particular utilization and cost management goals, MLR , inpatient days/1000, SNF days/1000, and clinical quality improvement (QI) objectives, including HEDIS and how to drive improvement in these areas Education/Experience: Board certified physician with post-graduate experience in direct patient care required Medical leadership in, or focused activity of, a Health Plan (preferred) Knowledge of process improvement tools Experience in Health Plan utilization management Experience in Medicare Advantage and/or TriCare preferred Required License(s) and/or Certification(s): Active and unrestricted license to practice medicine in Maine or New Hampshire; or another U.S. state with eligibility to apply for and obtain additional state licensure. Current, or ability to have some, active clinical work with patients Skills/Knowledge/Competencies (Behaviors): Deep knowledge and practical understanding of Health Care systems and Managed Care concepts Knowledge and deep commitment to performance-based Health Plan systems Good analytic skills with the ability to identify meaningful trends and targets for improvement Excellent interpersonal skills and demonstrated ability to establish rapport and working relationships with providers, service vendors and internal staff Willingness to explore innovative methods of providing medical management Supports the culture and models the MPHC values This position is not eligible for immigration sponsorship. We are an equal opportunity/affirmative action employer. Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a 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 ***************************** Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************
    $250k-353k yearly est. Auto-Apply 15d ago
  • Behavioral Health Medical Director

    Caresource 4.9company rating

    Remote

    The Behavioral Health Medical Director is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: Assume responsibility for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing Serve as the clinical lead in developing and implementing evidenced based clinical policies and practices Participate in regulatory/accreditation reviews Assume key role in quality improvement initiatives, case management activities and member safety activities (i.e. incident management) BH coverage determination for utilization management to ensure members receive appropriate and medically necessary care in the most cost-effective setting Oversight and quality improvement activities associated with case management activities Provide guidance to BH orientation and network development/ recruitment in conjunction with provider relations, value-based contracting, support of episodes of care and full integration of BH services Assist in the review of utilization data to identify variances in patterns, and provide feedback and education to MCP staff and providers as appropriate Represent CareSource as the primary clinical liaison to members, providers and State agencies Support of regulatory and accreditation functions (e.g. CMS, State, NCQA and URAC) and compliance for all programs Participate in the development, implementation and revision of the clinical care standards and practice guidelines ensuring compliance with nationally accepted quality standards Participate in the development, implementation and revision of the Quality Improvement Plan and corporate level quality initiatives Collaborate with market/product leaders to help define market strategy Community collaborative participation Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns Provide cross-coverage for other Medical Directors and/or markets, as needed Support staff by providing training, clinical consultation, and clinical case review for members including Medical Advisement meetings Perform any other job duties as requested Education and Experience: Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required Successful completion of a residency training program in psychiatry is required Minimum of three (3) years of clinical practice experience is required Experience in safe prescribing is required Managed care medical review/medical director experience is preferred Competencies, Knowledge and Skills: Basic Microsoft Word skills Excellent communication skills, both written and oral Ability to work well independently and within a team environment Ability to create strong relationships with Providers and Members Previous Institute for Healthcare Improvement (IHI) or equivalent training participation is preferred High ethical standards Attention to detail Critical listening and systematic thinking skills Ability to maintain confidentiality and act in the company's best interest Ability to act with diplomacy and sensitivity to cultural diversity Decision making/problem solving skills Conflict resolution skills Strong sense of mission and commitment of time, effort and resources to the betterment of the communities served Ability to analyze healthcare data from a variety of sources to evaluate physician practice patterns Leadership experience and skills Licensure and Certification: Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required Board Certification in Psychiatry is required Re-certification, as required by specialty board, must be maintained MCG Certification is required or must be obtained within six (6) months of hire Working Conditions: General office environment; may be required to sit or stand for extended periods of time May be required to work evenings/weekends May be required to travel in-state to fulfill duties of position Compensation Range: $195,200.00 - $341,600.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SW2
    $195.2k-341.6k yearly Auto-Apply 25d ago
  • PM&R Medical Director(Preferred Experience In Managed Care)

    Caresource 4.9company rating

    Remote

    The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and clinical review services Participate in peer-to-peer discussions Provide provider education, training, data sharing, performance evaluations and orientation to the plan Conduct clinical reviews for designated CareSource members as requested Provide physician review for clinical appeals cases Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns Participate in development of policies and procedures Participates in quality improvement initiatives, case management activities and member safety activities (i.e. incident management Provide cross-coverage for other Medical Directors and/or markets, as needed Oversight and quality improvement activities associated with case management activities Assist in the review of utilization data to identify variances in patterns, and provide feedback and education to MCP staff and providers as appropriate Participate in the development, implementation and revision of the clinical care standards and practice guidelines ensuring compliance with nationally accepted quality standards Participate in the development, implementation and revision of the Quality Improvement Plan and corporate level quality initiatives Collaborate with market/product leaders to help define market strategy Community collaborative participation Support of regulatory and accreditation functions (eg. CMS, State, NCQA and URAC) and compliance for all programs Perform any other job related instructions, as requested Education and Experience: Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required Successful completion of a residency training program, preferably in primary care is required Minimum of five (5) years of clinical practice experience is required Managed care medical review/medical director experience is preferred Bachelor's or Master's degree in Business Administration, Operational Excellence, Healthcare Administration or Medical Management is preferred Competencies, Knowledge and Skills: Basic Microsoft Word skills Excellent communication skills, both written and oral Ability to work well independently and within a team environment Ability to create strong relationships with Providers and Members High ethical standards Attention to detail Critical listening and systematic thinking skills Ability to maintain confidentiality and act in the company's best interest Ability to act with diplomacy and sensitivity to cultural diversity Decision making/problem solving skills Conflict resolution skills Strong sense of mission and commitment of time, effort and resources to the betterment of the communities served Licensure and Certification: Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required Board Certification, preferably in primary care specialty is required Re-certification, as required by specialty board, must be maintained (exceptions may be granted by Chief Medical Officer) MCG Certification is required or must be obtained within six (6) months of hire Working Conditions: General office environment; may be required to sit or stand for extended periods of time May be required to work evenings/weekends May be required to travel to fulfill duties of position Compensation Range: $191,400.00 - $334,900.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SW2
    $191.4k-334.9k yearly Auto-Apply 52d ago
  • Per Diem Health Plan UM Medical Director

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan UM Medical Director Qualifications Education: MD or DO required Licenses and Credentials: Physician - Massachusetts active full license required Experience: 5+ years of Health Plan UM experience at least 5 years of clinical practice experience Knowledge, Skills and Abilities: Utilization Management experience Excellent written and oral communications skills Proficient in basic computer skills, use of EHR's, digital tools Multitasking abilities Adaptable to change due to business growth Job Description: Handles utilization management initial determinations, appeals and grievances within the scope of their expertise as defined by Medicare, MassHealth, NCQA and the Division of Insurance and within the compliance requirements of key regulatory and accreditation entities Use CMS, state and internal medical necessity policies to guide MN determinations Complete peer to peer case discussions with requesting providers as assigned Refer to IRO/external review if specialist match or expertise is needed Interact, communicate and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Monitors performance metrics to identify areas for continuous improvement and ensure compliance Establishes and maintains positive relationships with colleagues and customers and gains their trust and respect Ensure diversity, equity and inclusion are integrated as a guiding principle Other duties as assigned with or without accommodation Additional Job Details (if applicable) Primarily remote position M-F 830-5pm EST Ensures that all assigned work is completed within regulatory timelines Checks and addresses assigned work queues, email, Teams messages during assigned work hours Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 0 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Balance Sheet Cost Centers is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $206k-287k yearly est. Auto-Apply 14d ago
  • Health Plan Medical Director

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated. We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more. Under the direction of the Senior Medical Director, the Medical Director leads as a senior physician at the health plan. This position works closely with the Senior Medical Director in providing medical management leadership for clinical services operations and programs. This role focuses on and has expertise in utilization management, health plan quality and accreditation, care management, and other health plan functions. Qualifications Licensure and Credentials: Must maintain an active full physician license in Massachusetts Experience: 3-5 years of Health Plan experience at least 5 years of clinical practice experience Job Duties: Handles utilization management initial determinations, appeals and grievances within the scope of their expertise as defined by Medicare, MassHealth, NCQA and the Division of Insurance and within the compliance requirements of key regulatory and accreditation entities •Reviews clinical services and quality incidents when sufficiently serious to merit physician involvement •Coverage of medical necessity determinations to support special investigations/fraud waste and abuse cases •Collaborates on health plan medical policy development •Assesses new, emerging, and existing technologies to determine appropriateness of health plan coverage •Partners with clinical leaders to ensure medical service expenditures remain within budget •Collaborates with business development, quality, finance and medical management teams to promote improvements in the quality and cost efficiency of care throughout the MGB Health Plan provider network •Delivers consultation to network management staff and deployment of education programs for network clinicians •Develops and delivers presentations for clinical staff on current topics relevant to MGB Health Plan members and network •May represent MGB Health Plan at a variety of external forums and committees •Interact, communicate and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees •Monitors performance metrics and audits to identify areas for continuous improvement and ensure compliance •Anticipates and meets or exceeds internal and/or external customer expectations and requirements; establishes and maintains positive relationships with customers and gains their trust and respect •Build strong relationships and infrastructure that designate MGB Health Plan as a people-first organization •Ensure diversity, equity and inclusion are integrated as a guiding principle •Other duties as assigned with or without accommodation Additional Job Details (if applicable) Primarily remote position, exempt •In person meetings as requested for business needs •Participates in after hours and weekend call rotation as assigned Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $206k-287k yearly est. Auto-Apply 45d ago
  • Senior Medical Director, Multi-Cancer Early Detection (MCED)

    Carislifesciences 4.4company rating

    Remote

    At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Senior Medical Director for Multi-Cancer Early Detection (MCED) will serve as a senior physician-executive leader responsible for guiding the medical, scientific, and clinical strategy for Caris' rapidly evolving MCED portfolio. This role provides high-impact medical leadership across clinical development, product innovation, evidence generation, regulatory strategy, and external scientific engagement. The ideal candidate is a nationally recognized physician with substantial experience in oncology, cancer screening, early detection methodologies, and/or molecular diagnostics. This leader will ensure Caris' MCED initiatives are clinically rigorous, patient-centric, and aligned with emerging scientific and regulatory standards. They will collaborate extensively with internal teams-including R&D, Clinical Development, Regulatory, Commercial, and Medical Affairs-as well as external stakeholders, KOLs, investigators, and regulatory bodies. This is a high-visibility role for an executive with deep clinical insight, strategic vision, and exceptional communication and public-facing skills. Job Responsibilities Provide medical, scientific, and clinical expertise for MCED strategy, clinical protocols, regulatory submissions, and study design. Serve as the principal internal medical authority for MCED programs, ensuring scientific rigor and alignment with corporate objectives. Interpret and communicate clinical and analytical performance data, including safety, efficacy, and real-world evidence. Oversee development of scientific publications, abstracts, peer-reviewed manuscripts, and presentations. Partner cross-functionally with Regulatory, Clinical Operations, Biostatistics, R&D, Product, Market Access, and Commercial teams to ensure seamless program execution and clinical relevance. Engage and cultivate relationships with external experts, investigators, clinical partners, advocacy groups, and regulatory agencies. Act as the lead internal physician representing the clinical user experience and real-world clinical workflows for Caris' MCED products. Represent Caris at national and international scientific meetings, advisory boards, and industry forums. Monitor emerging trends in oncology, early detection, liquid biopsy, genomics, biomarkers, and relevant clinical practice guidelines to inform strategy and innovation. Required Qualifications MD (or equivalent) with board certification in oncology, hematology, clinical pathology, or a related specialty. ≥5 years of direct patient care experience, ideally in oncology or a related field with exposure to cancer screening and diagnostic pathways. ≥5 years of experience in clinical development or product development, ideally within oncology diagnostics, screening, or early detection technologies. Demonstrated expertise in biomarker-driven oncology, molecular diagnostics, cancer screening methodologies, or liquid biopsy platforms. Strong understanding of clinical trial design, evidence generation, and regulatory considerations for diagnostic products. Outstanding written and verbal communication skills, with experience presenting to scientific, clinical, and executive audiences. Proven ability to lead in a fast-paced, matrixed environment while managing multiple priorities. Familiarity with health economics, outcomes research, and real-world evidence generation relevant to diagnostic adoption. Preferred Qualifications Direct experience interacting with regulatory authorities (e.g., FDA, EMA) with successful contributions to submissions for diagnostic or screening technologies. Prior leadership experience in industry within diagnostics, biotech, or medtech with focus on oncology or early detection. Established network among oncology KOLs, screening experts, pathology leaders, and/or clinical investigators. Physical Demands Ability to sit or stand for extended periods. Ability to perform repetitive motions. Ability to lift up to 25 pounds. Training All required job-specific, safety, and compliance training will be assigned based on job functions. Other Requirements This role requires frequent travel to scientific conferences, investigator meetings, customer engagements, and internal leadership meetings. Some evening, weekend, and holiday availability may be required. Annual Hiring Range $340,000 - $400,000 Actual compensation offer to candidate may vary from posted hiring range based upon geographic location, work experience, education, and/or skill level. The pay ratio between base pay and target incentive (if applicable) will be finalized at offer. Description of Benefits Highly competitive and inclusive medical, dental and vision coverage options Health Savings Account for medical expenses and dependent care expenses Flexible Spending Account to pay for certain out-of-pocket expenses Paid time off, including: vacation, sick time and holidays 401k match and Financial Planning tools LTD and STD insurance coverages, as well as voluntary benefit options Employee Assistance Program Pet Insurance Legal Assistance Tuition Assistance Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
    $340k-400k yearly Auto-Apply 42d ago
  • Medical Director

    Accuity Delivery Systems 4.2company rating

    Mount Laurel, NJ jobs

    The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding. The Medical Director is responsible for capturing the true clinical picture in a manner compliant with federal laws and the healthcare organization's information privacy practices through identification of coding and physician query opportunities. The Medical Director is responsible for overseeing every chart assigned to their team. The Medical Director works with the DRG Integrity Specialist to confirm the principal diagnosis and the appropriate Diagnosis Related Group (DRG) of every case in compliance with coding guidelines. This process also involves the Medical Director confirming procedures, dates, and complication or comorbidity (CC) or major complication or comorbidity (MCC) when used as a secondary diagnosis. The Medical Director validates clinical indicators for coded diagnoses, capturing the patient's condition and ensuring the accuracy of the severity of illness and risk of mortality for the patient to illustrate the true clinical picture of the episode of care. PRIMARY JOB RESPONSIBILITIES: Provide clinical leadership in an inter-disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence Maintain a functional and collaborative relationship with the DRG Integrity Specialist to achieve shared company goals Comply with medical and federal guidelines at all times Resolve conflicts quickly and professionally Stays up to date with medical guidelines, advancements within his or her field, and client-specific criteria Responsible for the quality of their teams work by developing and implementing strategic goals related to quality improvement within the tower Responsible for generating compliant queries based on appropriate clinical indicators for each diagnosis. Every query must meet all regulatory and reporting requirements Work with their manager to review tower analytics, identifying trends and actionable steps to improve opportunity capture rate and drive results for clients Work with Senior Management and Compliance Officer to adhere to organizational goals and mission Participate in corporate educational activities Utilize all technology, tools and resources to enhance performance and will be proficient in navigation of various electronic medical records Excel in a fast-paced, rapidly changing environment Exceed expectations in performance with regard to productivity and quality of his/her tower work, professionalism, and professional growth Take on additional responsibilities and demonstrate leadership at a departmental level Performs miscellaneous job-related duties as assigned. Requirements POSITION QUALIFICATIONS: Education: Graduate from an accredited medical school Preferred completion of an ACGME accredited US residency program Experience: Minimum of a total of 5 years of clinical experience including residency Knowledge, Skills, and Abilities: Academic Excellence Leadership Service, compassion, and humanism Diversity Ability to work as part of a team Basic Microsoft Office skills Ability to use a PC in a Windows environment, including MS Word, Excel and PowerPoint Independent, focused individual able to work remotely or on-site
    $169k-257k yearly est. 43d ago
  • Veterinary Group Medical Director

    Bluepearl 4.5company rating

    New York, NY jobs

    If you are a current associate, you will need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs. BluePearl is seeking an experienced, motivating, and driven clinical leader to join our team as a Group Medical Director - East Division. This is a remote position overseeing multiple hospital locations, with up to 60% overnight travel required. The Group Medical Director (GMD) has medical oversight of multiple markets within the organization with combined revenues of up to $150MM. The incumbent has the ultimate responsibility for translation of organizational objectives into market-specific objectives that instill a clinician-driven culture, promote clinician engagement and retention, and yield strong fiscal performance. A GMD frequently travels to hospitals to evaluate and mentor medical leaders and address concerns. The role partners with other members of the field leadership team to ensure a balanced representation of medical quality and financial considerations and the people & organization department to champion consistency in a high performance and engaged workforce united in being BluePearl. As a GMD, you will: Identify, oversee and develop medical leaders (Medical Directors and their ER Service Team Leads) to ensure optimal clinician productivity and engagement. Responsible for creating a clinician-driven culture in assigned markets. Serve as high-level representative and champion of BluePearl mission and vision in all interactions within the organization and external veterinary community. Partner with field leaders to effectively communicate and cascade key initiatives impacting medical staff. Foster a collaborative and trusting relationship between the support team and hospitals. Partner with field leaders to ensure appropriate productivity levels and growth plans for clinicians and hospitals, including maximizing technical teams. Monitor reports on operating costs within functional areas. Alerts hospital leaders of cost and labor over run. Partners with field leaders, finance and P&O to assess concerns and implement solutions. Own the success of on-site visit process for DVM candidates in assigned markets, ensures onboarding and mentoring of new BluePearl Clinicians through BluePearl Mentorship Program. Ensure standards for medical quality, patient safety reporting, equipment, and clinician productivity/performance are met. Partner with assigned Vet Relations team to collaborate on pDVM referral strategies that impact assigned markets. Oversee and encourage support of continuing education programs across assigned markets and ensures programs sufficiently develop and engage technicians and clinicians to deliver remarkable care to patients. Monitor reports on medical occurrences, patient safety and client experience and partners with stakeholders as needed to ensure swift resolution, improvements, and/or coaching as needed. Work collaboratively with the BluePearl Support Team to develop solutions for escalated concerns and influences medical leaders to shape adoption and ensure effectiveness of resolutions. Travel around 50% to ensure in-person leadership and mentoring in hospitals. EDUCATION/EXPERIENCE Bachelor's Degree and DVM (Doctor of Veterinary Medicine) required. Completion of 1-year rotating internship required. May be Emergency Clinician or board-certified Specialty Clinician. 7+ years of leadership experience required (previously overseeing multiple sites or revenues exceeding $25MM preferred.) Why BluePearl? Our passion is pets. We offer Trupanion pet insurance and discounts to our associates for pet treatments, procedures, and food. We encourage you to grow with us. Our technicians are leveled by their skillset and move up in level as they gain more skills and experience. We are focused on developing our associates into leaders through talent development programs and leadership workshops. As a member of Mars Veterinary Health, our associates have endless opportunities to advance in his/her career. In order to transform and lead the industry through innovative quality medicine and care, we understand the importance of continuous learning. We offer annual continuing education allowance, free continuing education sessions, our own BluePearl University for training, and our clinicians have access to over 2,000 medical journals. We value your health and well-being as an associate by providing you with the following: Health, dental, vision, and life insurance options. Annual company store allowance. Flexible work schedules. Time to reset, rewind, and reflect through our paid time off, paid parental leave, and floating holiday plans. A regional licensed social worker who can provide guidance, advice, and tips/tricks on how to maintain a healthy lifestyle while working in a fast-paced emergency and specialty care environment. We promote a family-like culture in our hospitals. We are all in this together. We believe in working together to lead the industry by enriching lives through remarkable care for pets BluePearl is committed to a diverse work environment in which all individuals are treated with respect and dignity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, creed, sex, age, disability, genetic information, marital status, citizenship status, sexual orientation or affectional preference, or gender identity or expression, protected veteran status, or any other characteristic protected by law. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. The company is pleased to provide such assistance, and no applicant will be penalized as a result of such a request. We are an Equal Opportunity Employer and a Drug Free Workplace.
    $154k-235k yearly est. Auto-Apply 7d ago
  • Medical Director, Clinical Science

    Biomarin Pharmaceutical 4.6company rating

    Remote

    Who We Are BioMarin is a global biotechnology company that relentlessly pursues bold science to translate genetic discoveries into new medicines that advance the future of human health. Since our founding in 1997, we have applied our scientific expertise in understanding the underlying causes of genetic conditions to create transformative medicines, using a number of treatment modalities. Using our unparalleled expertise in genetics and molecular biology, we develop medicines for patients with significant unmet medical need. We enlist the best of the best - people with the right technical expertise and a relentless drive to solve real problems - and create an environment that empowers our teams to pursue bold, innovative science. With this distinctive approach to drug discovery, we've produced a diverse pipeline of commercial, clinical and preclinical candidates that have well-understood biology and provide an opportunity to be first-to-market or offer a substantial benefit over existing therapeutic options. About Worldwide Research and Development From research and discovery to post-market clinical development, our WWRD engine involves all bench and clinical research and the associated groups that support those endeavors. Our teams work on developing first-in-class and best-in-class therapeutics that provide meaningful advances to patients who live with genetic diseases. BioMarin Clinical Science (CLS) is responsible for overseeing clinical programs across various phases, from proof-of concept to Phase 3 and BLA/NDA/MAA filing. The Clinical Science team provides leadership for clinical strategy and oversight to ensure excellence in clinical trial conduct, data analysis and interpretation, publication preparation, and safety monitoring BioMarin Clinical Science (CLS) is responsible for overseeing clinical programs across various phases, from proof-of concept to Phase 3 and BLA/NDA/MAA filing. The Clinical Science team provides leadership for clinical strategy and oversight to ensure excellence in clinical trial conduct, data analysis and interpretation, publication preparation, and safety monitoring. Summary Description: Fully remote role - US based candidates The Medical Director has a key scientific and analytical leadership role in the development of CLS core deliverables across study planning, design and execution, results analysis and regulatory filings. Key focus areas include: acting as a study Medical Monitor and providing the scientific input into the creation and review of all CLS study deliverables and monitoring subject eligibility, study data and contributing critically to the scientific interpretation and integration of clinical study results.The Medical Director will also contribute to the scientific strategy and plan as outlined in the Clinical Development Plan (CDP). The Medical Director is also responsible for providing medical input into the creation and review of all CLS study deliverables to support clinical decision making, problem solving, and safety surveillance, as well as collaboration with external physician stakeholders. Key Responsibilities: Scientific Leadership Support the definition of the core clinical and scientific strategy that serves as the basis for the CDP and provide CLS expertise in the design and execution of clinical studies under the purview of the CDP Participate (as assigned) in the development of CLS-assigned sections of regulatory filings and in drafting regulatory responses in collaboration with Medical Writing Establish relationships with investigators and KOLs as appropriate in support of the CDP Stay up to date with advances in literature in therapeutic/disease area including mechanism of action, diagnostic tests, treatment, drug development trends, and regulatory requirements Develop therapy-specific publication plans and work with internal and external colleagues to prepare study results for timely publication Attend and contribute to relevant scientific conferences, seminars or presentations Clinical Study Planning and Monitoring Act as the scientific subject matter expert, and primary contact, for assigned clinical study; take a proactive approach to identifying issues and mitigating risk Initiate and provide the medical and scientific content and insight for development and review of: protocols, protocol amendments; ICFs; CRFs; statistical tables and listings including accurate AE (MedDRA) and concomitant medications (WHODrug) coding; audit reports; clinical study reports; inspection readiness activities, regulatory submissions and other key study deliverables Provide clinical input to statistical analysis plan to ensure alignment with Regulatory and business interests Facilitate the review and approval of all study related CLS deliverables and content Act as study scientific subject matter expert and main point of contact for Principal Investigators (PIs) and sites to assess subject eligibility, provide scientific rational and manage ongoing protocol issues Provide leadership to sites by developing or participating in training, answering investigator/site questions about the protocol Respond to site and Health Authority questions about the protocol Conduct periodic review of protocol deviations in collaboration with Clinical Operations Study Lead or designee (per protocol specific Protocol Deviation Plan) Attend and present at Investigator Meetings, as needed Conduct data review, assessment and interpretation of clinical data to ensure that the data are correct and presented with the appropriate interpretation including thorough review of SAEs and other important AEs (per the study specific Medical Monitoring Plan) Review and analyze SAEs, safety and efficacy trends on an ongoing basis Work closely with the Pharmacovigilance representatives providing medical input into safety reports including, SAE narratives and analysis of similar events, Development Safety Update Reports (DSURs) and Suspected Unexpected Serious Adverse Reactions (SUSARs) reports, Company Core Safety Information (CCSI), Investigator Brochure (IB), Risk Management Plans, Integrated Summaries of Safety and Efficacy, Clinical Study Reports and preparation of labels Participate in and provide scientific advice, as appropriate, during key Database Lock (DBL) activities (final listing review, review of blinded tables, listings and figures (TLFs), etc.) and actively participate in all data snapshots taken (not limited to final DBL) Collaborate with Biometrics to identify key issues, prepare content and facilitate discussions at study Data Review Board (internal) or Data Monitoring Committee (DMC) Lead the selection of and interactions with independent Data Monitoring Committees (DMC) The Medical Director will also act as the medical subject matter expert for review of clinical and safety data to ensure data are correct and presented with the appropriate medical interpretation and for discussing safety concerns with sites Governance and Communication Provide timely and high-quality functional deliverables and contributions to Study Execution Team (SET) Act as primary point of contact between SET and BCLS to ensure appropriate dissemination of information and communication (including functional managers and other relevant individuals) Provide agenda topics to be discussed during SET meetings Act as the medical and scientific subject matter expert (SME) to the SET with the ability to make decisions and recommendations on behalf of BCLS Proactively identify and communicate potential risks and mitigations relevant to the BCLS deliverables Contribute to the development and maintenance of study- specific plans; manage the development of study-specific plans that are the responsibility of BCLS Collaborate with BCLS Therapeutic Area Lead, CDTL and CSL on all study related decisions, as appropriate Escalate issues affecting BCLS function deliverable quality, timelines, resources or budget, as appropriate Competencies The Medical Director is expected to exhibit mastery-level understanding of multiple technical competencies, including scientific knowledge, data analysis, and scientific writing. S/he should also have advanced-level competence in several areas, including strategic thinking and problem solving. The Medical Director should: Identify scientific and medical knowledge gaps in therapeutic area and target populations to drive research and publication strategies Assess the clinical and medical impact of clinical and external research findings and data on overall therapeutic area and clinical development strategies Conduct comprehensive document evaluations including evaluation of statistical presentations, research methods, quality and completeness of content Identify internal and external best practices, trends, developments or alternative approaches that can be leveraged for strategy development Demonstrate ability to look beyond the obvious toward innovative approaches, avoiding biases and historical crutches The Medical Director will also demonstrate mastery of relevant clinical and therapeutic area knowledge to support clinical decision making, problem solving, safety surveillance, and as well as collaboration with external physician stakeholders. Education and Experience: MD, MD/PhD (or equivalent) Advanced degree in life or health sciences (e.g. PhD/PharmD/RN) 5 or more years of relevant experience in Clinical Development, with experience in genetic diseases, specialty care, and/or rare diseases desired; Clinical experience preferred Note: This description is not intended to be all-inclusive, or a limitation of the duties of the position. It is intended to describe the general nature of the job that may include other duties as assumed or assigned. Equal Opportunity Employer/Veterans/Disabled An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
    $174k-246k yearly est. Auto-Apply 60d+ ago
  • Per Diem Health Plan UM Medical Director

    Brigham and Women's Hospital 4.6company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan UM Medical Director Qualifications Education: MD or DO required Licenses and Credentials: * Physician - Massachusetts active full license required Experience: * 5+ years of Health Plan UM experience * at least 5 years of clinical practice experience Knowledge, Skills and Abilities: * Utilization Management experience * Excellent written and oral communications skills * Proficient in basic computer skills, use of EHR's, digital tools * Multitasking abilities * Adaptable to change due to business growth Job Description: * Handles utilization management initial determinations, appeals and grievances within the scope of their expertise as defined by Medicare, MassHealth, NCQA and the Division of Insurance and within the compliance requirements of key regulatory and accreditation entities * Use CMS, state and internal medical necessity policies to guide MN determinations * Complete peer to peer case discussions with requesting providers as assigned * Refer to IRO/external review if specialist match or expertise is needed * Interact, communicate and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees * Monitors performance metrics to identify areas for continuous improvement and ensure compliance * Establishes and maintains positive relationships with colleagues and customers and gains their trust and respect * Ensure diversity, equity and inclusion are integrated as a guiding principle Other duties as assigned with or without accommodation Additional Job Details (if applicable) * Primarily remote position * M-F 830-5pm EST * Ensures that all assigned work is completed within regulatory timelines * Checks and addresses assigned work queues, email, Teams messages during assigned work hours Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 0 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Balance Sheet Cost Centers is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $179k-266k yearly est. Auto-Apply 13d ago
  • Health Plan Medical Director

    Brigham and Women's Hospital 4.6company rating

    Somerville, MA jobs

    Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated. We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more. Under the direction of the Senior Medical Director, the Medical Director leads as a senior physician at the health plan. This position works closely with the Senior Medical Director in providing medical management leadership for clinical services operations and programs. This role focuses on and has expertise in utilization management, health plan quality and accreditation, care management, and other health plan functions. Qualifications Licensure and Credentials: Must maintain an active full physician license in Massachusetts Experience: * 3-5 years of Health Plan experience * at least 5 years of clinical practice experience Job Duties: Handles utilization management initial determinations, appeals and grievances within the scope of their expertise as defined by Medicare, MassHealth, NCQA and the Division of Insurance and within the compliance requirements of key regulatory and accreditation entities * Reviews clinical services and quality incidents when sufficiently serious to merit physician involvement * Coverage of medical necessity determinations to support special investigations/fraud waste and abuse cases * Collaborates on health plan medical policy development * Assesses new, emerging, and existing technologies to determine appropriateness of health plan coverage * Partners with clinical leaders to ensure medical service expenditures remain within budget * Collaborates with business development, quality, finance and medical management teams to promote improvements in the quality and cost efficiency of care throughout the MGB Health Plan provider network * Delivers consultation to network management staff and deployment of education programs for network clinicians * Develops and delivers presentations for clinical staff on current topics relevant to MGB Health Plan members and network * May represent MGB Health Plan at a variety of external forums and committees * Interact, communicate and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees * Monitors performance metrics and audits to identify areas for continuous improvement and ensure compliance * Anticipates and meets or exceeds internal and/or external customer expectations and requirements; establishes and maintains positive relationships with customers and gains their trust and respect * Build strong relationships and infrastructure that designate MGB Health Plan as a people-first organization * Ensure diversity, equity and inclusion are integrated as a guiding principle * Other duties as assigned with or without accommodation Additional Job Details (if applicable) Primarily remote position, exempt * In person meetings as requested for business needs * Participates in after hours and weekend call rotation as assigned Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $179k-266k yearly est. Auto-Apply 44d ago
  • Medical Director, Rheumatology | Part Time | Remote | NantHealth

    Nanthealth 4.5company rating

    Dallas, TX jobs

    NantHealth is adding a part time Medical Director, Rheumatology to the Eviti team. The Rheumatologist - Medical Director is a key clinical leader responsible for supporting and further developing the NantHealth, Inc. Eviti Solution as it relates to autoimmune and inflammatory diseases, including oversight of utilization management and clinical policy for high-cost immunomodulatory and biologic therapies. The role serves in a matrix leadership capacity across clinical operations, content development, and client engagement. The role works closely with the NantHealth Medical Office professional staff of specialty nurse practitioners and physician reviewers who conduct medical record and treatment plan review, systems input, and reporting to payer clients through the eviti | Connect platform. While this position does not include direct managerial oversight of staff, it provides clinical leadership, guidance, and subject-matter expertise across teams. The Eviti Solution Medical Office functions to ensure that treatments for autoimmune and inflammatory diseases-including biologic agents, targeted small molecules, immunosuppressive therapies, off-label use, and step-therapy sequencing-are consistent with evidence-based medicine, nationally recognized best practices, and payer-defined standards of medical necessity, with the goal of supporting delivery of high-quality, appropriate care to patients. This is a national-impact, part-time role, with the Rheumatologist - Medical Director serving as a key clinical interface between payer clients, treating physicians, and NantHealth clinical and content teams, supporting day-to-day treatment plan review activities through clinical influence and expertise. The Rheumatologist - Medical Director will serve as a primary clinical consultant for the eviti | Connect product, conducting peer-to-peer discussions with practicing rheumatologists and other specialty providers regarding patient treatment plans. The Director will be located within the continental United States or its territories when conducting peer-to-peer consultations. In addition to autoimmune drug utilization management, this role will have defined responsibilities in the development and oversight of clinical policies related to autoimmune diagnostics and monitoring, including appropriate use of advanced imaging, laboratory testing, and immunologic/genetic assays where relevant to rheumatologic care. Responsibilities include collaboration with Clinical Content, Informatics, and specialty work groups to support the development, refinement, and ongoing maintenance of clinical guidelines for autoimmune conditions such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, lupus, vasculitis, and other systemic inflammatory diseases. The Director will participate in multidisciplinary clinical committees and work groups, ensure timely updates to guidance as standards of care evolve, and help align diagnostic and therapeutic decision-making with disease activity, prior treatment response, and line of therapy. This is a remote position, requiring availability for up to 5 hours per week. Responsibilities include, but are not limited to: Provide clinical leadership and oversight of autoimmune disorder policies, including imaging and genetics/genomics, within the NantHealth clinical library for designated clients and payer partners, assuming greater ownership as familiarity with NantHealth operations, content, and platforms grows. Serve as a medical liaison between the Chief Medical Officer, Clinical Content, Product, and Client teams, ensuring alignment of clinical strategy, policy development, and operational execution for autoimmune care. Demonstrate thought leadership and deep expertise in autoimmune disorders, collaborating with client clinical teams and participating in multidisciplinary work groups and committees focused on rheumatology, imaging, and genomics. Work closely with client leadership, NantHealth Content, and Product Management to identify new clinical opportunities, enhancements, and decision-support capabilities across systemic therapy, imaging, and precision medicine for autoimmune conditions. Provide clinical oversight and guidance for treatment plan reviews performed by certified nurses and nurse practitioners, ensuring consistency with evidence-based care or appropriate, well-documented medical exceptions. Serve as a primary clinical consultant, leading peer-to-peer discussions with treating physicians in a professional, collaborative, and clinically credible manner. Support the development and refinement of internal processes, quality metrics, and reporting standards to ensure consistent, high-quality, and timely service delivery within approved operational frameworks. Collaborate with Informatics and Clinical Content teams to ensure that autoimmune disorder, imaging, and genomics content remains current, accurate, and reflective of evolving standards of care. Participate in quality assurance, performance improvement, and internal educational initiatives, and provide ongoing education to clinical staff on advances in autoimmune disease management, imaging, and precision medicine. Maintain up-to-date knowledge of autoimmune disorder standards of care, emerging therapies, imaging modalities, and genomics trends, and apply this knowledge to clinical policy and decision-support development. Contribute to the clinical software development lifecycle, including requirements definition, design input, testing, implementation, and ongoing optimization of NantHealth applications. Through high-quality clinical leadership and client service, help enhance NantHealth's visibility, credibility, and value proposition in the autoimmune care marketplace while mentoring colleagues and fostering a culture of collaboration and continuous learning Education & Experience Requirements: Possess a Current Active Unrestricted Physician License in the United States or its territories Medical or scientific degree required (M.D. or D.O.). Board certification in Rheumatology and/or Clinical Immunology required. Minimum of 5 years of post-training clinical experience in rheumatology, with demonstrated expertise in managing complex autoimmune disorders and familiarity with evolving standards of care. Proven clinical leadership experience, with a record of scholarly activity, publications, or involvement in guideline development preferred. Required Knowledge, Skills, and Abilities: Strong understanding of rheumatology practice and the healthcare insurance landscape, including medical necessity, utilization management, and payer policy considerations for autoimmune conditions. Excellent organizational skills with strong attention to detail and the ability to manage multiple priorities effectively. Outstanding interpersonal and collaborative skills, with the ability to engage effectively with physicians, clinical staff, medical management, and cross-functional teams. High level of computer proficiency, including Microsoft Word, Excel (data creation and analysis), and PowerPoint; comfort working within clinical decision-support platforms. Familiarity with relational database concepts and clinical data systems preferred but not required. Strong numerical aptitude and understanding of basic statistical concepts, with the ability to interpret and apply data to clinical decision-making. Excellent oral and written communication skills, with well-developed analytical and problem-solving abilities. Decisive, proactive, and adaptable, with a hands-on mindset and a willingness to engage directly in problem resolution. Ability to thrive in a fast-paced, rapidly evolving environment, balancing strategic thinking with practical execution. Demonstrated ability to build and maintain professional relationships across industry, physician networks, academia, and governmental or regulatory entities. Highly motivated, energetic, and passionate about improving the quality, value, and integrity of autoimmune care. Unwavering commitment to ethical conduct, scientific rigor, and professional integrity. This is a part time, hourly position, budgeted at $175 / hour.
    $175 hourly 11d ago
  • Medical Director, Radiation Oncologist | Remote | NantHealth

    Nanthealth 4.5company rating

    Dallas, TX jobs

    The Medical Director, Radiation Oncologist is a key clinical leader responsible for managing and further developing the NantHealth, Inc. Eviti Solution, including oversight of the Medical Office professional staff of oncology nurse practitioners and radiation oncologists who conduct medical record and treatment plan review, systems input, and reporting to payer clients through the eviti | Connect platform. The Eviti Solution Medical Office functions to ensure that radiation oncology treatments comply with evidence-based medicine, nationally recognized best practices, and payer-defined standards of medical necessity, with the goal of supporting delivery of the highest-quality, most appropriate care to patients. This is a pivotal, national-impact role, with the Medical Director, Radiation Oncology serving as a key clinical interface between payer clients, treating physicians, and NantHealth clinical staff, while supporting day-to-day treatment plan review operations. The Medical Director, Radiation Oncology will serve as the primary clinical consultant for the eviti | Connect product, conducting peer-to-peer discussions with radiation oncology providers regarding patient treatment plans. The Director will be located within the continental United States or its territories when conducting peer-to-peer consultations. In addition to radiation oncology oversight, this role will play a key leadership role in oncology imaging utilization management. Responsibilities include the development, refinement, and ongoing maintenance of oncology imaging guidelines, as well as the creation of new tumor-specific and scenario-based imaging criteria. The Director will lead and participate in multidisciplinary oncology and imaging committees, ensure timely updates to imaging guidance as standards of care evolve, and integrate imaging decision-making with radiation treatment planning, disease stage, treatment intent, and line of therapy. This work is central to ensuring that oncology imaging guidance remains clinically nuanced, evidence-based, and aligned with modern oncology practice rather than siloed or purely radiology-driven. This is a full time, remote position, requiring availability to regularly work 40 hours per week, including holidays and weekends as necessary. Responsibilities include, but are not limited to: Oversee all aspects of radiation oncology treatment plan reviews performed by NantHealth Eviti radiation oncology consultants, oncology-certified nurses, and nurse practitioners, including integration of imaging considerations into treatment decision-making. Provide assurance to payer clients that radiation oncology and oncology imaging treatment plans are consistent with evidence-based care or represent medically justified deviations supported by clinical documentation. Further develop internal processes, workflows, and performance metrics to support a high-performing, disciplined approach to client service delivery, including consistent and timely reporting within established turnaround times. Ensure that radiation oncology and oncology imaging content within the Eviti regimen and guideline libraries is current, comprehensive, accurate, and reflective of evolving standards of care. Ensure that all clinical and utilization reporting is timely, accurate, and consistent with NantHealth Eviti-approved processes and quality standards. Lead peer-to-peer discussions with treating physicians in a highly professional, collaborative, and clinically credible manner, addressing both radiation treatment plans and associated oncology imaging decisions as appropriate. Collaborate with the NantHealth client management team and the Eviti Director of Clinical Operations to support and manage strategic relationships with client medical officers and senior clinical leadership. Execute programs, standards, and operational improvements that continue to enhance the capability, capacity, quality, and productivity of the NantHealth Eviti Medical Office and clinical staff. Provide ongoing education to NantHealth Eviti clinical staff on advances in radiation oncology and oncology imaging, including emerging technologies, evolving clinical indications, and guideline updates. Provide guidance and updates to NantHealth Eviti clinical staff and Development teams regarding billing, coding, and reimbursement considerations for radiation oncology and oncology imaging services. Participate in quality assurance, performance improvement, and internal educational initiatives, including review of clinical outcomes, guideline adherence, and peer review activities. Maintain continuous self-education and expand expertise in high-quality, cost-effective radiation oncology and oncology imaging practices. Serve as a thought leader in evidence-based radiation oncology and oncology imaging, proactively contributing to clinical leadership, guideline development, and professional discourse within the oncology community. Education & Experience Requirements: Possess a Current Active Unrestricted Physician License in the United States or its territories Board Certification in Radiation Oncology A minimum of 5 years of oncology practice experience in a community or academic setting with an acute understanding of day-to-day cancer care Proven clinical leadership experience, with a record of scholarly activity, publications, or involvement in guideline development preferred. Strong understanding of radiation oncology practice and the healthcare insurance landscape, including medical necessity, utilization management, and payer policy considerations for related conditions. Excellent organizational skills with strong attention to detail and the ability to manage multiple priorities effectively. Required Knowledge, Skills, and Abilities: Outstanding interpersonal and collaborative skills, with the ability to engage effectively with physicians, clinical staff, medical management, and cross-functional teams. High level of computer proficiency, including Microsoft Word, Excel (data creation and analysis), and PowerPoint; comfort working within clinical decision-support platforms. Familiarity with relational database concepts and clinical data systems preferred but not required. Strong numerical aptitude and understanding of basic statistical concepts, with the ability to interpret and apply data to clinical decision-making. Excellent oral and written communication skills, with well-developed analytical and problem-solving abilities. Decisive, proactive, and adaptable, with a hands-on mindset and a willingness to engage directly in problem resolution. Ability to thrive in a fast-paced, rapidly evolving environment, balancing strategic thinking with practical execution. Demonstrated ability to build and maintain professional relationships across industry, physician networks, academia, and governmental or regulatory entities. Highly motivated, energetic, and passionate about improving the quality, value, and integrity of autoimmune care. Unwavering commitment to ethical conduct, scientific rigor, and professional integrity. Possess a strategic mindset while also demonstrating the ability to manage the operational and tactical aspects of the role Demonstrate superior written and verbal communication and presentation skills Demonstrate the ability to apply sound clinical judgment in complex or ambiguous cases where evidence, guidelines, and payer policy may not fully align Exhibit natural gravitas, credibility, and the ability to influence clinical and non-clinical stakeholders Be approachable, collegial, easy to engage, and demonstrate intellectual curiosity Have the ability to lead and manage staff in remote and distributed environments Be technologically adept, comfortable working with software platforms and clinical decision-support tools Be a strong problem solver, able to quickly identify issues, consider multiple perspectives, and navigate complex or difficult situations diplomatically Be proactive, well organized, and highly reliable in managing responsibilities Understand the intersection of clinical care, payer policy, medical necessity, and regulatory requirements, and communicate effectively across those domains The salary for applicable US-based applicants to this position is below. The specific rate will depend on the successful candidate's qualifications, prior experience as well as geographic location. $340,000 base salary plus bonus potential.
    $340k yearly 7d ago
  • Medical Director, Cardiometabolic Clinical Care Model Design and Client Engagement

    Teladoc Health Medical Group 4.7company rating

    Remote

    Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens. Summary of Position Teladoc Health is seeking an experienced physician to serve as Medical Director, Cardiometabolic Clinical Care Model Design and Client Engagement. This physician leader will serve in a highly cross-functional role instrumental in shaping the future of cardiometabolic care at Teladoc Health, particularly within our U.S. Group Health Business, advancing clinical excellence across existing chronic condition management solutions while building and scaling novel approaches. This role will continue to champion seamless integration of cardiometabolic care across our expansive ecosystem of virtual primary care, urgent care, mental health, expert medical/specialty care, and more. This is an individual contributor leadership position requiring strong clinical expertise in cardiometabolic care and the ability to work strategically in the complex and rapidly evolving virtual care/digital health space. Success in this role requires close cross-functional collaboration with diverse stakeholders to enhance care delivery models, achieve best-in-class clinical outcomes, and optimize return on investment. The candidate will support value-based care partnerships and drive clinical research to strengthen the evidence base for virtual cardiometabolic care. Additionally, this physician leader must be able to translate these efforts into client-facing strategies, partnering with employers and payers to help them understand and achieve better health outcomes for their populations. Essential Duties and Responsibilities Serve as the clinical lead for designing cardiometabolic care models across new and existing capabilities within the U.S. Group Health business. Lead clinical and cross-functional teams to design, pilot, and scale innovative integrated cardiometabolic care models, working closely with front-line providers and care teams. Translate population health data and risk stratification into actionable program strategies. Define success metrics-including clinical outcomes and financial ROI-and develop strategies for sustained impact. Work closely with internal teams-including sales, marketing, and client-facing groups-providing clinical expertise for key presentations and client discussions. Represent the organization externally on topics related to chronic condition management and cardiometabolic care innovation. Develop and refine chronic condition management frameworks, measures, and reporting aligned with the Institute for Healthcare Improvement Quadruple Aim and Institute of Medicine quality domains: safety, effectiveness, patient-centeredness, efficiency, timeliness, and equity. Co-lead formal quality improvement projects using the Model for Improvement with a focus on process and outcome metrics and leveraging statistical process control (SPC) where appropriate. Partner with our Clinical Research team to generate evidence and insights for white papers and peer-reviewed publications demonstrating the impact of our cardiometabolic solutions. The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs. Supervisory Responsibilities No Required Qualifications MD/DO in Internal Medicine, Family Medicine, or a cardiometabolic specialty; active medical license preferred At least 5+ years of post-residency or fellowship clinical experience Experience in virtual care, digital health, or healthcare technology, with the ability to adapt to rapid change and ambiguity. Demonstrated expertise in delivering evidence-based clinical care model design, clinical quality improvement, outcome measurement. Exemplary written and verbal communication skills, including the ability to explain complex clinical concepts to non-clinical audiences. Proven ability to collaborate effectively across clinical and non-clinical teams, including operations, product, engineering, marketing, commercial, and other functions in a highly matrixed environment. Strong prioritization, time management, and organizational skills, with meticulous attention to detail. Ability to thrive in fast-paced, dynamic environments with multiple competing priorities and deadlines. Preferred Qualifications Experience in dedicated virtual care/digital health organizations focused on cardiometabolic conditions. MBA/MPH and/or advanced quality improvement training preferred. Demonstrated experience delivering virtual care, particularly in primary care and cardiometabolic management beyond the COVID-19 pandemic. Expertise in value-based care delivery with track record of maximizing clinical outcomes while managing total cost of care. Required license or credential needed to perform job: MD/DO The above qualifications, knowledge, experience, and/or background are expected but not required for this role. Work Environment ☐ Office ☒ Remote ☐ Hybrid (Office & Remote) Travel: ≥10% Travel percentage reflects an estimate and is subject to change dependent on business needs. The base salary range for this position is $210,000 - $240,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions. As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified. Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future. Why join Teladoc Health? Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission. Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference. Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day. Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways. Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn. As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind. Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available at this link .
    $210k-240k yearly Auto-Apply 14d ago
  • Veterinary Group Medical Director

    Bluepearl 4.5company rating

    Paramus, NJ jobs

    If you are a current associate, you will need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs. BluePearl is seeking an experienced, motivating, and driven clinical leader to join our team as a Group Medical Director - East Division. This is a remote position overseeing multiple hospital locations, with up to 60% overnight travel required. The Group Medical Director (GMD) has medical oversight of multiple markets within the organization with combined revenues of up to $150MM. The incumbent has the ultimate responsibility for translation of organizational objectives into market-specific objectives that instill a clinician-driven culture, promote clinician engagement and retention, and yield strong fiscal performance. A GMD frequently travels to hospitals to evaluate and mentor medical leaders and address concerns. The role partners with other members of the field leadership team to ensure a balanced representation of medical quality and financial considerations and the people & organization department to champion consistency in a high performance and engaged workforce united in being BluePearl. As a GMD, you will: Identify, oversee and develop medical leaders (Medical Directors and their ER Service Team Leads) to ensure optimal clinician productivity and engagement. Responsible for creating a clinician-driven culture in assigned markets. Serve as high-level representative and champion of BluePearl mission and vision in all interactions within the organization and external veterinary community. Partner with field leaders to effectively communicate and cascade key initiatives impacting medical staff. Foster a collaborative and trusting relationship between the support team and hospitals. Partner with field leaders to ensure appropriate productivity levels and growth plans for clinicians and hospitals, including maximizing technical teams. Monitor reports on operating costs within functional areas. Alerts hospital leaders of cost and labor over run. Partners with field leaders, finance and P&O to assess concerns and implement solutions. Own the success of on-site visit process for DVM candidates in assigned markets, ensures onboarding and mentoring of new BluePearl Clinicians through BluePearl Mentorship Program. Ensure standards for medical quality, patient safety reporting, equipment, and clinician productivity/performance are met. Partner with assigned Vet Relations team to collaborate on pDVM referral strategies that impact assigned markets. Oversee and encourage support of continuing education programs across assigned markets and ensures programs sufficiently develop and engage technicians and clinicians to deliver remarkable care to patients. Monitor reports on medical occurrences, patient safety and client experience and partners with stakeholders as needed to ensure swift resolution, improvements, and/or coaching as needed. Work collaboratively with the BluePearl Support Team to develop solutions for escalated concerns and influences medical leaders to shape adoption and ensure effectiveness of resolutions. Travel around 50% to ensure in-person leadership and mentoring in hospitals. EDUCATION/EXPERIENCE Bachelor's Degree and DVM (Doctor of Veterinary Medicine) required. Completion of 1-year rotating internship required. May be Emergency Clinician or board-certified Specialty Clinician. 7+ years of leadership experience required (previously overseeing multiple sites or revenues exceeding $25MM preferred.) Why BluePearl? Our passion is pets. We offer Trupanion pet insurance and discounts to our associates for pet treatments, procedures, and food. We encourage you to grow with us. Our technicians are leveled by their skillset and move up in level as they gain more skills and experience. We are focused on developing our associates into leaders through talent development programs and leadership workshops. As a member of Mars Veterinary Health, our associates have endless opportunities to advance in his/her career. In order to transform and lead the industry through innovative quality medicine and care, we understand the importance of continuous learning. We offer annual continuing education allowance, free continuing education sessions, our own BluePearl University for training, and our clinicians have access to over 2,000 medical journals. We value your health and well-being as an associate by providing you with the following: Health, dental, vision, and life insurance options. Annual company store allowance. Flexible work schedules. Time to reset, rewind, and reflect through our paid time off, paid parental leave, and floating holiday plans. A regional licensed social worker who can provide guidance, advice, and tips/tricks on how to maintain a healthy lifestyle while working in a fast-paced emergency and specialty care environment. We promote a family-like culture in our hospitals. We are all in this together. We believe in working together to lead the industry by enriching lives through remarkable care for pets BluePearl is committed to a diverse work environment in which all individuals are treated with respect and dignity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, creed, sex, age, disability, genetic information, marital status, citizenship status, sexual orientation or affectional preference, or gender identity or expression, protected veteran status, or any other characteristic protected by law. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. The company is pleased to provide such assistance, and no applicant will be penalized as a result of such a request. We are an Equal Opportunity Employer and a Drug Free Workplace.
    $149k-226k yearly est. Auto-Apply 7d ago
  • Medical Director, Pediatric Non-Invasive Cardiovascular Imaging (MD/DO)

    Inova Health System 4.5company rating

    Remote

    The Division of Pediatric Cardiology at Inova LJ Murphy Children's Hospital is seeking a full-time Pediatric Cardiologist to serve as Medical Director of Non-Invasive Cardiovascular Imaging to support our rapidly growing team within Inova Children's Heart Center. The Heart Center at Inova LJ Murphy Children's Hospital has been caring for the children of Northern Virginia and the Greater Washington Region for more than 30 years. Each year, the program is responsible for approximately 550 procedures. The program provides surgical repair of the most complex congenital heart defects, including hypoplastic left heart syndrome. In addition to providing care for children with complex congenital anomalies, the program provides a lifetime of care as part of the Inova Schar Heart and Vascular, which includes the Adult Congenital Program. Inova Children's Heart Center is a comprehensive team, including congenital cardiac surgery, outpatient cardiology, fetal cardiology, non-invasive cardiology, adult congenital cardiology, diagnostic and interventional catheterization, and electrophysiology and advanced heart failure therapies. The team includes 23 board-certified pediatric cardiologists, 8 pediatric cardiac intensivists, 3 pediatric cardiac surgeons and 17 advanced practice providers. With respect to non-invasive imaging, the division currently performs fetal, transthoracic, and transesophageal echocardiography, and partners with radiology on cMRI and CT scans. A team of inpatient and outpatient dedicated congenital sonographers support the division. The Pediatric Noninvasive Imaging Lab (ICAEL accredited) at Inova Children's Hospital is the largest program in Virginia performing 11,000 outpatient and 2,600 inpatient echocardiograms per year. Inova LJ Murphy Children's Hospital is a 226-bed children's hospital at Inova Fairfax Hospital medical campus, located in Northern Virginia. As the only dedicated children's hospital and pediatric heart center in Northern Virginia, we provide care in a welcoming environment that offers the latest in technical innovation in kid-friendly spaces. The children's hospital has a 108-bed, level IV Neonatal Intensive Care Unit with approximately 17,000 annual deliveries. The Pediatric Cardiac Intensive Care Unit and Acute Cardiac Care Unit are part of the Inova Children's Heart Center. Inova is consistently ranked as a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Physician Led Organization: Potential for Physician leadership opportunities Committed to Team Member Health: Offering medical, dental and vision coverage, and a robust team member wellness program. Competitive Compensation Package: Competitive Base and Incentive program with opportunities for Sign-On, Retention, and Relocation bonuses Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. 457B retirement plan is also available for physicians in a 0.5 FTE and greater CME Support: Up to $3,500 a year for CME support and up to 5 days of CME Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Work/Life Balance: offering paid time off and paid parental leave Medical Director, Pediatric Non-Invasive Cardiovascular Imaging Job Responsibilities: Support and mentor junior and mid-career pediatric cardiology echo attendings within the Pediatric Heart Center. Support and mentor ultrasound technicians within the Pediatric Heart Center. The candidate should have advanced training in non-invasive imaging while possessing professional, clinical, and leadership skills. This position will work with the Chief of Pediatric Cardiology and the leadership of the Inova Children's Heart Center to execute yearly personal and programmatic goals focused on the fundamentals of extraordinary care: Safety, quality, patient experiences, access, and stewardship. This is a perfect position for the candidate that thrives in an environment that focuses on teamwork, collaboration and dedication to patients, families, and each other. Although patient care is our primary focus, education and research are also encouraged and supported with access to dedicated research professionals including statisticians, research manager, and research coordinators. Professional responsibilities will include directing noninvasive imaging for the Pediatric Heart Center. Minimum Qualifications: Education: Doctorate Medicine MD or DO (completion of USMLE if non-US education) Training: Successful completion of physician residency program. Pediatric/Congenital Advanced Cardiac Imaging Fellowship Certification: Board eligible or Board Certified in Pediatric Cardiology. Licensure: Physician Upon Start; Current unrestricted license to practice medicine in the State of Virginia. Preferred Qualifications: The ideal candidate will have extensive experience (5+ years) in the field, specifically in echocardiography (TTE, TEE, strain analysis and 3D imaging) Preference will be given to those with experience at higher-volume centers and demonstrated leadership roles in imaging. The ideal candidate will have prior experience or education in medical administration, with preference given to those who also possess clinical research experience.
    $183k-278k yearly est. Auto-Apply 60d+ ago
  • Veterinary Medical Director

    Bluepearl 4.5company rating

    Paramus, NJ jobs

    If you are a current associate, you will need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs. BluePearl Pet Hospital located in Paramus, NJ is seeking a collaborative, engaged, and passionate veterinary leader with several years of clinical experience to lead our team of emergency and specialty clinicians in the role of Medical Director. The Medical Director will partner in leadership with hospital administration to create a sense of community and interact globally with the hospital and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance an engaging work environment for all by making a positive impact on the culture while cultivating an environment where medical quality stands out. We offer a competitive salary and relocation assistance. The primary responsibilities of the Medical Director include upholding medical quality standards (patient care, client and referral veterinarian satisfaction, and patient safety), supporting quality and operational initiatives, fostering a clinician-driven culture and one that cultivates a learning environment, and clinician recruiting, engagement, and retention. The ideal applicant needs to be self-motivated, collaborative, and able to work harmoniously and effectively with other clinicians, staff and referring veterinarians. We have an incredible collaborative relationship with our referring veterinarians, so the right candidate must be willing to interact in a variety of ways including making personal visits to their practices, presenting CE programs, and discussing cases by phone. There is dedicated paid administrative time off the floor to allow for success in creating a positive impact. We are truly in this together. We work to provide exceptional specialty and emergency care for pets by supporting each other through our shared passion, knowledge, and talents. Our BluePearl Paramus hospital is a state-of-the-art facility that opened in September 2016. All of our specialists at this 19,000 square foot hospital focus on critical care, internal medicine, surgery, oncology, cardiology, emergency medicine and dentistry. Our current equipment includes a 64- slice CT scanner, ultrasound, fluoroscopy, ultrafiltration, laparoscope, thoracoscopy tower, endoscopy imaging system, prismaflex and phoenix machines. We also provide transesophageal echocardiography, dialysis, and blood banking. Our hospital fosters a collaborative, team-oriented environment that works together to make a difference. The staff are like family and participates in team-building events throughout the year including Veterinary Technician Week, potluck meals, birthday celebrations, Associate of the Month recognition and in-house CE programs. Over 80% of our technicians are licensed and some will be sitting for the boards in the upcoming year. Perks to Living in Paramus, NJ: New Jersey is a wonderful place to work and live! Between the high quality of life, top-notch healthcare and public education and great job market, residents are considered some of the happiest in the country. Paramus is a suburb of New York City with a population of 26,650 and is 22 miles from NYC. Paramus is known for its multitude of stores and malls. It has five major indoor shopping centers, serving residents in the areas of Bergen County and Passaic County in New Jersey and Rockland County in New York and is close to the Meadowlands Sports Arena (home of the NY Giants and Jets), Madison Square Garden and Prudential Center (home of the NJ Devils). Paramus is in Bergen County and is one of the best places to live in New Jersey. Living in Paramus offers residents a sparse suburban feel and most residents own their homes. In Paramus there are a lot of restaurants, coffee shops, and parks. Many retirees live in Paramus and residents tend to have moderate political views. The public schools in Paramus are highly rated. Why choose BluePearl? In order to transform and lead the industry through innovative quality medicine and care, we emphasize the importance of continuous learning. We offer annual continuing education allowance, free continuing education sessions, our own BluePearl University for training, and our clinicians have access to over 2,000 medical journals. Because we encourage Associate growth, you will be surrounded by a group of dedicated, experienced team members. All Associates are leveled by their skillset in our unique leveling program. We also focus on developing our Associates into leaders through talent development programs and leadership workshops. We value your health and well-being as an Associate by providing you with the following benefits: Comprehensive benefits package including medical, dental, vision, paid time off, parental leave, and floating holiday plans, 401(k) and life insurance options. Company-paid Short-Ter and Long-Term Disability Flexible work schedules. A regional licensed social worker who can provide guidance, advice, and tips/tricks on how to maintain a healthy lifestyle while working in a fast-paced emergency and specialty care environment. In addition, access to 12 mental health care sessions annually at no charge to you, and other well-being resources through Lyra, an online mental health support platform. Annual company store allowance. Trupanion pet insurance and discounts to our associates for pet treatments, procedures, and food. The future is yours to create. We have a wide array of opportunities and growth paths within the organization and within Mars Vet Health. Step up, stand out, get involved, and put your mark on our amazing profession! BluePearl is committed to a diverse work environment in which all individuals are treated with respect and dignity. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, creed, sex, age, disability, genetic information, marital status, citizenship status, sexual orientation or affectional preference, or gender identity or expression, protected veteran status, or any other characteristic protected by law. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. The company is pleased to provide such assistance, and no applicant will be penalized as a result of such a request. We are an Equal Opportunity Employer and a Drug Free Workplace. Why BluePearl? Because it is an exceptional place to work!
    $149k-226k yearly est. Auto-Apply 60d+ ago
  • Medical Director | AAHA-Accredited Practice | West Caldwell, NJ

    Blue River Petcare 3.9company rating

    West Caldwell, NJ jobs

    Looking for a collaborative clinic, flexible scheduling, and no emergency hours? At West Caldwell Animal Hospital, we offer a supportive, family-focused team, and an ideal location just 25 miles from Manhattan. About Us * AAHA-accredited small animal hospital with 60 years of trusted care * Two-doctors and a tenured, experienced support staff * Located in West Caldwell, a safe suburb with excellent schools and NYC access What You'll Do * Define, implement, and promote practice medical policies and procedures that ensure quality patient care * Provide mentorship and high-quality medical and surgical care * Collaborate with a skilled veterinary team * Engage with a diverse client base in a growing community
    $173k-258k yearly est. 60d+ ago

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