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  • Medical Director, Medical Policy

    Highmark Health 4.5company rating

    Medical director job in Cheyenne, WY

    This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding based off policy criteria falls within their scope. In addition to developing new policies, the incumbent ensures all existing medical policies, in their scope, are in accordance with NCQA and/or CMS requirements. The incumbent may be required to address escalated inquiries brought forward by internal/external partners. Conducts peer reviews as part of the quality review process. In addition to policy ownership, the incumbent participates in various work-groups and sub-committees as a clinical lead/expert. Trains and orients new staff to the department and policy procedures, and mentors new team members. Serves as a liaison between other departments and vendors as required. **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria and oversight/ownership of the clinical presentations to committees for internally developed and vendor owned policies.Engage other departments, team members, strategic partners, and vendors to assist with research. + Provide clinical guidance to non-clinical team.This may include those who own Medicare Advantage policy updates, and those who support the commercial policy team. + Address escalated policy inquiries that require clinical expertise.This may include updating/revising existing medical policies. + Partner with Utilization Management and other operational teams to identify opportunities within medical policy. + Discover and cultivate innovative opportunities that drive significant improvements in healthcare quality and efficiency. + Other duties as assigned or requested. **EXPERIENCE** **Required** + 5 years of Active medical practice + 3 years of medical policy experience **Preferred** + 1 year of medical coding experience **SKILLS** + Critical Thinking + Oral and Written Communication + Listening + Telephone Skills + General Computer Skills, including Excel + Clinical Software + Email Software (Outlook) and Teams + MS Word + Managed Care **EDUCATION** **Required** + Doctor of Medicine or Doctor of Osteopathic Medicine **Substitutions** + None **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + Medical Doctor OR Doctor of Osteopathic Medicine (DO), Board certified in an American Board of Medical Specialties or Bureau of Osteopathic, Specialists recognized specialty credentialed in a Highmark network + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. **Preferred** + None **Language (Other than English):** + None **Travel Required:** + Less than 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** + Office-Based or Remote Position **Physical work site required** + Never **_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: J273814
    $170k-352.5k yearly 35d ago
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  • Medical Director - Nat'l IP UM Team

    Humana 4.8company rating

    Medical director job in Cheyenne, WY

    **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, level of care, and/or site of service should be authorized. 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. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert decisioning on the requested services. They will have regular discussions with external providers by phone to gather additional clinical information and discuss determinations. Medical directors are expected to understand Humana processes with a focus on collaborative professional relationships. The ideal candidate will have a high degree of integrity, professionalism, resourcefulness, and enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. After completion of structured and mentored training, daily work is performed with minimal direction, but with ready support from other team members. The ideal candidate enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. + Conduct comprehensive, timely, and compliant medical necessity reviews for inpatient services + Maintain accountability for productivity, quality, and compliance metrics + Communicate determinations clearly both verbally and in writing + Participate in rotational weekend work and occasional holiday responsibilities + Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices **Work Schedule Monday - Friday w/standard weekends (about 5 per year on average) Eastern Time Zone hours** **Use your skills to make an impact** **Use your skills to make an impact** **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 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 working in a team environment + **Work Schedule Monday - Friday w/standard weekends (about 5 per year on average) Eastern Time Zone hours** **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, or other healthcare providers. + 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 + Experience in hospital-based clinical practice, including specialties of Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, and hospital-based clinical specialists + The curiosity to learn and the flexibility to adapt to changes in order to enhance efficiency, productivity, and organizational goals. + Ability to thrive in a dynamic fast-paced, team-oriented environment. + Commitment to a culture of innovation, including being facile with using technology to improve workflows + Participate in educational activities by attending required conferences and also create content to lead/teach/present for individual subject matter contribution + Passionate about contributing to an organization's focus on consistency in outcomes, consumer experiences and a highly engaged team culture **Additional Information** The medical director reports to a Lead Medical Director. Participation in weekend work on a rotational basis to ensure cases are decisioned in a timely manner 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: 04-30-2026 **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
  • Medical Director, Oncology

    Parexel 4.5company rating

    Medical director job in Cheyenne, WY

    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 Medical Director role.** As a **Medical Director** 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.
    $228k-318k yearly est. 12d ago
  • Medical Director Revenue Integrity (Lead Physician Advisor)

    Cheyenne Regional Medical Center 4.3company rating

    Medical director job in Cheyenne, WY

    CORE RESPONSIBILITIES • Provides functional leadership for the revenue integrity team, including CDI, Coding, and Utilization Review (UR). • Oversees optimization of revenue integrity systems and operations. • Chairs the Utilization Management (UM) Committee. • Supports development, adoption, and utilization of value-based care initiatives. • Reviews patient medical records identified by case managers or as requested by the healthcare team to perform quality and utilization oversight. • Performs medical necessity reviews including initial level of care, secondary reviews, and continued stay reviews. • Provides regular feedback to physicians and other stakeholders regarding level of care, length of stay, and potential quality issues. • Conducts Peer to Peer discussion with Payor Medical Directors when requested. • Provides necessary clinical education to UR Case Managers regarding clinical criteria and appropriate us of screening tools. • Educates individual hospital staff physicians about current ICD and DRG coding guidelines. • Collaborates with CDI and coding team to develop complaint query practices, optimize review process and provide necessary clinical support in DRG assignment as needed. • Provides direct clinical support to CDI manager and RAC auditor for DRG level of care denials. • Conducts physician education sessions to share data, trends, practice patterns, and other relevant information. Documents session outcomes and relevant information. • Reports practice pattern trends and opportunities to service line or department specific meetings at the request of the CMO or hospital leadership. • Supports payor contract process and physician contract process for quality measures. • Participates in efforts to reduce inappropriate readmissions. • Collaborates with Healthcare Data team to identify areas or processes contributing to excessive cost of care. • Optimize service line revenues through proactive approaches and strategies. • Participates in hospital committees to support and develop protocols related to evidence-based medicine and support optimal standards of care. • Collaborates with the Chief Financial Officer to identify short term and long-term goals. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES • Ability to drive strategic direction • Knowledge of revenue cycle, clinical documentation, and payor relationships • Ability to educate providers and stakeholders in a timely and effective manner • Process improvement, quality improvement, planning, and decision-making skills • Knowledge of regulatory requirements • Advanced knowledge of patient safety principles, risk management, and strategies to minimize harm • Ability to build rapport with stakeholders to obtain buy-in and collaboration towards goals • Strong knowledge of Medicare Two Midnight rules • Ability to interact respectfully with diverse cultural and socio-economic populations MINIMUM REQUIREMENTS • Hold and maintain or able to obtain an unrestricted medical license in the state of Wyoming. • Ten (10) or more years of healthcare and/or patient care experience • Two (2) or more years of healthcare business, revenue cycle, utilization management, coding, clinical documentation improvement principals, or government/ regulatory value programs related experience • Current American College of Physician Advisors (ACPA) membership • 6 months (one of the following must be obtained within six (6) months of start date): • Current American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)certificate within six (6) months of start date • Current American College of Physician Advisors Certification (ACPA-C) from the American College of Physician Advisors (ACPA) within six (6) months of start date PREFERRED QUALIFICATIONS • Certified Medical Director (CMD) • Medical billing, coding, or abstracting experience • Internal Medicine experience with a background in Hospital Medicine • InterQual experience • MCG experience
    $219k-317k yearly est. 60d+ ago
  • Medical Director Revenue Integrity (Lead Physician Advisor)

    Memorial Hospital of Laramie County 4.2company rating

    Medical director job in Cheyenne, WY

    Job Description CORE RESPONSIBILITIES • Provides functional leadership for the revenue integrity team, including CDI, Coding, and Utilization Review (UR). • Oversees optimization of revenue integrity systems and operations. • Chairs the Utilization Management (UM) Committee. • Supports development, adoption, and utilization of value-based care initiatives. • Reviews patient medical records identified by case managers or as requested by the healthcare team to perform quality and utilization oversight. • Performs medical necessity reviews including initial level of care, secondary reviews, and continued stay reviews. • Provides regular feedback to physicians and other stakeholders regarding level of care, length of stay, and potential quality issues. • Conducts Peer to Peer discussion with Payor Medical Directors when requested. • Provides necessary clinical education to UR Case Managers regarding clinical criteria and appropriate us of screening tools. • Educates individual hospital staff physicians about current ICD and DRG coding guidelines. • Collaborates with CDI and coding team to develop complaint query practices, optimize review process and provide necessary clinical support in DRG assignment as needed. • Provides direct clinical support to CDI manager and RAC auditor for DRG level of care denials. • Conducts physician education sessions to share data, trends, practice patterns, and other relevant information. Documents session outcomes and relevant information. • Reports practice pattern trends and opportunities to service line or department specific meetings at the request of the CMO or hospital leadership. • Supports payor contract process and physician contract process for quality measures. • Participates in efforts to reduce inappropriate readmissions. • Collaborates with Healthcare Data team to identify areas or processes contributing to excessive cost of care. • Optimize service line revenues through proactive approaches and strategies. • Participates in hospital committees to support and develop protocols related to evidence-based medicine and support optimal standards of care. • Collaborates with the Chief Financial Officer to identify short term and long-term goals. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES • Ability to drive strategic direction • Knowledge of revenue cycle, clinical documentation, and payor relationships • Ability to educate providers and stakeholders in a timely and effective manner • Process improvement, quality improvement, planning, and decision-making skills • Knowledge of regulatory requirements • Advanced knowledge of patient safety principles, risk management, and strategies to minimize harm • Ability to build rapport with stakeholders to obtain buy-in and collaboration towards goals • Strong knowledge of Medicare Two Midnight rules • Ability to interact respectfully with diverse cultural and socio-economic populations MINIMUM REQUIREMENTS • Hold and maintain or able to obtain an unrestricted medical license in the state of Wyoming. • Ten (10) or more years of healthcare and/or patient care experience • Two (2) or more years of healthcare business, revenue cycle, utilization management, coding, clinical documentation improvement principals, or government/ regulatory value programs related experience • Current American College of Physician Advisors (ACPA) membership • 6 months (one of the following must be obtained within six (6) months of start date): • Current American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)certificate within six (6) months of start date • Current American College of Physician Advisors Certification (ACPA-C) from the American College of Physician Advisors (ACPA) within six (6) months of start date PREFERRED QUALIFICATIONS • Certified Medical Director (CMD) • Medical billing, coding, or abstracting experience • Internal Medicine experience with a background in Hospital Medicine • InterQual experience • MCG experience
    $206k-313k yearly est. 28d ago
  • Medical Director -Spine

    CVS Health 4.6company rating

    Medical director job in Laramie, WY

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryAetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. Practice Spine Surgery. . . . From Your Home! Aetna, a CVS Health Company, is hiring physicians that are board certified in Orthopedic Spine or Neurosurgery to expand Aetna's medical management program. This is an exciting opportunity to address member needs across the continuum of care and provide clinical expertise to the spine team. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications. This is a full time position, offering a salary with yearly raises, health insurance, 401K, stock plans and other benefits and an opportunity to use your skills but work regular hours in a remote position from anywhere in the United StatesThis is a remote based (work at home) based anywhere in the US. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications. Required Qualifications* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Preferred Qualifications* Previous healthcare insurance experience. Education* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience. Pay RangeThe typical pay range for this role is:$174,070. 00 - $374,920. 00This 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. This position also includes an award target in the company's equity award program. 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 ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $174.1k-374.9k yearly 39d ago
  • Medical Director, Rheumatology / Dermatology Medical Strategy

    Otsuka America Pharmaceutical Inc. 4.9company rating

    Medical director job in Cheyenne, WY

    The Medical Director, Rheumatology and/or Dermatology Medical Strategy is a critical role responsible for shaping the strategic processes and planning for assets in early development (e.g., pre-Phase 3) within the Nephrology and Immunology 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 Senior Director, Immunology Lead, who in turn reports to the Executive Director, Nephrology & Immunology 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 R&D, Clinical, Global Medical Affairs, and Early Commercialization functions + Provide high-quality scientific/clinical input and review of early asset plans, ensuring content aligns with the overarching Medical Narrative + Serve as a primary scientific resource, providing guidance on the disease state and mechanism of action for the early Nephrology and Immunology 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, translating strategic data gaps into clear research priorities and providing expert input into the design and feasibility of clinical trials and data generation initiatives + Support the planning and execution of Medical Affairs evidence generation activities relevant to early assets **External Stakeholder Engagement** + Identify and engage Medical experts 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 Medical Experts + 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 Medical Experts to gather insights and validate development hypotheses + Support the development of scientific publications, abstracts, and presentations related to early assets **Cross-functional Integration & Planning** + Collaborate within the Nephrology & Immunology Medical Business Unit with the Nephrology & Immunology 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 + Consider technology and AI to support workflow improvement **Qualifications** **Education and Experience:** + Advanced scientific degree is required (PharmD, MD, PhD, or equivalent) with expertise in **Rheumatology and/or Dermatology** + Preference for previous experience in Clinical Development, Research, or early-stage Medical Affairs + Expertise in Rheumatology or Dermatology is strongly preferred + 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:** + 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 + \#LI-PG1 **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 41d ago
  • Regional Medical Officer - Region 4 (Pacific)

    Maximus 4.3company rating

    Medical director job in Cheyenne, WY

    Description & Requirements This federally funded initiative delivers medical readiness services - including physical exams, screenings, dental care, and preventative health - to military personnel in remote or underserved areas. Services are provided through a network of providers and mobile teams, ensuring consistent access to care and compliance with Department of Defense readiness standards. The Regional Medical Officer (RMO) Region 4 (Pacific) serves as the senior clinical leader overseeing medical readiness operations across the U.S. Pacific region that includes remote mainland locations and U.S. territories in the Pacific. This role supports a federally funded medical readiness initiative delivering physical exams, screenings, dental services, and preventative care to military personnel, including those in urban centers, remote locations, and underserved communities. Region 4 (Pacific) Coverage: WA, OR, CA, NV, ID, MT, UT, AZ, NM, AK, HI, Guam, American Samoa, Northern Mariana Islands ***Please note that this position is contingent upon bid award*** Essential Duties and Responsibilities: - Serve as the regional clinical lead, overseeing medical readiness operations within assigned geographic area. - Coordinate and monitor delivery of services (physical exams, immunizations, dental screenings) to meet DoD readiness requirements. - Ensure compliance with federal regulations, HIPAA, and program protocols. - Collaborate with chief medical officer, clinicians, mobile teams, subcontractors, and scheduling units to optimize service delivery. - Provide clinical oversight, review documentation, and address escalated medical concerns. - Support credentialing, audits, quality assurance reviews, and reporting requirements for federal stakeholders. - Act as a liaison between program leadership and regional providers to maintain operational efficiency and quality of care. Minimum Requirements - Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited institution. - Active, unrestricted medical license in the U.S. - 5+ years of clinical experience, preferably in occupational health, preventive medicine, or military readiness programs. Additional Minimum Requirements: - Ability to travel frequently within the assigned region, including weekend overnight stays, to support mobile or remote readiness events. - Experience supporting DoD or federal healthcare programs. - Familiarity with medical readiness requirements and electronic health record systems. (Preferred) - Leadership experience managing dispersed clinical teams. (Preferred) - Specialty in Primary Care, Occupational Medicine, Pediatrics, or Preventative Medicine. (Preferred) Region 4 (Pacific) Coverage: WA, OR, CA, NV, ID, MT, UT, AZ, NM, AK, HI, Guam, American Samoa, Northern Mariana Islands #LI-AM1 #maxcorp #HotJobs1230LI #HotJobs1230FB #HotJobs1230X #HotJobs1230TH #TrendingJobs #c0rejobs #HotJobs0106LI #HotJobs0106FB #HotJobs0106X #HotJobs0106TH #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 199,920.00 Maximum Salary $ 270,480.00
    $65k-117k yearly est. Easy Apply 9d ago
  • Medical Consultant- Psychiatrist

    Unum Group 4.4company rating

    Medical director job in Cheyenne, WY

    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 face‑to‑face 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 54d ago
  • Manager, Medical Rebates Execution - Accounting

    Cardinal Health 4.4company rating

    Medical director job in Cheyenne, WY

    **_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 Cheyenne, WY

    **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 19d ago
  • 100% Inpatient Psychiatry - No Weekends (Including No Weekend Call)

    Pacific Companies 4.6company rating

    Medical director job in Casper, WY

    Job Description Join our dynamic psychiatry team in central Wyoming! We are thrilled to offer a unique opportunity for physicians to join our esteemed team in Casper, Wyoming. Working alongside 5.5 psychiatrists and 3 seasoned NPs in a 30-bed facility with an ADC in the low to mid 20s, you'll have the chance to make a significant impact in the community as our facility is the only psychiatry hospital in the state. Your Role and Work-Life Balance: Embrace an incredibly flexible schedule, giving you the freedom to take extended breaks for long lunches, outdoor activities like skiing or hiking, or running errands. Outpatient work is optional, and most providers focusing solely on inpatient care are typically done by 1-2 pm, providing ample time for personal pursuits. Call is 1:4, with one night per week, ensuring a manageable workload and opportunities for rest and relaxation. Living in Casper, Wyoming: Casper, located in central Wyoming, offers the perfect blend of outdoor adventure and small-town charm. Surrounded by stunning natural beauty, including nearby national parks and points of interest, Casper provides endless opportunities for exploration and recreation. Why Casper, Wyoming? Access to National Parks: Discover the majestic beauty of nearby national parks, including Yellowstone and Grand Teton National Parks, offering world-class hiking, wildlife viewing, and outdoor adventures. Outdoor Recreation: Enjoy a wide range of outdoor activities right at your doorstep, from skiing and snowboarding in the winter to hiking, fishing, and camping in the summer. Small-Town Charm: Experience the warmth and hospitality of a tight-knit community while still enjoying access to modern amenities and conveniences. Low Cost of Living: Benefit from a low cost of living compared to many urban areas, allowing you to stretch your income further and enjoy a comfortable lifestyle. Join Us in Casper, Wyoming: Experience the best of both worlds in Casper, Wyoming, where you can pursue a fulfilling career while embracing the natural beauty and outdoor adventures of central Wyoming. Apply now to become part of our dynamic team and embark on a rewarding journey in one of the most desirable areas to live in the nation.
    $97k-171k yearly est. 24d ago
  • Clinical Services Director (RN)

    Edgewood 3.9company rating

    Medical director job in Casper, WY

    Full-Time Day Shift Benefits: Performance bonuses Paid time off begins accruing day 1 Health, vision, dental, & HSA plans 401K plan with employer contribution No scheduled weekends Clinical call support from Legacy IHP Solutions As a Clinical Services Director at Edgewood, you'll set the tone for the entire clinical department. You will help our nurses and caregivers provide the best care possible for our residents. Responsibilities: Establish and maintain appropriate resident care Assess current and prospective residents Participate in care conferences with families Ensure compliance with all regulatory bodies Hire, train, and supervise clinical staff Follow HIPAA and all other Edgewood policies Qualifications: Current state Registered Nurse (RN) license BSN, desired Three years clinical experience Previous experience supervising staff Geriatrics, dementia, and/or assisted living experience, desired Passion and drive for helping others A desire to continue learning and improving your skillset At Edgewood, vaccinations are a choice. Edgewood offers of employment are contingent upon passing a background check and drug screen. About Edgewood: Edgewood Healthcare has been providing outstanding care and services for seniors since 1992. We offer senior living solutions in more than 60 beautiful communities across seven states in the Midwest. Edgewood Meadow Wind is a 100-bed Assisted Living & Memory Care community.
    $84k-101k yearly est. 10d ago
  • CLINIC DIRECTOR

    Volunteers of America Northern Rockies 3.7company rating

    Medical director job in Cheyenne, WY

    Summary/Objective The Clinic Director supervises counseling and education-based treatment for clients in residential treatment facilities on the Volunteers of America Northern Rockies health services based in Sheridan, WY. This oversight includes Residential Substance Abuse Treatment, Transitional Recovery Services, and Detoxification services. Responsibilities include ensuring program compliance with VOANR policies and procedures, training, and educating clinical staff about substance addiction and mental health diagnoses. This position supervises clinicians and other clinic personnel, ensuring quality and compliance with all clinical and administrative services and processes. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Provide daily oversight of clinical operations, utilization reviews, and quality assurance of patient services. Maintain strong community relationships and solicit feedback from partners and stakeholders to ensure services align with the community's needs in collaboration with the supervisor. Provide administrative supervision to all clinic staff and clinical supervision and consultation as needed. Provide clinical services to patients as needed to meet the needs of the clinic and community. Promptly chart clinical activities in patient records. Participate in quality assurance processes to ensure the proper use of evidence-based treatments. And timely documentation of all clinical staff. Manage and maintain the ongoing schedule of training for the clinical team. Designated supervisor for clinicians and patient navigators. Ensure that supervisees perform their job responsibilities. Provide feedback and coaching to supervisees regarding the agency's expectations and the performance of their job responsibilities. Ensure staff know and comply with all agency policies and procedures, including the agency code of ethics. Manage timecards, leave, and disciplinary actions. Ensure cleanliness and building safety Maintain awareness of program deliverables and compliance and motivate team members to meet productivity and outcomes-related goals. Monitor budgets and participate in the budgeting process. Other duties as assigned. Competencies Effective communicator; assertive when necessary Ethical practice Highly confidential Calm under pressure and during a crisis Empathetic/able to relate to individuals with drug/alcohol addictions Continuous demonstration of behaviors aligned with a posture of servant leadership and our cultural values Supervisory Responsibility This position is a supervisory role and serves as a coach and mentor for other jobs in the organization. Work Environment This job operates in a residential treatment facility. This role routinely uses standard office equipment such as laptops, photocopiers, telehealth technology, and smartphones. Physical Demands The physical demands described here represent those an employee must meet to successfully perform this job's essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and the ability to adjust focus. This position would require lifting files, opening filing cabinets, bending or standing on a stoop as necessary, and performing work at a computer for extended periods. Position Type/Expected Hours of Work This is a full-time position. Occasional evening and weekend work may be required as job duties demand. This position must participate in on-call rotation as needed and serve as administrative on-call regularly. Travel Little to no travel is expected for this position. Required Education, Experience, or Eligibility Qualifications Ph.D. or Master's degree in Counseling or Clinical Social Work from a Council for Accreditation of Counseling and Related Educational Programs. (CACREP), Council on Rehabilitation Education (CORE) or Council on Social Work Education (CSWE) accredited program in counseling Fully licensed as an LCSW, LPC, LAT, or LMFT through the Wyoming Mental Health Professions Licensing Board or eligible for licensure if current licensure is out-of-state Meet qualifications required for a substance abuse professional, clinician, or assistant by the State of Wyoming's Division of Behavioral Health Standards for the Operation of Community Mental Health and Substance Abuse Programs Two years of supervisory experience Proficient in the use of computer software programs, including but not limited to Microsoft Suite and desktop publishing Exceptional and demonstrated time management skills to stay organized and meet tight deadlines Preferred Education and Experience Five years of post-licensure clinical experience, with some of this experience directly related to serving persons with addiction disorders: alcohol, drugs, gambling EEO Statement Volunteers of America Northern Rockies is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristics. Volunteers of America Northern Rockies will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at ************.
    $58k-79k yearly est. 58d ago
  • Clinical Director - Women and Children Center

    Ivinson Memorial Hospital 2.9company rating

    Medical director job in Laramie, WY

    At Ivinson Memorial Hospital we are committed to excellence, trust, healing, and integrity. We pride ourselves in providing compassionate, world-class care to our community. At Ivinson we offer a competitive total rewards package including; full medical, dental, and vision insurance, retirement plans, paid time off and tuition reimbursement opportunities. Ivinson aims to improve the care provided for our patients and create a work-life balance for our employees by creating a culture of transparency, teamwork, accountability, and trust. E S S E N T I A L F U N C T I O N S Provides leadership and mentorship for the Women's and Children's Center (WCC) team and assists in their professional development. Develops and implements department policies and procedures that support and guides the provision of service. Responsible for the interviewing, selecting, orienting, disciplining, retaining and if necessary dismissing of staff assigned to unit in coordination with HR and the Chief Nursing Officer. Develops and implements the annual budget for the department and maintains fiscal record, which includes setting goals to achieve budget objectives. Performs the primary functions of a professional nurse in assessing, planning and directing the evaluation of patient care on an as needed basis. Other duties as assigned. E D U C A T I O N Master's Degree of Nursing preferred. Bachelors Degree of Nursing required. Graduation from an accredited school of Nursing required. E X P E R I E N C E At least three (3) years of experience as a registered nurse in a clinical setting required. Experience in a leadership role in an acute care setting. C R E D E N T I A L S Must have a current, valid Wyoming RN license and must be in good standing with the Wyoming State Board of Nursing. Must have current, valid Basic Life Support (BLS) certification or obtain within 60 days of hire and must maintain throughout employment with IMH. Must have Advanced Cardiac Life Support (ACLS) certification or obtain within one (1) year of hire and must maintain throughout employment with IMH. Must have current, valid Neonatal Resuscitation Program (NRP) certification or must obtain within one (1) year of hire and must maintain credential throughout employment with IMH. Must have current, valid Pediatric Advanced Life Support (PALS) within one (1) year of hire and maintain credential throughout employment with IMH. Must have STABLE within one (1) year of hire and maintain credential throughout employment with IMH. K N O W L E D G E , S K I L L S A N D A B I L I T I E S Excellent customer service skills, including but not limited to: a friendly personality, tact, patience, empathy and a helpful, professional attitude both in person and on the telephone. Ability to effectively communicate with staff, managers and the general public verbally and in writing. Demonstrate effective listening skills. Excellent organization and time management skills and ability to establish priorities effectively. Possess exceptional problem solving skills. Ability to work effectively without immediate supervision. Ability to learn new computer software programs. Ability to recognize and protect confidential information. Demonstrate ethical and legal accountability for the position. At Ivinson Memorial Hospital, we believe that our employees are our greatest investment. That's why we are committed to fostering a supportive, empowering environment where every team member has the resources and opportunities to thrive. We know that providing world-class healthcare starts with investing in our employees, ensuring they have the tools to grow, excel, and provide exceptional care. Our competitive and comprehensive total rewards package includes: For benefits eligible employees: Medical, dental, and vision insurance Paid time off: take the time you need to recharge Retirement plans, including 403(b) matching Employer-paid life and long-term disability insurance: Peace of mind for you and your family For all employees: Yearly work anniversary pay increases Education Reimbursement up to $2,500 annually Retirement plan participation Free certification classes: enhance your skills at no cost to you Health and Wellness discounts at local gyms Discounts at select mobile networks, local vendors, and Elitch Gardens Mental Health: 6 free confidential, in-person counseling sessions offered by Pathways annually Financial Counseling: free services through WellCents to help you take control of your financial journey Legal assistance and will preparation services Student Loan Forgiveness: Ivinson Memorial Hospital is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program Please use this link for more information regarding our rewards package and benefits: Benefits Guide. At Ivinson Memorial Hospital, we are more than just a workplace - we are a community where your growth and well-being matter. Join us in making a difference in the lives of the Laramie community and help us provide world-class care.
    $75k-115k yearly est. 60d+ ago
  • Behavioral Health Medical Director

    Humana 4.8company rating

    Medical director job in Cheyenne, WY

    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Position Responsibilities: + Uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, or requested site of service should be authorized, with all work occurring within a context of regulatory compliance and assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources + Learns Medicaid requirements and understands how to operationalize this knowledge in their daily work in their assigned cluster + 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, with clinical scenarios arising from outpatient or inpatient environments + Conducts discussions with external physicians by phone to gather additional clinical information or discuss determinations through the peer-to-peer process, and in some instances, these may require conflict resolution skills + 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 and a focus on collaborative business relationships, value-based care, population health, or disease or care management + Supports Humana values including working collaboratively on a team throughout all activities + Flows to work as needed within cluster as needed for vacations, weekends and holidays coverage Reporting Relationship: This position reports directly to the Lead Behavioral Health Medical Director. **Use your skills to make an impact** **REQUIREMENTS:** · Doctor of Medicine or Doctor of Osteopathy · Board-certified in ABMS or ABPN recognized specialty of Psychiatry · A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required · At least five years of experience post-training providing clinical services · Experience in utilization management review and case management in a health plan setting · No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. **Preferred:** · Experience working with Medicaid Enrollees, providers, and stakeholders in a clinical or administrative setting · Experience with accreditation process (NCQA) · Experience with CGX and MHK · Has licensure through the Interstate Medical Licensure Compact · Has a Virginia medical license · Has experience with application of MCG and ASAM criteria **License/Credential Requirement** **Physician with an active, unencumbered license in at least one of the states that are part of the specific cluster (Louisiana, Oklahoma, Indiana, Ohio, Florida, Virginia, Kentucky).** Location: This role is based virtually in one of the states of the specific cluster. 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: 04-11-2026 **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 15d ago
  • Medical Director - Ophthalmology

    Parexel 4.5company rating

    Medical director job in Cheyenne, WY

    **Parexel** is in the business of improving the world's health. We do this by providing a suite of biopharmaceutical services that help clients across the globe transform scientific discoveries into new treatments. From clinical trials to regulatory, consulting, and market access, our therapeutic, technical, and functional ability is underpinned by a deep conviction in what we do. We believe in our values, Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to join our Global Medical Sciences team.** **The role is remotely based in the US.** The Medical Director is a medical expert with specialized therapeutic expertise and some experience across indications, clients and drug development. They initiate and maintain medical and consultative relationships with clients, consult on early engagement and pre-award efforts and serve as a medical monitor for contracted projects. The Medical Director may take on leadership roles by participating in initiatives, mentoring junior MDs and/or, where appropriate, managing a team of physicians. Primary activities will focus on **Medical Monitoring Delivery & PV Support** . The medical monitor will independently deliver all medical support required for successful delivery of the projects according to contracted agreement with the sponsor (i.e., tasks and time per task contracted) and according to the assigned role (Global Lead Physician or Regional Lead Physician). **Medical Expertise** and experience in **Ophthalmology** is essential to the medical monitor role and will be manifested in high quality consultation on protocol development or drug development programs, medical review of various documents, collaboration on internal therapeutic area meetings, training module development, white papers, slide sets, publications etc. **Client Relationship Building & Engagement,** including soliciting and addressing client feedback and suggestions regarding medical study-related activities, are core skills required of the medical monitor. **Business Development:** the medical monitor will provide medical expertise / leadership in Proposal Development Teams (PDTs) for client bid pursuit meetings. **Skills** + Excellent interpersonal skills including the ability to interact well with sponsor/client counterparts + Client-focused approach to work + 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 + Ability to manage multiple and varied tasks with enthusiasm and prioritize workload with attention to detail + Willingness to work in a matrix environment and to value the importance of teamwork. **Knowledge And Experience** + Experience in clinical medicine (general or specialist qualifications) with Fellowship or specialty training in **Ophthalmology** , which is expected to be kept up to date. + A background in clinical aspects of drug development, including all aspects of Medical Monitoring and study design/execution, preferred + Clinical practice experience + Good knowledge of the drug development process including drug safety, preferred + Experience in Pharmaceutical Medicine, preferred + Experience leading, mentoring and managing individuals/ a team, preferred **Education** + US Board certified in **Ophthalmology** + Experience as a Physician in Industry or as a clinical trial investigator is required + Previous CRO experience is strongly preferred + Medically qualified in an acknowledged medical school with completion of at least basic training in clinical medicine (residency, internship) The ability to travel 15% domestically or internationally is required. \#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.
    $228k-318k yearly est. 60d+ ago
  • Medical Director, Global Strategy Lead Rare Diseases - ALS

    Otsuka America Pharmaceutical Inc. 4.9company rating

    Medical director job in Cheyenne, WY

    The Medical Director, 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 43d ago
  • Regional Medical Officer - Region 1 (Northeast)

    Maximus 4.3company rating

    Medical director job in Rock Springs, WY

    Description & Requirements This federally funded initiative delivers medical readiness services - including physical exams, screenings, dental care, and preventative health - to military personnel in remote or underserved areas. Services are provided through a network of providers and mobile teams, ensuring consistent access to care and compliance with Department of Defense readiness standards. The Regional Medical Officer (RMO) Region 1 Northeast serves as the senior clinical leader overseeing medical readiness operations across a large and highly populated Northeast and Midwest corridor. This role supports a federally funded medical readiness initiative delivering physical exams, screenings, dental services, and preventative care to military personnel, including those in urban centers, remote locations, and underserved communities. Region 1 (Northeast) Coverage: ME, VT, NH, MA, RI, CT, NY, NJ, PA, DE, MD, DC, OH, IN, IL, MI, MO ***Please note that this position is contingent upon bid award*** Essential Duties and Responsibilities: - Serve as the regional clinical lead, overseeing medical readiness operations within assigned geographic area. - Coordinate and monitor delivery of services (physical exams, immunizations, dental screenings) to meet DoD readiness requirements. - Ensure compliance with federal regulations, HIPAA, and program protocols. - Collaborate with chief medical officer, clinicians, mobile teams, subcontractors, and scheduling units to optimize service delivery. - Provide clinical oversight, review documentation, and address escalated medical concerns. - Support credentialing, audits, quality assurance reviews, and reporting requirements for federal stakeholders. - Act as a liaison between program leadership and regional providers to maintain operational efficiency and quality of care. Minimum Requirements - Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited institution. - Active, unrestricted medical license in the U.S. - 5+ years of clinical experience, preferably in occupational health, preventive medicine, or military readiness programs. Additional Minimum Requirements: - Ability to travel frequently within the assigned region, including weekend overnight stays, to support mobile or remote readiness events. - Experience supporting DoD or federal healthcare programs. - Familiarity with medical readiness requirements and electronic health record systems. (Preferred) - Leadership experience managing dispersed clinical teams. (Preferred) - Specialty in Primary Care, Occupational Medicine, Pediatrics, or Preventative Medicine. (Preferred) Region 1 Coverage: ME, VT, NH, MA, RI, CT, NY, NJ, PA, DE, MD, DC, OH, IN, IL, MI, MO #LI-AM1 #maxcorp #HotJobs1230LI #HotJobs1230FB #HotJobs1230X #HotJobs1230TH #TrendingJobs #c0rejobs #HotJobs0106LI #HotJobs0106FB #HotJobs0106X #HotJobs0106TH #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH #c0rejobs EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 199,920.00 Maximum Salary $ 270,480.00
    $64k-111k yearly est. Easy Apply 9d ago
  • CLINICAL DIRECTOR - HEALTHCARE

    Volunteers of America Northern Rockies 3.7company rating

    Medical director job in Sheridan, WY

    Classification: Exempt Reports to: Vice President of Residential Services Each day at Volunteers of America, we strive to exemplify our foundational pillar of Servant Leadership and Cultural Values of Communication, Compassion, Integrity, Respect, and Excellence. At VOA we are committed to providing opportunities that help staff grow and enhance their skill sets. As part of this commitment, we invest in on-the-job training to prepare employees for their new positions and offer professional development opportunities, coaching, and career pathways to promote our culture of helping staff advance their careers throughout the organization. JOB DESCRIPTION _____________________________________________________________________________ Summary/Objective The Clinical Director is responsible for leading residential treatment services in the assigned location. Ensure all programs comply with all Volunteers of America, Department of Health, and grant contractual policies and procedures. Responsibilities include ensuring program compliance with policies and procedures, staffing and performance management, business forecasting and planning, risk management, and client services. Essential Functions Oversight of the development and implementation of outpatient and residential services as assigned Operational oversite of clinical operations Evaluate program deliverables Procure program growth opportunities for VOANR Work with staff and customers to identify programming needs Develop and monitor Key Performance Indicators for program leaders Oversight, reporting, and contract procurement, including grant preparation and statistical analysis Business forecasting and development Budget forecasting and management Advocacy and outreach for all programs Competencies Effective communicator with both oral, written, and interpersonal ability Keen ability to build and maintain prosperous relationships with a wide variety of stakeholders Solutions-based leadership Ethical practice Proven ability to create a practical resource development strategy Goal-driven and agile in a fast-paced work environment Continuous demonstration of behaviors aligned with a posture of servant leadership and our cultural values Supervisory Responsibility This position has direct supervisory responsibilities and may serve as a coach and mentor for other positions in the organization. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as laptops, photocopiers, and smartphones. Physical Demands The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. While performing the duties of this job, the employee is regularly required to talk or hear. This job's specific vision abilities include close vision and the ability to adjust focus. Position Type/Expected Hours of Work This is a full-time position. Days and work hours are Monday through Friday, 8:00 a.m. to 5:00 p.m. Occasional evening and weekend work may be required as job duties demand. Participate in on-call rotation. Travel Some travel is required as part of this position Required Education, Experience, or Eligibility Qualifications Ph.D. or Master's degree in Counseling or Clinical Social Work from a Council for Accreditation of Counseling and Related Educational Programs. (CACREP), Council on Rehabilitation Education (CORE) or Council on Social Work Education (CSWE) accredited program in counseling Fully licensed as an LCSW, LPC, LAT, or LMFT through the Wyoming Mental Health Professions Licensing Board, or eligible for licensure if current licensure is out-of-state Meet qualifications required for a substance abuse professional, clinician, or assistant by the State of Wyoming's Division of Behavioral Health Standards for the Operation of Community Mental Health and Substance Abuse Programs Two years of supervisory experience Proficient in the use of computer software programs, including but not limited to Microsoft Suite and desktop publishing Exceptional and demonstrated time management skills to stay organized and meet tight deadlines Preferred Education and Experience Five years of post-licensure clinical experience, with some of this experience directly related to serving persons with addiction disorders: alcohol, drugs, gambling EEO Statement Volunteers of America Northern Rockies is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristics. Volunteers of America Northern Rockies will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at ************.
    $58k-80k yearly est. 29d ago

Learn more about medical director jobs

How much does a medical director earn in Casper, WY?

The average medical director in Casper, WY earns between $183,000 and $449,000 annually. This compares to the national average medical director range of $143,000 to $369,000.

Average medical director salary in Casper, WY

$287,000
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