Field Medical Director, (Orthopedic Surgery)MSK Surgery
Evolent 4.6
Medical director job in Bismarck, ND
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
As a Field MedicalDirector, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes.
Collaboration Opportunities:
+ Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required.
What You Will Be Doing:
+ Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.
+ Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals.
+ Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
+ Aids and acts as a resource to Initial Clinical Reviewers.
+ Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner.
+ May assist the Senior MedicalDirector in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support.
+ Participates in on-going training per inter-rater reliability process.
Qualifications:
+ MD/DO/MBBS
+ Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is highly preferred
+ Current, unrestricted clinical license in medicine or required specialty
+ Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs
+ Active Board Certification in Orthopedic Surgery
+ Strong clinical, management, communication, and organizational skills
+ Energetic and curious with a passion for quality and value in health care
+ Computer Proficiency
+ Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.
+ No history of a major disciplinary or legal action by a state medical board
To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.**
The expected base salary/wage range for this position is $130-$150/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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$130-150 hourly 60d+ ago
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Medical Director - OP Claims Mgmt
Humana 4.8
Medical director job in Bismarck, ND
**Become a part of our caring community and help us put health first** The MedicalDirector actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Initial and Appeals/Disputes level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. MedicalDirectors will learn Medicare, Medicaid, and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work.
The MedicalDirector's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from outpatient, inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, disputes processes, and appeals processes, and outpatient services and equipment, within their scope.
The MedicalDirector may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management.
**Use your skills to make an impact**
**Responsibilities**
The MedicalDirector provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines.
**Required Qualifications**
+ MD or DO degree
+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient/outpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
+ Current and ongoing Board Certification an approved ABMS Medical Specialty
+ A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.
+ No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
+ Excellent verbal and written communication skills .
+ Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.
**Preferred Qualifications**
+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
+ Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.
+ Experience with national guidelines such as MCG or InterQual
+ Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists
+ Advanced degree such as an MBA, MHA, MPH
+ Exposure to Public Health, Population Health, analytics, and use of business metrics.
+ Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.
+ The curiosity to learn, the flexibility to adapt and the courage to innovate
+ Ability to obtain additional medical licenses
**Additional Information**
Typically reports to Lead depending on size of region or line of business. The MedicalDirector conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in disputes and appeals reviews. May participate on project teams or organizational committees.
\#physiciancareers
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-31-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$223.8k-313.1k yearly 60d+ ago
Senior Medical Director, Clinical Research (Ophthalmology)
Sumitomo Pharma 4.6
Medical director job in Bismarck, ND
Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the U.S. (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) and Europe (Sumitomo Pharma Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health, rare diseases, psychiatry & neurology, and cell & gene therapies. With several marketed products in the U.S., Canada, and Europe, and a diverse pipeline of early- to late-stage assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** (***************************************************************************************************************************************************** or follow us on LinkedIn (https://c212.net/c/link/?t=0&l=en&o=4190475-1&h=**********&u=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fsumitomo-pharma-america%2F&a=LinkedIn) .
**Job Overview**
We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Senior MedicalDirector, Clinical Research (Ophthalmology) to join our R&D Organization.
This individual will contribute to the design and execution of clinical development plan(s) for assigned asset(s) and serve as the Clinical Research Lead for stem cell program within the Ophthalmology therapeutic area.
**Job Duties and Responsibilities**
+ Responsible for and lead all activities related to clinical study design from clinical study concept to clinical study protocol for both early- and late-stage programs
+ Leads or joins multi-disciplinary, multi-regional, matrix team through highly complex decisions
+ Leads and drives strategy for clinical studies for assigned asset(s) within the Ophthalmology therapeutic area
+ Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with the safety group to ensure adequacy of safety monitoring and reporting
+ Provide clinical input for and participate in study set up and design including data collection tools, data analysis, eCRF design, edit checks, vendor database design plans, etc.
+ Study-level, site-level and subject-level data review and interpretation, including documentation and summarization of findings
+ Serve as the internal medical monitoring for clinical trials
+ Review and provide input for the design of the statistical analysis plans, TLFs, and the clinical data output
+ Contributes to interpretation of clinical trial results and the writing of clinical study reports
+ Contributes to the preparation of Investigator Brochures, annual reports, data collection systems and final reports in compliance with appropriate scientific/regulatory/medical standards
+ Contributes to developing clinical components of BLA/NDAs, sNDAs, MAAs and other regulatory filing documents
+ Contributes to company responses to health authorities and ethics committees for ongoing clinical programs to ensure timely registration and initiation of trials globally
+ Contributes to the development of presentation materials for investigator meetings, health authority meetings, scientific advisory board meetings, and national and international scientific meetings
+ Serve as the subject matter expert for ophthalmology, representing Clinical Research to both internal and external customers
+ 20% domestic and international travel
**Key Core Competencies**
+ Knowledge and understanding of FDA, GCP, and ICH regulations and guidance
+ Thorough and up-to-date knowledge of therapeutic area including trends, advances, understanding of currently available therapies and competitive clinical landscape
+ Experience in conducting global clinical trials in both early- and late-stage clinical development, especially protocol development and trial initiation
+ Experience in regulatory submissions in US; preferred experience in Europe and Japan
+ Demonstrated ability to set clear priorities, lead, influence and build consensus in a multi-disciplined team environment
+ Strong team leadership skills and ability to motivate large multi-functional teams
+ Ability to effectively synthesize, interpret and present scientific information to both internal stakeholders and external medical community
+ High degree of organizational awareness, ability to connect the dots to understand all the interdependencies and big picture
+ Excellent interpersonal and communication skills with the ability to balance multiple tasks and work within a multi-disciplinary team
**Education and Experience**
+ MD (or international equivalent)
+ Board certified or board eligible in ophthalmology
+ Fellowship training in vitreoretinal surgery (preferred) or retina
+ A minimum of 5 years' experience in the pharmaceutical industry, with experience as Clinical Research Lead in Ophthalmology therapeutic area
+ Experience in regenerative cell medicine or gene therapy preferred
+ Prior experience working with Japan organizations is preferred
The base salary range for this role is $284,320 to $355,400. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays plus additional time off for a shut-down period during the last week of December, 80 hours of paid sick time upon hire and each year thereafter. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including candidate experience, skills, education and other factors permitted by law.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
**Confidential Data** : All information (written, verbal, electronic, etc.) that an employee encounters is considered confidential.
**Compliance** : Achieve and maintain Compliance with all applicable regulatory, legal and operational rules and procedures, by ensuring that all plans and activities for and on behalf of Sumitomo Pharma America (SMPA) and affiliates are carried out with the "best" industry practices and the highest ethical standards.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
**Mental/Physical Requirements** : Fast paced environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires ability to use a personal computer for extended periods of time.
**Sumitomo Pharma America (SMPA)** **is an Equal Employment Opportunity (EEO) employer**
Qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** or follow us on LinkedIn.
Sumitomo Pharma America (SMPA) endeavors to make its application process accessible to all. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact SMPA at **********************************************
This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
At Sumitomo Pharma America, our work is guided by the Sumitomo Pharma mission, vision and values, which tie closely to our company's cultural pillars.
**Our** **Mission**
_To broadly contribute to society through value creation based on innovative research and development activities for the betterment of healthcare and fuller lives of people_ _worldwide_
**Our** **Vision**
_For Longer and Healthier Lives, we unlock the future with cutting edge technology and_ _ideas_
$284.3k-355.4k yearly 60d+ ago
US Director of Medical Affairs - Breast Cancer
Merck 4.6
Medical director job in Bismarck, ND
The Breast USDMA is a US- based position within our Research & Development Division, US Medical Affairs. This position strategically drives scientific excellence across in-line business and our Company's One Pipeline while optimizing field readiness across the USMA strategic pillars: 1.) Scientific Exchange 2.) Company Trials 3.) Investigator-Sponsored Programs 4.) Congresses 5.) Insights
The USDMA is an experienced therapeutic area (TA) leader and subject matter expert (SME) with relevant medical affairs and field medical experience. This role is also responsible for driving execution of scientific and medical affairs plans for assigned Therapy Areas within their region, engaging with regional cross-functional teams, and providing US input to the relevant cross-functional team meetings, e.g., US MAT, PAT, MT and V&I Plans.
As a core member (or co-lead) of the US Medical Affairs Team (MAT), the USDMA collaborates with the Global Breast TA team and cross-functional partners to enable US regional implementation of Value & Implementation (V&I) Planning by: 1) Integrating local insights into Global Scientific Value Content (GSVC) and Center of Scientific Exchange Excellence (CSEE) plans 2) Facilitating local adoption of GSVC and CSEE initiatives 3) Leading development and execution of aligned local training programs 4) Evaluating training effectiveness and application in the field.
**Primary Responsibilities**
+ In collaboration with USMA Executive Director (ED) and Health Systems PASL, conduct development and implementation of regional strategies aligned with headquarters V&I goals including defining a prioritized USMA Field strategy and implementation goals.
+ Contribute to the integrated US Country Medical Affairs Plan (CMAP), including the US Field Medical Plan (FMP)/Field Engagement Plan (FEP) and field training plan for assigned TA as a member of the USMA TA Leadership Team
+ Identifies and prioritizes US field resources, training needs and activities; and in collaboration with GMVC, ensures strategically aligned content and training and any other needed adult learning activities across the portfolio. This would also include the pull-through of pre- and post-congress regional training and content.
+ Develop a strategic and comprehensive scientific engagement plan and ensure scientific exchange aligns with the global scientific communications platform.
+ Ensure insights from advisory boards and field medical activities are actioned with relevant stakeholders, aligned with Country Medical Affairs priorities, and monitored for trends impacting future strategy.
+ In collaboration with relevant USMA stakeholders (e.g. HS PASL), organize expert input events (e.g., advisory boards, forums) with contracted Scientific Leaders and key stakeholders to address new indication implementation and/or emerging science.
+ Manage programs (i.e. patient support, education, risk management) as needed for appropriate and safe utilization of company medicines.
+ Partner with GSVC, CSEE, US Global Clinical Trial Organization (GCTO), Global Medical and Scientific Affairs (GMSA) TA leads, and internal/external SMEs to orchestrate and deliver regional training as needed.
+ Participate in bi-directional information exchange and sharing of best practices across USMA roles and teams, including Health Systems.
+ Collaborate with the USMA Field Medical Alignment Director (FMAD) to ensure consistent standards, processes, and harmonization for training activities (e.g., clinical immersions, verbalizations, journal clubs).
+ Provide input into strategic congress priorities and participate in planning at key scientific congresses.
+ Continuously monitor healthcare environment and emerging trends to optimize CMAPs and field execution plans.
**Additional Responsibilities (as applicable)**
+ Serve as a point of contact for development and maintenance of US new-hire scientific foundational onboarding in collaboration with leadership and SMEs.
+ Work with USMA Leadership and GMVC stakeholders to ensure consistent verbalization processes for new hires and tenured RMSDs regarding new data, indications, and disease areas.
+ Providesupport for the Investigator Studies Program (ISP) for assigned TA, including Areas of Interest consultation, dissemination, data highlights, training, and scientific review as requested by the GMSA ED
**Required Qualifications, Skills & Experience**
**Minimum**
+ An advanced degree (e.g., MD, PhD, PharmD) relevant to the TA-specific disease area and recognized medical expertise in the breast cancer.
+ A minimum of 5 years of medical affairs experience or equivalent clinical/research experience
+ A minimum of 3 years of working in breast cancer (clinical, research, or pharmaceutical environment) or within a highly relevant TA with demonstrated scientific acumen.
+ Proven ability in Strategic Decision Making & Planning, including helping the US Executive Director prioritize initiatives across the portfolio.
+ Demonstrated Execution Excellence with a track record of leading complex projects, managing multiple priorities simultaneously in a fast-paced environment.
+ Strong Emotional Intelligence to foster trust and respect within a complex, matrixed organizational structure.
+ Exceptional Networking & Partnerships skills to collaborate effectively across diverse teams and stakeholders.
+ Agile mindset as a Change Catalyst, committed to experimenting, learning, and adapting in response to evolving business needs, and capable of driving continuous improvement.
+ Expertise in interpreting and communicating complex scientific concepts clearly in both one-on-one and group settings.
+ Deep knowledge of the US healthcare system, including national treatment guidelines, clinical research processes, FDA regulations, and OIG compliance.
+ The ability to travel up to 40% (i.e.: Congresses and internal meetings)
**Preferred**
+ Field Medical Affairs experience.
+ University-level teaching experience and understanding of adult learning principles.
+ Experience with innovative pharmaceutical training platforms.
+ Proficiency in Microsoft Word, PowerPoint, and Excel.
+ Ability to quickly assimilate new subject areas and work independently on complex problems
\#eligiblefor ERP
**Required Skills:**
Adaptability, Adaptability, Advisory Board Development, Biomarker Development, Business Decisions, Clinical Development, Clinical Medicine, Clinical Research, Clinical Trials, Collaboration, Data Analysis, Decision Making, FDA Regulations, Healthcare Management, Management Process, Medical Affairs, Medical Care, Medical Knowledge, Medical Marketing Strategy, Medication Safety, Professional Networking, Scientific Communications, Stakeholder Engagement, Strategic Planning, Strategic Thinking {+ 1 more}
**Preferred Skills:**
Current Employees apply HERE (*****************************************************
Current Contingent Workers apply HERE (*****************************************************
**US and Puerto Rico Residents Only:**
Our company is committed to inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here (*************************************** if you need an accommodation during the application or hiring process.
As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and individuals with disabilities. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:
EEOC Know Your Rights (******************************************************************************************
EEOC GINA Supplement
We are proud to be a company that embraces the value of bringing together, talented, and committed people with diverse experiences, perspectives, skills and backgrounds. The fastest way to breakthrough innovation is when people with diverse ideas, broad experiences, backgrounds, and skills come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another's thinking and approach problems collectively.
Learn more about your rights, including under California, Colorado and other US State Acts (**********************************************
**U.S. Hybrid Work Model**
Effective September 5, 2023, employees in office-based positions in the U.S. will be working a Hybrid work consisting of three total days on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence.This Hybrid work model does not apply to, and daily in-person attendance is required for, field-based positions; facility-based, manufacturing-based, or research-based positions where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance also does not apply to roles that have been designated as "remote".
The salary range for this role is
$210,400.00 - $331,100.00
This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. An employee's position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs.
The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.
We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k), paid holidays, vacation, and compassionate and sick days. More information about benefits is available at ****************************************************** .
You can apply for this role through **************************** (or via the Workday Jobs Hub if you are a current employee). The application deadline for this position is stated on this posting.
**San Francisco Residents Only:** We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance
**Los Angeles Residents Only:** We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance
**Search Firm Representatives Please Read Carefully**
Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
**Employee Status:**
Regular
**Relocation:**
No relocation
**VISA Sponsorship:**
No
**Travel Requirements:**
25%
**Flexible Work Arrangements:**
Remote
**Shift:**
Not Indicated
**Valid Driving License:**
No
**Hazardous Material(s):**
n/a
**Job Posting End Date:**
02/3/2026
***A job posting is effective until 11:59:59PM on the day** **BEFORE** **the listed job posting end date. Please ensure you apply to a job posting no later than the day** **BEFORE** **the job posting end date.**
**Requisition ID:** R381371
$210.4k-331.1k yearly 8d ago
Medical Director, Medical Management
Highmark Health 4.5
Medical director job in Bismarck, ND
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J267780
$170k-352.5k yearly 60d+ ago
Medical Director, Oncology
Parexel 4.5
Medical director job in Bismarck, ND
During the last five years, Parexel has participated in more than 1,000 Oncology and Hematology clinical projects. The range of services includes compound clinical development planning, collaboration with feasibility, protocol writing or optimization, medical monitoring and pharmacovigilance. Parexel has global presence in every phase of clinical research and expertise in virtually every indication and mechanism of action, including novel Immuno-oncology agents, cellular based therapy, and cancer stem cell targeted treatment. Join our growing team of Oncologists/Hematologists and make a difference in the lives of patients searching for more effective and better tolerated cancer therapies.
**Parexel's continued success has positioned us for significant North American growth in the coming year. As we prepare for this expansion, we're seeking to connect with Board-Certified Oncologists who are passionate about advancing clinical research and interested in learning more about the MedicalDirector role.**
As a **MedicalDirector** at Parexel, you will provide medical monitoring for assigned projects, function as medical representative on the project team, provide medical consultation as required or requested to client/sponsor or to other Parexel service groups, and assume the role of Senior Technical Lead in selected circumstances.
**In addition, you will also:**
+ Review all individual adverse experience reports for accuracy and clinical importance, and characterize their relationship to the study drug, severity and seriousness.
+ Provide reports to FDA or other regulatory agencies and the sponsor on a periodic and regular basis, summarizing adverse experiences as required by FDA or the sponsor, depending on the contract.
+ Review data listings of safety data, including adverse experiences, laboratory data, and vital signs data, to establish the presence or absence of abnormal trends, and if noted, follow up as appropriate with the project team, sponsor, investigator, and FDA.
+ Review documents written by various Parexel divisions for safety issues.
+ Review coding of adverse events and concomitant medications for accuracy and consistency.
+ Provide support for the preparation of clinical protocols, integrated clinical and statistical summary reports, journal articles, and other documents for clients/sponsors or in conjunction with clients/sponsors and in conjunction with other Parexel divisions.
+ Attend and present material, as requested, at meetings within Parexel as well as extra-company external meetings and conferences
Successful applicants will be medically qualified based on successful completion of training at an accredited medical school and be US or Canada Board-certified in Oncology with experience in adult or pediatric clinical patient care. Past experience as a Medical Monitor, Physician in Industry, or as a Clinical Trial Primary Investigator or Sub-Investigator is highly preferred.
**Successful applicants will also have:**
+ Excellent interpersonal skills including the ability to interact well with sponsor/client counterparts.
+ Excellent time management skills
+ Excellent verbal and written medical communication skills
+ Excellent standard of written and spoken English
+ A flexible attitude with respect to work assignments and new learning
+ The ability to manage multiple and varied tasks with enthusiasm and prioritize workload with attention to detail.
+ A willingness to work in a matrix environment and to value the importance of teamwork.
+ The ability to travel 10% domestically and/or internationally as needed.
\#LI-REMOTE
EEO Disclaimer
Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
$219k-306k yearly est. 13d ago
Medical Director - Ethos Hospice
Bek Care LLC
Medical director job in Bismarck, ND
Job Description
As a Hospice MedicalDirector, you'll provide physician leadership that ensures our hospice program delivers high-quality, compliant, and patient-centered care. You'll partner closely with interdisciplinary teams, support families during deeply meaningful moments, and guide clinical decision-making that honors each patient's goals and values.
As a Hospice MedicalDirector, you will:
Ensure CMS & Regulatory Compliance - Provide overall medical oversight for the hospice program, fulfilling all Hospice MedicalDirector responsibilities under CMS Conditions of Participation and ensuring compliance with federal, state, and local regulations.
Oversee Eligibility & Recertification - Review and approve hospice admissions for eligibility, sign Certifications of Terminal Illness (CTIs), participate in recertifications, and conduct required face-to-face (F2F) encounters when Nurse Practitioner coverage is not available.
Provide Clinical Leadership & Consultation - Serve as a clinical resource for the interdisciplinary team, supporting symptom management, disease progression, goals-of-care discussions, and complex medical decision-making; provide 24-hour on-call medical consultation.
Collaborate Across Teams - Partner with attending physicians, hospice clinicians, patients, families, and referral sources to ensure coordinated, compassionate, and patient-centered care.
Support Quality & Program Improvement - Participate in Quality Assessment and Performance Improvement (QAPI) initiatives, review clinical outcomes, promote consistent clinical standards across the hospice program.
Other Duties as Assigned - The duties and responsibilities listed above are representative of the nature and level of work assigned and are not necessarily all inclusive.
This job also requires:
Doctor of Medicine (MD) or Doctor of Oseopathic Medicine (DO).
Current, unrestricted medical license in the state of practice.
Board certified or board eligible in Family Medicine, Internal Medicine, Geriatrics, or related specialty.
Hospice or Palliative Medicine board certification preferred.
Demonstrated knowledge of CMS Hospice Conditions of Participation.
Strong expertise in symptom management and end-of-life care.
Excellent communication, collaboration, and leadership skills.
Ability to engage in emotionally sensitive clinical conversations.
Ability to pass state mandated background checks.
Physical capability to perform all essential job functions.
Ability to read, write, and speak English to ensure effective communication with team members, clients, and families.
Additional Details:
Employment Type: Salary, Exempt
Department: Administration
Travel Requirements: Yes - as needed
This role does not include supervisory responsibilities.
$210k-332k yearly est. 27d ago
Medical Director, Global Strategy Lead Rare Diseases - PKU
Otsuka America Pharmaceutical Inc. 4.9
Medical director job in Bismarck, ND
The MedicalDirector, Rare Disease is a critical role responsible for shaping the strategic processes and planning for assets in across phases of development within the Rare Disease portfolio. This position manages the unique challenge of establishing an emerging portfolio, incorporating newly acquired assets, which requires significant scientific and strategic agility and a strong ability to balance competing priorities. This position reports directly to the Rare Disease Medical Business Unit (BU) Lead.
****
**Key Responsibilities Include:**
**Medical Strategy & Narrative**
+ Provide key medical input into the initial development of the Target Reimbursable Product Profile as well as early development plans ensuring scientific consistency and alignment across functions (e.g., R&D, Clinical, Global Medical Affairs)
+ Provide high-quality scientific/clinical input and review of early asset plans, ensuring content aligns with the overarching Medical Narrative
+ Lead and nurture strategic partnerships with stakeholders by ensuring clear, consistent communication and aligning initiatives with partner priorities to strengthen collaboration and drive shared success in the rare disease space
+ Serve as a primary scientific resource, providing guidance on the disease state and mechanism of action for the Rare Disease portfolio helping to translate science into value for patients and stakeholders
+ Lead the Strategy and Tactical Planning Process, identifying critical data needs for the emerging portfolio
**Evidence Generation Process**
+ Oversee the Medical Evidence Generation Process in partnership with GIE&I, translating strategic data gaps into clear research priorities and providing expert input into the design and feasibility of innovative clinical trials and data generation initiatives
+ Support the planning and execution of Medical Affairs evidence generation activities relevant to the Rare Disease portfolio
**External Stakeholder Engagement**
+ Identify and engage a wide variety of stakeholders, including KOL experts and patient advocacy groups to support collection, curation and communication of clinical Medical and methodological insights to inform understanding of unmet medical needs, emerging standard of care and development opportunities
+ Develop Key Intelligence Topics & Questions (KITs/KIQs) for relevant assets, serving as the blueprint for insight collection from Key Opinion Leaders
+ Lead the strategic planning, content development, and successful facilitation of consulting activities including Advisory Boards, ensuring objectives align with data gap analyses and asset/portfolio strategy
+ Lead scientific exchange with key opinion leaders (KOLs) to gather insights and validate development hypotheses
+ Support the development of scientific publications, abstracts, and presentations related to the Rare Disease portfolio
**Cross-functional Integration & Planning**
+ Collaborate within the Rare Disease Medical Business Unit with the Rare Disease Medical Communications and Field Medical Affairs sub-teams
+ Partner with and serve as a scientific and clinical resource for cross-functional colleagues including Clinical Development, Global Integrated Evidence & Innovation, Regulatory and Global Marketing and Market Access
+ Support indication prioritization and portfolio planning for early assets
+ Manage assigned Rare Disease medical program budgets in partnership with the Rare Disease Medical BU lead, ensuring accurate forecasting, responsible resource utilization, and compliance with internal policies and external regulations
+ Consider technology and AI to support workflow improvement
**Qualifications**
**Education and Experience:**
+ Advanced scientific degree is required (PharmD, MD, PhD, or equivalent) with extensive expertise in Rare Disease
+ Minimum of 5+ years of relevant experience in the pharmaceutical industry, with strong preference for experience in Clinical Development, Research, or Medical Affairs
+ Experience supporting BD evaluations for potential acquisitions
+ Experience contributing to the integration and strategic planning for newly acquired or in-licensed assets
+ Proven experience managing Evidence Generation processes and executing scientific Advisory Boards
**Skills and Competencies:**
+ Strong leadership presence and ability to present to executive leadership team
+ Skilled in cultivating strong relationships with global medical partners through proactive communication and strategic prioritization
+ Motivated and solution-oriented with the ability to work collaboratively across the organization, particularly with R&D and Clinical teams
+ Strategic agility required to build and adapt scientific strategy for an emerging portfolio
+ Excellent communication and interpersonal skills, including experience presenting complex development strategies to large internal groups and engaging a limited number of highly specialized external experts
+ Full understanding of rules and regulations in pharma, with the ability to apply knowledge of guidelines and regulations to early-stage Medical Affairs activities
+ Ability to work in a fast-paced, dynamic environment, with a proactive and problem-solving mindset
+ Strong understanding of drug development processes, especially early-stage development
+ Openness to travel up to ~25% for 3 - 6 conferences in US and globally
**Competencies**
**Accountability for Results -** Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
**Strategic Thinking & Problem Solving -** Make decisions considering the long-term impact to customers, patients, employees, and the business.
**Patient & Customer Centricity -** Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
**Impactful Communication -** Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
**Respectful Collaboration -** Seek and value others' perspectives and strive for diverse partnerships to enhance work toward common goals.
**Empowered Development -** Play an active role in professional development as a business imperative.
Minimum $209,599.00 - Maximum $313,375.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate's job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws.
**Application Deadline** : This will be posted for a minimum of 5 business days.
**Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.
Come discover more about Otsuka and our benefit offerings; ********************************************* .
**Disclaimer:**
This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting Accommodation Request (EEAccommodations@otsuka-us.com) .
**Statement Regarding Job Recruiting Fraud Scams**
At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives. They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf.
Please understand, Otsuka will **never** ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment.
Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters.
To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website ******************************************************* .
Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ************. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: ******************* , or your local authorities.
Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. ("Otsuka") does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka's application portal without a valid written search agreement in place for the position will be considered Otsuka's sole property. No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
$209.6k yearly 44d ago
Medical Consultant- Psychiatrist
Unum Group 4.4
Medical director job in Bismarck, ND
When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
+ Award-winning culture
+ Inclusion and diversity as a priority
+ Performance Based Incentive Plans
+ Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
+ Generous PTO (including paid time to volunteer!)
+ Up to 9.5% 401(k) employer contribution
+ Mental health support
+ Career advancement opportunities
+ Student loan repayment options
+ Tuition reimbursement
+ Flexible work environments
**_*All the benefits listed above are subject to the terms of their individual Plans_** **.**
And that's just the beginning...
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
**General Summary:**
Unum is expanding our team of expert physicians to serve as Medical Consultants! Step into a role that lets you leverage your clinical expertise without the demands of faceโtoโface patient care. If you're board-certified in Psychiatry, as a Medical Consultant at Unum you'll enjoy a full but well-balanced schedule with the freedom to focus on thoughtful, analytical work. This position offers the rare opportunity to apply your medical knowledge in a new way- you'll review and evaluate medical documentation for disability claims in a collaborative, team-oriented environment. Enjoy competitive benefits, generous PTO, and more. If you're seeking intellectually stimulating work with meaningful impact, this role offers a refreshing next chapter in your career."
This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to accepted norms of medical practices and Code of Conduct guidelines. Physicians and psychologists conduct their reviews and analyses within appropriate ethical standards and maintain their professional licenses and Board certifications. This role is expected to provide excellent customer service and to interact on a regular basis with business partners, health care providers, and other specialized resources.
**Principal Duties and Responsibilities**
+ Provide timely, clear medical direction and opinions to team partners, with reasoned forensic analysis to support the medical opinions
+ Partner/consult with fellow medical consultants when appropriate to ensure the completion of a whole person analysis
+ Apply medical knowledge to determine functional capacity through assessment of medical and other data related to impairment, regarding accuracy of diagnoses, treatment plans, duration guidelines, and prognosis
+ Provide relevant medical education and knowledge to others in terms appropriate and understandable to the intended audience
+ Perform telephone contacts with the insured's healthcare providers to gather medical information and to facilitate a better understanding of the claimant's functional abilities
+ Make timely and appropriate referrals for second opinion reviews when appropriate or required according to current guidelines and best practices
+ Demonstrate ability to manage and complete high volumes of assigned work, maintain consistently good turnaround times, and operate with a sense of urgency
+ Focus not only on individual workload, but on the team/group work volumes to ensure organizational success
+ Receive feedback and follow through with appropriate behaviors/actions
+ Perform other duties as assigned
**Job Specifications**
+ Professional Degree (MD, DO, PhD, PsyD)
+ Active, unrestricted US medical license
+ Board certification required for physicians in their area of specialty
+ Minimum of five years of clinical experience in medical specialty
+ Strong team and collaborative skills. Ability to work in a fast paced, team based, corporate environment
+ Ability to mentor others and to give and receive constructive, behaviorally based feedback with peers and partners
~IN1
\#LI-RA1
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$133,500.00-$274,100.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum
$133.5k-274.1k yearly 55d ago
Practice Manager
Confluent 4.6
Medical director job in Bismarck, ND
**Employment Type:** FullTime Remote **Department** Customer Solutions **Compensation:** $136.2K - $160K - Offers Equity - Offers Commission _At Confluent, we are committed to providing competitive pay and benefits that are in line with industry standards. We analyze and carefully consider several factors when determining compensation, including work history, education, professional experience, and location. The actual pay may vary depending on your skills, qualifications, experience, and work location. In addition, Confluent offers a wide range of employee benefits. To learn more about our benefits click_ here (****************************** _._
**Overview**
We're not just building better tech. We're rewriting how data moves and what the world can do with it. With Confluent, data doesn't sit still. Our platform puts information in motion, streaming in near real-time so companies can react faster, build smarter, and deliver experiences as dynamic as the world around them.
It takes a certain kind of person to join this team. Those who ask hard questions, give honest feedback, and show up for each other. No egos, no solo acts. Just smart, curious humans pushing toward something bigger, together.
One Confluent. One Team. One Data Streaming Platform.
**About the Role:**
As a Practice Manager at Confluent, you will lead a team of professional services consultants and our partners who work with our customers to ensure their success with Confluent's products. Your responsibilities will include driving adoption and consumption, achieving high levels of customer satisfaction, fostering revenue growth, and developing your team. You will engage with customers throughout their lifecycle from pre-sales through delivery to align business outcomes, establish clear success criteria, and ensure overall customer success.
The ideal candidate for this role should have a proven track record of delivering high-quality professional services to enterprise customers. They should possess excellent communication and interpersonal skills, strong project management skills, and a deep understanding of enterprise architecture, data and systems integration, and the data stream processing markets.
**What You Will Do:**
+ Engage with customer organizations at various levels, from C-level and VPs to Architects and Program Managers. Establish services direction, oversee customer success and satisfaction, and contribute to the account and regional growth.
+ Drive Confluent Professional Services across the customer base in collaboration with software sales teams. Own the services sales strategy to achieve bookings, revenue, and utilization goals.
+ Ensure successful project delivery with both internal teams and our partners to earn our customers' love. Resolve delivery challenges, address resource contentions, and manage expectations.
+ Participate in Confluent product and sales strategy for the customers in your region.
+ Strengthen Confluent success across your customer base by developing strong delivery partner executive relationships and awareness of partner delivery capabilities.
**What You Will Bring:**
+ Professional Services leadership background implementing SaaS/PaaS/IaaS
+ Experience overseeing enterprise-level IT delivery projects (5 years or equivalent capability).
+ Experience or interest in selling enterprise IT delivery services.
+ Demonstrated success in building and developing remote delivery teams including resource management, performance assessment, and career/growth planning.
+ Exceptional interpersonal communication skills, as the role is primarily customer-facing. Candidates will need to travel to customer sites and lead engagements with business executives, enterprise architects, and engineering/design management personnel.
+ Some fluency in Spanish and/or Portuguese
+ Willingness to travel as required, estimated at 20% of the time, to support sales opportunities and maintain existing customer relationships.
**Ready to build what's next? Let's get in motion.**
**Come As You Are**
Belonging isn't a perk here. It's the baseline. We work across time zones and backgrounds, knowing the best ideas come from different perspectives. And we make space for everyone to lead, grow, and challenge what's possible.
We're proud to be an equal opportunity workplace. Employment decisions are based on job-related criteria, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other classification protected by law.
$136.2k-160k yearly 31d ago
Manager, Practice Transformation
CVS Health 4.6
Medical director job in Bismarck, ND
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
The Practice Transformation Advisor plays a critical role in supporting the highest standards of practice performance and quality within our organization's network of healthcare providers. The primary focus is to identify areas for quality improvement, partner with provider practices to implement quality strategies that improve quality and cost of care, member, and clinician experience, and drive positive outcomes in the delivery of patient
care.
**Responsibilities:**
1. Provider Engagement: Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater.
2. Performance Analysis: Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment. This includes clinical quality indicators, patient and provider satisfaction ratings and operational efficiency measures. Identify areas of improvement and develop data-driven strategies to improve provider performance and financial rewards.
3. Provider Education and Practice Transformation: Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care. Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff in key operational domains to achieve improved health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience and patient-centered care to enhance provider skills and knowledge.
4. Performance Improvement Initiatives: Lead initiatives aimed at improving provider performance. Develop and implement performance improvement plans, monitor progress, and evaluate the effectiveness of interventions in collaboration with practice partners.
5. Quality Assurance: Conduct regular audits, reviews, and assessments of provider practices, documentation and compliance. Provide feedback and recommendations for improvement.
6. Stakeholder Collaboration: Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance objectives with organizational goals. Foster effective working relationships with providers, offering guidance, feedback, and support to facilitate their success.
7. Data Management and Reporting: Utilize data management systems and analytics tools to collect, analyze, and report provider performance data. Prepare comprehensive reports, dashboards, and presentations for senior leadership, highlighting key performance indicators, trends, and improvement opportunities.
8. Industry Knowledge and Research: Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality. Support population health and health equity initiatives to improve care gap closure rates and health outcomes. Conduct research and benchmarking
activities to identify innovative approaches and opportunities for improvement.
**Requirements:**
โช 5-7 years of experience in healthcare quality improvement, provider relations, or a related role.
โช In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics.
โช Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities.
โช Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, , team members, and stakeholders at all levels.
โช Proven experience in designing and delivering training programs or educational initiatives.
โช Proficiency in data management and analysis tools, such as Excel or data visualization software.
โช Familiarity with electronic health record systems and healthcare information technology.
โช Detail-oriented, organized, and able to manage multiple projects simultaneously.
โช Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
โช Position is remote, however STRONG preference for candidate to reside in LA - secure home network required and familiar with Microsoft Office products and VPN.
**Preferred:**
โช Licensed Allied Health Professional or Licensed Registered Nurse
โช Coding or Sales background
โช Certified Six Sigma Green Belt
โช Certified Professional in Healthcare Quality (CPHQ) or equivalent
**Education/license requirements:**
- Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$54,300.00 - $159,120.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 02/13/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
$54.3k-159.1k yearly 2d ago
Manager, Design Practice
CDM Smith 4.8
Medical director job in Bismarck, ND
CDM Smith is seeking a Design Practice Manager to join our Digital Engineering Solutions team. This individual will lead the Design Practice group, helping to drive the firm's digital transformation through the strategic implementation of digital design tools, technologies and processes. This group plays a key role in advancing digital enablement programs and technology execution plans that enhance design workflows across our architecture, engineering, and construction (AEC) disciplines. This role also involves collaborating with cross-functional teams to ensure seamless integration of various technologies and communicating effectively with stakeholders to drive project success. This position is ideal for someone who has demonstrated excellence in digital design technologies and processes, has applied them across a variety of AEC practices, and thrives on identifying, developing, and establishing standards, workflows, and training programs. The Design Practice Manager will lead rollout efforts and champion adoption across the organization. As a member of the Digital Engineering Solutions team, the Design Practice group will also collaborate closely the business units project delivery teams and discipline experts to identify, prioritize and advance design practice initiatives. This includes translating strategic objectives and operational challenges into actionable insights that align with broader digital strategies.
The ideal candidate will have a proven record in the field of design practice, with a mindset of continuous learning and curiosity leading to tangible results.
Under the direction of the Digital Practice Leader, the duties and responsibilities for this position include:
- Working on the cutting edge of digital tools and technologies, developing standards, processes and workflows for applications by Autodesk and Bentley, and other design applications and plug-ins that can benefit the AEC practices at CDM Smith.
- Maintaining consistent and documented standards, processes, workflows, and best practices for CDM Smith's AEC digital tools and technologies in alignment with the broader digital enablement strategy Ability to communicate thoughts and technical ideas in an accessible and easy-to-understand manner.
- Eagerness to learn and work as part of a multidisciplinary team across a global practice.
- Display excellent interpersonal skills to build quality relationships with the team and across the organization.
- Assist on initiatives and efforts, as part of a collaborative team, with your digital tools and technologies expertise.
- Assist with the development of documentation, standards, best practices, and workflows for design practice hardware/software and digital tools and technologies in use across the business.
- Manage and oversee a team of design practice specialists, aligning the group to the Digital Engineering Solutions team's goals and objectives along with the Digital Practice Leader. This further includes providing guidance, instruction, training, and leadership skills to inspire the group to perform at their optimum, working efficiently together and maximizing the team's potential.
- Motivate and inspire a team of design practice specialists by creating an environment that promotes positive communication, encourages bonding of group members (both within the area of design technology and across the broader team as a whole), and demonstrates flexibility.
- Manages staff, evaluates performance, mentors, approves paid time off (PTO) and training, ensures human resources (HR) policies are followed and makes recommendations regarding staffing decisions.
- Present to both internal and external audiences as needed.
- Assist the business with marketing, communications, and business development descriptions and activities from a technology perspective as needed.
- Assist with internal and external website descriptions as needed.
- Perform other duties as required.
\#LI-LP1
\#LI-REMOTE
**Job Title:**
Manager, Design Practice
**Group:**
COR
**Employment Type:**
Regular
**Minimum Qualifications:**
- Bachelor's degree.
- 10 years of related experience with at least 2 of those years in a supervisory or leadership capacity.
- Equivalent additional directly related experience will be considered in lieu of a college degree.
Domestic and/or international travel may be required. The frequency of travel is contingent on specific duties, responsibilities, and the essential functions of the position, which may vary depending on workload and project demands.
**Preferred Qualifications:**
- Experience with Civil 3D, including corridor modeling, grading, pipe networks, and plan production workflows for transportation infrastructure projects.
- Proficiency in Bentley design tools such as OpenRoads Designer, MicroStation, and InRoads, with a strong understanding of their application in roadway and civil site design.
- Familiarity with DOT requirements and digital deliverables for transportation projects using Civil 3D and Bentley tools.
- Understanding of low-code/no-code computational design applications for implementing quality assurance frameworks including reliability, security, and scalability.
**EEO Statement:**
We attract the best people in the industry, supporting their efforts to learn and grow. We strive to create a challenging and progressive work environment. We provide career opportunities that span a variety of disciplines and geographic locations, with projects that our employees plan, design, build and operate as diverse as the needs of our clients. CDM Smith is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression), national origin, age, marital status, disability, veteran status, citizenship status, genetic information or any other characteristic protected by applicable law.
**Why CDM Smith?:**
Check out this video and find out why our team loves to work here! (*************************************************
**Join Us! CDM Smith - where amazing career journeys unfold.**
Imagine a place committed to offering an unmatched employee experience. Where you work on projects that are meaningful to you. Where you play an active part in shaping your career journey. Where your co-workers are invested in you and your success. Where you are encouraged and supported to do your very best and given the tools and resources to do so. Where it's a priority that the company takes good care of you and your family.
Our employees are the heart of our company. As an employer of choice, our goal is to provide a challenging, progressive and inclusive work environment which fosters personal leadership, career growth and development for every employee. We value passionate individuals who challenge the norm, deliver world-class solutions and bring diverse perspectives. Join our team, and together we will make a difference and change the world.
**Job Site Location:**
United States - Nationwide
**Agency Disclaimer:**
All vendors must have a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any other member of the CDM Smith staff will not be considered binding terms. All unsolicited resumes sent to CDM Smith and any resume submitted to any employee outside of CDM Smith Recruiting Center Team (RCT) will be considered property of CDM Smith. CDM Smith will not be held liable to pay a placement fee.
**Amount of Travel Required:**
0%
**Assignment Category:**
Fulltime-Regular
**Visa Sponsorship Available:**
No - We will not support sponsorship, i.e. H-1B or TN Visas for this position
**Skills and Abilities:**
- Experience leading and managing a team of staff. Team-oriented, positive, collaborative and reliable. Proven leadership capabilities with the ability to organize, plan, prioritize, and to manage time and changing priorities.
- Expert knowledge and proven ability in the area of AEC design technologies and processes. Inquisitive, with a desire to ask questions to gain a deeper understanding of business issues. Passionate about helping AEC business lines drive their success in using design technology and processes.
- Excellent written and oral communication skills with the ability to communicate well with people from both technical and non-technical backgrounds. Ability to listen, build rapport, and credibility as a strategic and diplomatic partner with our business units.
- Innovative and able to apply critical thinking skills to generate new solutions/ideas that create value and improve processes.
- Detail oriented with the ability to assist with executing highly complex or specialized projects.
**Background Check and Drug Testing Information:**
CDM Smith Inc. and its divisions and subsidiaries (hereafter collectively referred to as "CDM Smith") reserves the right to require background checks including criminal, employment, education, licensure, etc. as well as credit and motor vehicle when applicable for certain positions. In addition, CDM Smith may conduct drug testing for designated positions. Background checks are conducted after an offer of employment has been made in the United States. The timing of when background checks will be conducted on candidates for positions outside the United States will vary based on country statutory law but in no case, will the background check precede an interview. CDM Smith will conduct interviews of qualified individuals prior to requesting a criminal background check, and no job application submitted prior to such interview shall inquire into an applicant's criminal history. If this position is subject to a background check for any convictions related to its responsibilities and requirements, employment will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically disqualify a candidate. In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing.
**Pay Range Minimum:**
$121,368
**Pay Range Maximum:**
$212,368
**Additional Compensation:**
All bonuses at CDM Smith are discretionary and may or may not apply to this position.
**Work Location Options:**
Fully Remote or Hybrid Work Options may be considered for successful candidate.
**Additional Pay Range Information:**
The pay range for this position is listed above. This pay range is a good faith estimate representative of all experience levels for this position based on the geographic location assigned to the position. Please note that pay ranges vary based on geographic location. In addition to geographic location, the company considers several other factors when extending an offer including but not limited to the role, function and associated responsibilities, the candidate's work experience, education/training and key skills.
**Massachusetts Applicants:**
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$121.4k-212.4k yearly 54d ago
Manager, Medical Rebates Execution - Accounting
Cardinal Health 4.4
Medical director job in Bismarck, ND
**_What Finance Operations contributes to Cardinal Health_** Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets.
Finance Operations is responsible for core financial operation processes. This can include customer and vendor contract administration; customer and vendor pricing, rebates, billing vendor chargeback research and reconciliation; processing vendor invoices and employee expense reports for payment; fixed asset accounting for book and tax records; cash application; and journal entries.
+ Demonstrates knowledge of financial processes, accounting policies, systems, controls, and work streams
+ Demonstrates experience working in a transnational finance environment coupled with strong internal controls
+ Possesses understanding of service level goals and objectives when providing customer support
+ Works collaboratively to respond to non-standard requests
+ Possesses strong organizational skills and prioritizes getting the right things done
**_Responsibilities_**
+ Manage a team of Cardinal Health and Genpact individuals who oversee the entirety of the GPO Admin Fees and Rebates set up and report creation functions, including P&L accruals, rebate setups within SAP Vistex and ad hoc reporting for key internal and external stakeholders. Responsible for the month end accounting close process.
+ Ensure GPO Admin Fees and Rebates are properly accounted for based on core accounting principles
+ Own first level review/approval responsibilities for non-standard rebate structures to ensure proper audit documentation is maintained and proper approvals are received
+ Oversee key rebate accuracy and timeliness CSLs and KPIs
+ Partner with cross-functional teams to research and resolve root cause issues impacting rebate accuracy or ability to set up Rebates and GPO Admin Fees timely; apply big picture knowledge to assess and interpret financial impact of process changes and resulting driver outcomes of GPO Admin Fee/Rebate set up changes
+ Foster a strong SOX internal control structure and seek opportunities for improvements, including build out of SOP processes and project development
+ Transform current payout and reporting process into Vistex implementation and go-forward build/upkeep
+ Develop plans for future systematic enhancements
+ Assist team with more complicated customer and transaction activities; oversee escalations to ensure closure in a timely manner
+ Partner with and be a thought-provoking leader to business partners across the organization to properly account for transactions, including but not limited to Sales, Legal, Finance, Pricing, Accounting and Contracting
+ Actively collaborate and support cross-functional team initiatives to improve customer experience, both internally and externally
+ Establish team and individual-oriented goals for growth and development
**_Qualifications_**
+ Bachelor's Degree in Accounting, Finance or Business Management, preferred
+ CPA preferred
+ 8+ years of professional experience in related field, preferred, including Accounting, Finance, or Audit, preferred
+ Accounting and Finance acumen
+ Ability to lead a new team and influence others
+ Knowledge with SAP and legal contracts (revenue recognition standards is a plus)
+ Data mining experience (relevant application tool experience is a plus)
+ Strong written and verbal communication skills
+ Process improvement oriented
+ Strong SOX/internal control understanding
**Anticipated salary range:** $105,100 - $135,090
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/16/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-135.1k yearly 60d+ ago
Director, Home Health Grievances & Appeals
Centerwell
Medical director job in Bismarck, ND
**Become a part of our caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal and review process to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics, denial and appeal process.
The Director, Home Health Grievances & Appeals assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.
**Responsibilities:**
+ Oversee the process for direction and support to clinical and operational leadership regarding Medicare and governmental audit trends, denials, and any CMS initiative and/or demonstration projects.
+ Collaborates with leadership team in the development of an education plan to improve processes to preserve and recover revenue.
+ Analyzes region-wide outcome indicators to measure achievement of quantitative and qualitative standards. Assists in the development, implementation and analysis of internal and external benchmarking programs to measure the region's effectiveness in improving performance
+ Maintains region-wide Performance Improvement program which includes Customer Satisfaction, complaints, infection monitoring, Incident Reporting, and quarterly branch PI activity
+ Provides feedback and recommendations for changes to policies and processes, procedures and systems to enhance measures taken to improve performance
+ Communicate with Corporate leadership, Regional and Divisional leaders as appropriate to resolve issues that may place patients or the company at risk
+ Oversee educational in-services based on analysis of PI data and activities Acts as a resource for the Operations Support team and communicates Performance Improvement results
+ Participate in special projects and performs other duties as assigned.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree in Nursing or related field
+ 10-15 years progressively responsible experience in home health or hospice industry that includes performance improvement and outcomes measurement
+ 5 years' experience in a supervisory or teaching role
+ Thorough knowledge of health care policy, industry and related clinical practice
+ Knowledge in the interpretation and application of regulations and performance improvement standards
+ Strong Project management principles and clinical policy development/implementation required
+ Expert knowledge of all Medicare regulations and appeals processes
+ Excellent analytical skills with ability to interpret and apply regulatory requirements
+ Excellent verbal/written communication and presentation skills
+ Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses
+ Must be able to work well independently and in a team environment
+ Excellent communication and organization skills
+ Strong attention to detail
+ Healthcare industry experience preferred
+ Must read, write and speak fluent English
+ Must have good and regular attendance
+ Approximate percent of time required to travel: 30%
+ Performs other related duties as assigned
**Preferred Qualifications**
+ Master's Degree preferred
+ Licenses/Certification: RN, PT or OT preferred
+ More than 3 years of grievance and appeals experience
+ Strong knowledge in Microsoft Access or experience with SQL Server databases
+ Previous experience processing medical claims
+ Bilingual (English and Spanish); with the ability to read, write, and speak English and Spanish
**Additional Information**
**SSN Alert Statement**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**WAH Internet Statement**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$126,300 - $173,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-30-2026
**About us**
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$126.3k-173.7k yearly Easy Apply 20d ago
Director of Imaging & Heart and Vascular Services
Catholic Health Initiatives 3.2
Medical director job in Bismarck, ND
**Job Summary and Responsibilities** CHI St. Alexius is looking for a Full Time Director of Imaging & Heart and Vascular Services to join the team! Are you a dynamic and visionary leader ready to make a significant impact in a fast-paced healthcare environment? CHI Health is seeking an **Imaging Services Director** to oversee our comprehensive imaging departments, including Radiology, Interventional Radiology, Mammography, CT, MRI, Ultrasound, and Nuclear Medicine/PET.
In this pivotal role, you'll report directly to the Division Director of Imaging Services, collaborating closely with campus leadership to drive excellence in patient care, financial performance, and operational efficiency. You'll be instrumental in shaping the future of imaging services, ensuring top-tier quality, safety, and staff engagement.
**What you'll do:**
+ **Lead & Inspire:** Supervise, mentor, and empower a high-performing team, fostering a positive and collaborative work environment. You'll have the authority to hire, promote, train, and conduct performance evaluations.
+ **Strategic Oversight:** Plan, organize, and monitor all aspects of imaging operations, from staffing and financial processes to quality control and regulatory compliance.
+ **Drive Excellence:** Oversee the development and maintenance of robust quality control programs, ensuring adherence to all CHI Health standards and regulatory requirements (Joint Commission, CMS, ACR, MQSA, etc.).
+ **Financial Stewardship:** Develop and manage capital and operational budgets, optimizing resources and controlling costs to achieve financial goals.
+ **Patient & Staff Advocate:** Address patient, physician, and staff concerns with professionalism and critical thinking, upholding the highest standards of medical ethics.
+ **Collaborate & Innovate:** Work closely with executives, managers, vendors, and other healthcare agencies to enhance service delivery and drive continuous improvement.
**Job Requirements**
**What you'll bring:**
+ **Bachelor's Degree** in a related discipline (Master's strongly preferred).
+ **Certification in an Imaging Modality** and State Licensure (Medical Radiography, ARDMS, NMTCB, or ABNM preferred).
+ Demonstrated ability to **manage multiple priorities** and deliver results in a dynamic environment.
+ **Strong leadership skills** , with the ability to inspire and develop teams.
+ **Excellent interpersonal, verbal, and written communication skills** .
+ **Self-motivation** and a strong sense of ownership.
+ **5+ years of leadership experience** in an imaging setting strongly preferred.
Join a team committed to transforming healthcare. If you're a results-oriented leader with a passion for innovation and patient care, apply today and help us define the future of imaging at CHI Health!
**Where You'll Work**
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
**Pay Range**
$47.77 - $67.47/hour
We are an equal opportunity/affirmative action employer.
$47.8-67.5 hourly 35d ago
Director of Imaging & Heart and Vascular Services
Commonspirit Health
Medical director job in Bismarck, ND
Where You'll Work
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
Job Summary and Responsibilities
CHI St. Alexius is looking for a Full Time Director of Imaging & Heart and Vascular Services to join the team!
Are you a dynamic and visionary leader ready to make a significant impact in a fast-paced healthcare environment? CHI Health is seeking an Imaging Services Director to oversee our comprehensive imaging departments, including Radiology, Interventional Radiology, Mammography, CT, MRI, Ultrasound, and Nuclear Medicine/PET.
In this pivotal role, you'll report directly to the Division Director of Imaging Services, collaborating closely with campus leadership to drive excellence in patient care, financial performance, and operational efficiency. You'll be instrumental in shaping the future of imaging services, ensuring top-tier quality, safety, and staff engagement.
What you'll do:
Lead & Inspire: Supervise, mentor, and empower a high-performing team, fostering a positive and collaborative work environment. You'll have the authority to hire, promote, train, and conduct performance evaluations.
Strategic Oversight: Plan, organize, and monitor all aspects of imaging operations, from staffing and financial processes to quality control and regulatory compliance.
Drive Excellence: Oversee the development and maintenance of robust quality control programs, ensuring adherence to all CHI Health standards and regulatory requirements (Joint Commission, CMS, ACR, MQSA, etc.).
Financial Stewardship: Develop and manage capital and operational budgets, optimizing resources and controlling costs to achieve financial goals.
Patient & Staff Advocate: Address patient, physician, and staff concerns with professionalism and critical thinking, upholding the highest standards of medical ethics.
Collaborate & Innovate: Work closely with executives, managers, vendors, and other healthcare agencies to enhance service delivery and drive continuous improvement.
Job Requirements
What you'll bring:
Bachelor's Degree in a related discipline (Master's strongly preferred).
Certification in an Imaging Modality and State Licensure (Medical Radiography, ARDMS, NMTCB, or ABNM preferred).
Demonstrated ability to manage multiple priorities and deliver results in a dynamic environment.
Strong leadership skills, with the ability to inspire and develop teams.
Excellent interpersonal, verbal, and written communication skills.
Self-motivation and a strong sense of ownership.
5+ years of leadership experience in an imaging setting strongly preferred.
Join a team committed to transforming healthcare. If you're a results-oriented leader with a passion for innovation and patient care, apply today and help us define the future of imaging at CHI Health!
$78k-125k yearly est. Auto-Apply 60d+ ago
Director of Imaging & Heart and Vascular Services
Commonspirit
Medical director job in Bismarck, ND
Where You'll Work
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
Job Summary and Responsibilities
CHI St. Alexius is looking for a Full Time Director of Imaging & Heart and Vascular Services to join the team!
Are you a dynamic and visionary leader ready to make a significant impact in a fast-paced healthcare environment? CHI Health is seeking an Imaging Services Director to oversee our comprehensive imaging departments, including Radiology, Interventional Radiology, Mammography, CT, MRI, Ultrasound, and Nuclear Medicine/PET.
In this pivotal role, you'll report directly to the Division Director of Imaging Services, collaborating closely with campus leadership to drive excellence in patient care, financial performance, and operational efficiency. You'll be instrumental in shaping the future of imaging services, ensuring top-tier quality, safety, and staff engagement.
What you'll do:
Lead & Inspire: Supervise, mentor, and empower a high-performing team, fostering a positive and collaborative work environment. You'll have the authority to hire, promote, train, and conduct performance evaluations.
Strategic Oversight: Plan, organize, and monitor all aspects of imaging operations, from staffing and financial processes to quality control and regulatory compliance.
Drive Excellence: Oversee the development and maintenance of robust quality control programs, ensuring adherence to all CHI Health standards and regulatory requirements (Joint Commission, CMS, ACR, MQSA, etc.).
Financial Stewardship: Develop and manage capital and operational budgets, optimizing resources and controlling costs to achieve financial goals.
Patient & Staff Advocate: Address patient, physician, and staff concerns with professionalism and critical thinking, upholding the highest standards of medical ethics.
Collaborate & Innovate: Work closely with executives, managers, vendors, and other healthcare agencies to enhance service delivery and drive continuous improvement.
Job Requirements
What you'll bring:
Bachelor's Degree in a related discipline (Master's strongly preferred).
Certification in an Imaging Modality and State Licensure (Medical Radiography, ARDMS, NMTCB, or ABNM preferred).
Demonstrated ability to manage multiple priorities and deliver results in a dynamic environment.
Strong leadership skills, with the ability to inspire and develop teams.
Excellent interpersonal, verbal, and written communication skills.
Self-motivation and a strong sense of ownership.
5+ years of leadership experience in an imaging setting strongly preferred.
Join a team committed to transforming healthcare. If you're a results-oriented leader with a passion for innovation and patient care, apply today and help us define the future of imaging at CHI Health!
Not ready to apply, or can't find a relevant opportunity?
Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
$78k-125k yearly est. Auto-Apply 60d+ ago
Director of Sponsor Services
Bismarck Larks
Medical director job in Bismarck, ND
Who We AreThe Bismarck Larks joined the Northwoods League (NWL) in 2017. The NWL is the largest organized baseball league in the world with 25 teams, drawing more fans than any league of its kind. The NWL provides top college players from North America and beyond a summer collegiate baseball experience. More than 350 Northwoods League players have advanced to Major League Baseball in the NWL's 31-year history.
The Bismarck Larks became the first team in NWL history to win NWL Organization of the Year in back-to-back seasons (2017 & 2018). The Larks sold out 27 of 36 home games in 2017 (75%) and continued their success in 2018 selling out 30 of 36 home games with an average overall attendance of more than 68,000 fans.
In 2020, the Larks became the first sports team in the country to play safely with fans in the stands during the COVID-19 pandemic. In 2021, the Larks sold out 92% of every ticket and were named one of the top 30 employers in sports by Front Office Sports in the company of the Denver Broncos and Savannah Bananas.
In 2023, the Larks were viral for rebranding to the Missouri River Motorboaters, hosted the NWL All-Star Game aired on ESPNU, aired two games on NBC - North Dakota, debuted the NWL's biggest videoboard, and hosted fans from 33 different states.
The Larks are committed to their mission of using FUN to make a difference in the lives of our community, employees, players, and interns.
The PositionThe Director of Sponsor Services will lead our team in creating unforgettable experiences for our partners. This leadership role is responsible for overseeing all partnership activation, team relationships, and community engagement initiatives, ensuring we deliver an exceptional experience that enhances our brand presence while driving impactful business results. As the Director, you will manage a dynamic team, cultivate strong relationships with key stakeholders, and develop strategic activation programs that elevate the teams' community presence and sponsorship effectiveness.
Key Responsibilities
Strategic Leadership: Lead and mentor the Partnership Activation and Experience team to ensure successful execution of all partnership and community engagement initiatives.
Develop Activation Strategies: Collaborate with leadership and partners to develop tailored partnership strategies that align with business objectives, amplify the teams' brand, and drive measurable results for both the team and our partners.
Team Management: Oversee the coordination of partnership activations and promotions, guiding team members in the planning, execution, and fulfillment of contractual obligations while maintaining the highest level of service.
Cross-Departmental Collaboration: Work closely with marketing, entertainment, ticketing, ballpark operations, and community outreach teams to ensure cohesive and effective partnership activations across all areas of the business.
Event and Promotion Oversight: Lead the development and execution of partner promotions, events, and community programs to maximize visibility, engagement, and return on investment for all partners.
Budget and Inventory Management: Manage the partnership activation budget, ensure that all partnership inventory is accounted for, and monitor the progress of partner contracts and performance.
Stakeholder Engagement: Serve as the primary liaison for high-level partners, providing strategic guidance and maintaining long-term relationships with sponsors, local organizations, and community groups.
Reporting and Analytics: Lead the compilation and presentation of performance data, including end-of-season recaps, activation performance reports, and ROI metrics for partners.
Strategic Growth and Innovation: Continuously seek out new partnership opportunities, creative activations, and community engagement strategies that elevate the fan experience and deepen community ties.
Event Representation: Represent the team at key networking events, partnership meetings, and industry conferences, fostering external relationships and raising the profile of the team in the community.
Success Metrics
Retention and Renewal: Achieving high retention rates for existing partnerships and successfully renewing sponsorship agreements for future seasons.
Promotion Goals: Meeting or exceeding partnership activation and promotion goals, ensuring campaigns and activations align with partner objectives and drive measurable business outcomes.
Event Attendance: Hitting event attendance targets and ensuring partner activation leads to increased visibility and fan engagement at events.
Sponsor Satisfaction: Collecting and analyzing sponsor feedback through surveys, aiming for high satisfaction scores, and ensuring sponsors feel their objectives are met and exceeded.
Skills and Qualifications
Proven experience in sports sponsorship, event management, or partnership activation, with at least 5-7 years in progressively senior roles.
Strong leadership skills with the ability to motivate and mentor a team.
Excellent project management skills, with experience managing multiple, simultaneous initiatives in a fast-paced environment.
In-depth understanding of partnership activation strategies, including digital, social media, hospitality, and in-stadium promotions.
Exceptional communication, negotiation, and relationship-building skills, with the ability to work cross-functionally across teams and with external partners.
Strong attention to detail and ability to meet deadlines while maintaining a high standard of work.
A passion for sports, community engagement, and creating unforgettable experiences.
Proficiency in digital marketing tools, Adobe Creative Suite, and project management platforms (Asana, etc.) is preferred.
Benefits & Compensation
Competitive base salary with additional earning potential tied to team success.
Commission structure
Health benefits
Sales Training
Matching 401k program
Unlimited PTO Requests*
Social and Group Outings
Merchandise Discounts
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class.
$75k-124k yearly est. 11d ago
Director of Policyholder Services
State of North Dakota 4.2
Medical director job in Bismarck, ND
At WSI, we believe every worker deserves a safe workplace - and every employer deserves peace of mind. We're committed to building a healthy, safe, and secure North Dakota workforce. Recognized as a Top 10 Workplace by the Bismarck-Mandan Young Professionals Network in 2017, 2023, and 2024, WSI is guided by servant leadership and the core values of loyalty, caring, and forthrightness to help us stay true to our purpose to care for injured workers.
Hiring Salary: $7,618+ per month depending on experience
Includes a full benefits package: paid family health insurance, paid leave, generous retirement plans, tuition reimbursement, flexible scheduling, infant-at-work program, and more.
This is a Monday-Friday day position located in Bismarck and is eligible for a hybrid schedule following the initial training period.
Summary of Work
We are seeking a strategic and results-driven leader to serve as the Director of Policyholder Services. This pivotal role is responsible for overseeing the core operational areas of underwriting, premium audit, compliance, and collections for the state's workers' compensation insurance fund. The Director will champion operational excellence, ensure adherence to regulatory standards, and deliver exceptional service to policyholders. Additionally, this role will lead strategic initiatives that advance the organization's mission and drive continuous improvement across all service areas.
* Provide strategic leadership and oversight of the Policyholder Services Team, fostering a high-performing, accountable, and growth-oriented culture aligned with organizational goals.
* Guide team development through coaching, feedback, recognition, and performance management, ensuring appropriate staffing and addressing conduct or performance issues as needed.
* Enhance operational efficiency by refining workflows, streamlining processes, and updating policies to support adaptability and service excellence.
* Manage departmental resources, including budget oversight, contract administration, and leading request for proposal processes to ensure continuity of services.
* Oversee employer premium programs and support annual rate reviews to maintain accurate risk classification and sustainable premium structures.
* Apply legal and regulatory frameworks to inform legislative proposals and contribute to compliance-related administrative and civil proceedings.
Minimum Qualifications
* Bachelor's degree in accounting, business or public administration, finance, statistics, economics, risk management or a closely related field.
* Minimum of six years of advanced leadership experience, including direct supervision of staff, managing team performance, overseeing complex projects or programs, and contributing to strategic decision-making.
* Experience in workers' compensation insurance, regulatory compliance, financial services or public insurance programs preferred.
About Team ND
"Far and away the best prize life offers is the chance to work hard at work worth doing." - Theodore Roosevelt
More than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota. At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage. Our purpose is to empower people, improve lives, and inspire success. Join us in being legendary.
Total Rewards: The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family.
Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.
Application Procedures
Apply online and upload the following information: cover letter (addressed to Human Resources), resume, references, and copy of college transcripts (if applicable). All application materials must be received by the closing date to be considered for the open position. Background checks will be conducted.
WSI staff will score all applications based on a 100-point scoring and rating system. Applications should include information that directly addresses how the applicant meets the minimum qualifications and a summary of work. It is very important to be thorough and detailed in the application materials. Incomplete sections in the application will not be given credit.
Applicants with disabilities should contact Denise Osmond at ************ in advance of applying to discuss any special provisions needed for applying or interviewing.
If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact **************** or ************.
ND Relay Number **************.
Equal Employment Opportunity
The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.
As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. ยง 23-12-10.
Are you ready to take your career to the next level by joining a global medical device market leader in diabetes care? At Insulet Corporation, we are transforming lives with innovative products that empower people living with diabetes to take control of their health. Over years of technological advances, we developed Omnipod, a line of tubeless, wearable, Pod-based insulin management systems.
Position Overview
As a Clinical Services Manager, you'll play a pivotal role in driving our patient-centric mission forward by creating a culture of collaboration aimed at simplifying life for people managing their diabetes.
In this role, you'll be the clinical expert in the field, conducting training and guiding healthcare providers in integrating Insulet's products into their patient care strategies. Your work will go beyond training-by understanding the clinical goals of providers and the unique needs of patients, you'll create customized approaches that truly make a difference. The work environment will be the HCPs offices, clinics, home office and car.
We're looking for:
* A dynamic and driven professional who thrives on delivering clinical excellence, educating healthcare providers, and driving exceptional patient outcomes.
* A natural relationship builder who creates lasting partnerships with key decision-makers and colleagues
* A clinical expert who uses evidence-based insights to guide providers toward adopting Insulet products
* A proven educator who empowers patients to take control of their health and improve their quality of life.
Responsibilities
Establish Clinical Partnerships
* Build strong relationships with key stakeholders, including endocrinologists, primary care providers, and diabetes management teams in hospitals, clinics, and private practices.
* Share your expertise with healthcare providers about diabetes management, including the latest technologies and best treatment practices to ensure consistent, high-quality care for patients.
* Expand your network and credibility within the diabetes community by actively participating in local events and initiatives that position you as a leader in diabetes care.
Own Patient Training
* Schedule and deliver personalized training to patients on the proper use and care of Insulet products, ensuring they feel confident and informed about their treatment.
* Assess patient needs and customize training programs, tailoring sessions to accommodate varying levels of familiarity with the device.
* Provide ongoing support and education, offering follow-up consultation to address questions, troubleshoot issues, and ensure successful long-term device usage.
* Collaborate with healthcare providers to ensure training aligns with clinical treatment plans, fostering seamless integration of the device into the patient's care routine.
* Empower patients to manage their condition effectively by explaining device features, functionality, and best practices for optimal results in everyday use.
Oversee Clinical Education
* Evaluate and recommend Certified Pod Trainers (CPTs) who wish to become consultant CPTs for Insulet
* Oversee CPTs by providing timely product updates and being a clinical resource.
* Leverage multiple data sources to inform education strategy and individual/team actions.
* Maintain and update data systems, such as Salesforce, to capture training metrics.
* Conduct administrative responsibilities, managing operations while adhering to budgetary guidelines.
Sell Through Clinical Expertise
* Empower decision-making by promoting the life-changing benefits of insulin pump therapy to healthcare providers and patients.
* Collaborate closely with territory partners to achieve shared sales goals while contributing your clinical expertise to shape effective strategies.
* Champion inspiring patient success stories, leveraging real-world examples to demonstrate the impact of Insulet's solutions and drive product adoption through clinical selling techniques.
* Execute field sales activities with a strategic, patient-centered approach, ensuring all promotional efforts are aligned with established guidelines while maximizing impact in the field.
Skills and Competencies
* Excellent communication skills, both oral and written
* Strong influencing and collaboration skills with the ability to build and nurture relationships.
* Demonstrated skill educating in a clinical setting (both providers and patients)
* Team-oriented with proven ability to work in a collaborative setting.
* Ability to solve complex problems and take appropriate action.
* Ability to execute territory business strategy.
* Proficiency with technology (both large data systems as well as personal devices, such as insulin pumps and continuous glucose monitors).
Education and Experience
Minimum Qualifications
* Associate degree
* 2+ years of related clinical experience
* Professional, up-to-date credentials and/or certifications (Certified Diabetes Care and Education Specialist (CDCES), Registered Dietitian (RD), or Registered Nurse (RN), PharmD, or other clinical credentials and/or certifications; state licensure (as required per state)
* Valid driver's license
Preferred Qualifications
* Bachelor's degree
* 2+ years' experience conducting training in a clinical setting and/or managing insulin pump patients
* Prior experience in a commercial role in the medical device or pharmaceutical industry
Additional Information
* Must reside within the geographic area of the assigned territory. This position requires regular business travel, mostly by car within a set geographic region.
* Overnight travel and amount of air travel varies by territory, may be as much as 2 - 5 overnights per month.
* Ability to lift, carry and transport up to 30 lbs., professional sales samples and literature.
If you're ready to be a part of a company that's changing the future of diabetes care, we want to hear from you. Join us at Insulet Corporation, where your talent will make a real difference in people's lives.
For U.S.-based positions only, the annual base salary for this role is $90,000. This position is eligible for incentive compensation.
We offer a comprehensive benefits package, including:
* Medical, dental, and vision insurance
* 401(k) with company match
* Paid time off (PTO)
* And additional employee wellness programs
Application Details: This job posting will remain open until the position is filled. To apply, please visit the Insulet Careers site and submit your application online.
NOTE: This position requires field-based working arrangements (travel within assigned territory required). #LI-Remote
Insulet Corporation (NASDAQ: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Insulet also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit insulet.com and omnipod.com.
We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it!
At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
(Know Your Rights)
How much does a medical director earn in Bismarck, ND?
The average medical director in Bismarck, ND earns between $171,000 and $408,000 annually. This compares to the national average medical director range of $143,000 to $369,000.
Average medical director salary in Bismarck, ND
$264,000
What are the biggest employers of Medical Directors in Bismarck, ND?
The biggest employers of Medical Directors in Bismarck, ND are: