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  • Senior Medical Director, Clinical Research (Ophthalmology)

    Sumitomo Pharma 4.6company rating

    Medical director job in Jefferson City, MO

    Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the U.S. (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) and Europe (Sumitomo Pharma Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health, rare diseases, psychiatry & neurology, and cell & gene therapies. With several marketed products in the U.S., Canada, and Europe, and a diverse pipeline of early- to late-stage assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** (***************************************************************************************************************************************************** or follow us on LinkedIn (https://c212.net/c/link/?t=0&l=en&o=4190475-1&h=**********&u=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fsumitomo-pharma-america%2F&a=LinkedIn) . **Job Overview** We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Senior Medical Director, Clinical Research (Ophthalmology) to join our R&D Organization. This individual will contribute to the design and execution of clinical development plan(s) for assigned asset(s) and serve as the Clinical Research Lead for stem cell program within the Ophthalmology therapeutic area. **Job Duties and Responsibilities** + Responsible for and lead all activities related to clinical study design from clinical study concept to clinical study protocol for both early- and late-stage programs + Leads or joins multi-disciplinary, multi-regional, matrix team through highly complex decisions + Leads and drives strategy for clinical studies for assigned asset(s) within the Ophthalmology therapeutic area + Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with the safety group to ensure adequacy of safety monitoring and reporting + Provide clinical input for and participate in study set up and design including data collection tools, data analysis, eCRF design, edit checks, vendor database design plans, etc. + Study-level, site-level and subject-level data review and interpretation, including documentation and summarization of findings + Serve as the internal medical monitoring for clinical trials + Review and provide input for the design of the statistical analysis plans, TLFs, and the clinical data output + Contributes to interpretation of clinical trial results and the writing of clinical study reports + Contributes to the preparation of Investigator Brochures, annual reports, data collection systems and final reports in compliance with appropriate scientific/regulatory/medical standards + Contributes to developing clinical components of BLA/NDAs, sNDAs, MAAs and other regulatory filing documents + Contributes to company responses to health authorities and ethics committees for ongoing clinical programs to ensure timely registration and initiation of trials globally + Contributes to the development of presentation materials for investigator meetings, health authority meetings, scientific advisory board meetings, and national and international scientific meetings + Serve as the subject matter expert for ophthalmology, representing Clinical Research to both internal and external customers + 20% domestic and international travel **Key Core Competencies** + Knowledge and understanding of FDA, GCP, and ICH regulations and guidance + Thorough and up-to-date knowledge of therapeutic area including trends, advances, understanding of currently available therapies and competitive clinical landscape + Experience in conducting global clinical trials in both early- and late-stage clinical development, especially protocol development and trial initiation + Experience in regulatory submissions in US; preferred experience in Europe and Japan + Demonstrated ability to set clear priorities, lead, influence and build consensus in a multi-disciplined team environment + Strong team leadership skills and ability to motivate large multi-functional teams + Ability to effectively synthesize, interpret and present scientific information to both internal stakeholders and external medical community + High degree of organizational awareness, ability to connect the dots to understand all the interdependencies and big picture + Excellent interpersonal and communication skills with the ability to balance multiple tasks and work within a multi-disciplinary team **Education and Experience** + MD (or international equivalent) + Board certified or board eligible in ophthalmology + Fellowship training in vitreoretinal surgery (preferred) or retina + A minimum of 5 years' experience in the pharmaceutical industry, with experience as Clinical Research Lead in Ophthalmology therapeutic area + Experience in regenerative cell medicine or gene therapy preferred + Prior experience working with Japan organizations is preferred The base salary range for this role is $284,320 to $355,400. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays plus additional time off for a shut-down period during the last week of December, 80 hours of paid sick time upon hire and each year thereafter. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including candidate experience, skills, education and other factors permitted by law. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. **Confidential Data** : All information (written, verbal, electronic, etc.) that an employee encounters is considered confidential. **Compliance** : Achieve and maintain Compliance with all applicable regulatory, legal and operational rules and procedures, by ensuring that all plans and activities for and on behalf of Sumitomo Pharma America (SMPA) and affiliates are carried out with the "best" industry practices and the highest ethical standards. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. **Mental/Physical Requirements** : Fast paced environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires ability to use a personal computer for extended periods of time. **Sumitomo Pharma America (SMPA)** **is an Equal Employment Opportunity (EEO) employer** Qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** or follow us on LinkedIn. Sumitomo Pharma America (SMPA) endeavors to make its application process accessible to all. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact SMPA at ********************************************** This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. At Sumitomo Pharma America, our work is guided by the Sumitomo Pharma mission, vision and values, which tie closely to our company's cultural pillars. **Our** **Mission** _To broadly contribute to society through value creation based on innovative research and development activities for the betterment of healthcare and fuller lives of people_ _worldwide_ **Our** **Vision** _For Longer and Healthier Lives, we unlock the future with cutting edge technology and_ _ideas_
    $284.3k-355.4k yearly 60d+ ago
  • PCO Medical Director- UM - Full Time

    Centerwell

    Medical director job in Jefferson City, MO

    **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director, Primary Care work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and reviews health claims. The 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 Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with 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 sources of expertise. 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 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, participation in care management and possible participation in care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances, these may require conflict resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care facilitation and priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. **Required Qualifications** + MD or DO degree. + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification in an approved ABMS Medical Specialty as well as ABQAURP, or other boarddemonstratingadvanced training in transitions of care, quality assurance,utilizationmanagementand care coordination. + A current and unrestricted license in at least onejurisdictionand willing to obtainadditionallicense, ifrequired. + No currentsanctionfrom Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent organizational,verbaland written communication skills. + Evidence of analytic and interpretation skills, with prior experienceparticipatingin teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual. + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanceddegreesuch as an MBA, MHA, MPH + Exposure to value-based care, Public Health, Population Health, analytics, and use of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned region, market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. 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: 12-31-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. 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 *************************************************************
    $223.8k-313.1k yearly 40d ago
  • Field Medical Director - Vascular Surgery

    Evolent 4.6company rating

    Medical director job in Jefferson City, MO

    **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. **What You Will Be Doing:** + Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** + MD/DO/MBBS- Required + Minimum of five (5) years' experience in the practice of Vascular Surgeon- Preferred + Current, unrestricted clinical license in medicine or required specialty- Required + Obtaining and maintaining medical licenses in the state you reside- Required + Active Board Certification in Vascular Surgery or Active Board Certification in General Surgery with extensive experience in Vascular Surgery- Required + Strong clinical, management, communication, and organizational skills-Required + Energetic and curious with a passion for quality and value in health care-Required + Computer Proficiency-Required To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $130-$140/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
    $130-140 hourly 60d+ ago
  • Medical Director - Ophthalmology

    Parexel 4.5company rating

    Medical director job in Jefferson City, MO

    **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 can be based remo** t **ely in the US or Canada.** 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** or Canadian equivalent + 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-LB1 \#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.
    $195k-272k yearly est. 24d ago
  • Medical Director

    Highmark Health 4.5company rating

    Medical director job in Jefferson City, MO

    This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise. + Participate in protocol and guidelines development to ensure consistency in the review process. + Actively manage projects and/or participate on project teams that require a physician subject matter expert. + Other duties as assigned. **EDUCATION** **Required** + Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + Collaboration + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $170,000.00 **Pay Range Maximum:** $352,500.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J266916
    $170k-352.5k yearly 60d+ ago
  • Medical Director

    Good Shepherd Hospice 3.8company rating

    Medical director job in Columbia, MO

    The Medical Director is an integral part of the program leadership team. This role requires availability to the hospice team and commitment to the hospice philosophy. All hospice physicians are stewards of the Medicare Hospice Benefit and Good Shepherd Hospice firmly believes that each hospice physician, either Medical Director or Associate Medical Director engage and educate their medical communities on the value and necessity to use hospice services. Our goal at Good Shepherd Hospice is to provide the highest quality hospice care in our communities. We want all of our team members to be confident in advocating Good Shepherd Hospice in a compliant and ethical manner. Responsibilities * Oversee and continually evaluate quality of medical services provided to Good Shepherd Hospice patients. * Ensure that physician staffing is available for 24 hour, on-call availability of Good Shepherd Hospice patients, either through direct management of the patients or through the scheduling of available Associate Medical Directors along with themselves. * Attend, actively participate and lead Interdisciplinary team meetings as requested. * Assist team with generating plans of care for Good Shepherd Hospice patients. All hospice physicians are responsible for the initial and ongoing recertification of patients for the terminal diagnosis and related diagnosis(s). * Review each potential admission ensuring timeliness and authorization for the admission to the hospice program. * Create and maintain a network of physicians to serve the needs of Good Shepherd Hospice patients. * Medical education via informal and formal rotations, fellowships and other mentoring opportunities. Assist with development of market and company wide specific growth strategies aimed at the medical community. * Internal educating and training on medication usage with the hospice team. * Home visits to patients if applicable and based on current contract. * Quality improvement and cost containment through activities such as formulary usage, protocol development and through work with community physicians. * Act as a medical liaison between Good Shepherd Hospice and the attending physicians including education and consulting. * Other duties as assigned. Qualifications POSITION CONDITIONS: * Embracement of the hospice philosophy. * High level of internal and external visibility. * Timeliness to meetings and active engagement while there. * Understanding of this role in compliance. RELATIONSHIPS: * Works with, builds and fosters relationships within their medical community and other attending physicians. * Builds and maintains positive internal relationships. * Ensures excellent and positive teamwork with leadership team at Good Shepherd Hospice. QUALIFICATIONS: * Will be licensed as a doctor of medicine or osteopathy is the state of the program assigned, without restriction. Must not be subject to any disciplinary or corrective action. * Is an employee or under contract with Good Shepherd Hospice. * Knowledge of the healthcare communities in program area. * Commitment to the hospice philosophy of care. * Demonstrates strong leadership and communication skills. * All areas defined as required in the Medical Director contract with Good Shepherd Hospice. MEASUREMENT: * Annual performance review. * Attendance and timeliness in IDT. * Consistent availability to engage with attending physicians and educate the healthcare community of the hospice philosophy.
    $154k-208k yearly est. Auto-Apply 60d+ ago
  • Medical Director - Nat'l IP UM Team

    Humana 4.8company rating

    Medical director job in Jefferson City, MO

    **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 32d ago
  • Senior Medical Director , National Physical Health UM Team

    Centene Corporation 4.5company rating

    Medical director job in Jefferson City, MO

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Lead a team of medical directors and supervises MD's responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care aligned with bet practice promoting safety, quality and cost of care outcomes. Assist the Vice President of Medical Affairs to direct and coordinate the medical affairs functions for the business unit in collaboration with Operations, Health plan leaders and cross functional stakeholders across the enterprise + Provide medical leadership for all utilization management, pharmacy, case management, disease management, cost containment, and medical quality improvement activities. + Perform medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. + Assist VPMA in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. + Provide medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. + Assist the VPMA in the functioning of the physician committees including committee structure, processes, and membership. + Oversee the activities of physician advisors and other medical directors. + Utilize the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + Participate in provider network development and new market expansion as appropriate. + Assist in the development and implementation of physician education with respect to clinical issues and policies. + Identify utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. + Identify clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice by profiling providers in order to improve the quality and cost of care. + Interface with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. + May develop alliances with the provider community through the development and implementation of the medical management programs. + As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. + Represent the business unit at appropriate state committees and other ad hoc committees. + May oversee all aspects of the Appeals and Denials department including implementing budgetary, policy, and personnel decisions for the department. + Work flexible hours to ensure adequate staffing levels and coverage, including weekends and holidays, to meet patient care needs and support case coverage. + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** + Medical Doctor or Doctor of Osteopathy. 7+ years of clinical experience in the practice of medicine. + Advanced degree in health care management, informatics preferred but not required + Management experience, 5 years or more of leading large physician teams in a matrixed environment, preferred. + Utilization Management experience and knowledge of quality accreditation standards preferred. + Experience analyzing and working with complex data sets and knowledge of population health preferred + Experience treating or managing care for a culturally diverse population preferred. **License/Certification:** + Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. + Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs. Pay Range: $231,900.00 - $440,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $231.9k-440.5k yearly 27d ago
  • Associate Director, Medical Omnichannel Data Scientist

    Otsuka America Pharmaceutical Inc. 4.9company rating

    Medical director job in Jefferson City, MO

    **About Otsuka** We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. **About the Role** The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an **Omnichannel Data Scientist** , **Medical Omnichannel** with strong expertise in artificial intelligence, encompassing machine learning, data mining, and information retrieval. This position specifically entails the conceptualization, prototyping and development of next generation advanced analytics model-based decision engines and services. The ideal candidate will engage closely with key stakeholders to understand strategic objectives and leverage advanced data analytics and machine learning techniques to enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). **Job Expectations/Responsibilities:** **Data Integration & Management** + Explore and analyze common pharmaceuticals data (e.g., claims) as well as novel data sets based on lab and EHR systems. Work with Omnichannel Data Engineer to Integrate data from multiple sources (e.g., CRM systems, social media, email platforms) to create a unified view of stakeholder interactions. + Apply natural language processing (NLP) to extract insights from unstructured medical texts, such as clinical notes or call center transcripts. + Identifying relevant data drivers (features) that can inform decision making closely tied with strategy and creating visualizations to help communicate findings. **Advanced Analytics & Modeling** + Implement advanced analytics models, including predictive analytics and clustering algorithms, to generate actionable insights and track trends across various channels. + Work with Omnichannel ML/Ops engineer to build, test, and deploy production-grade predictive models and algorithms as part of the Omnichannel COE decision engine to meet business needs, including optimization of sales activities and predicting drivers of customer behavior. + Create repeatable, interpretable, dynamic, and scalable models that are seamlessly incorporated into analytic data products and match the needs of Otsuka's growing portfolio. + Collaborate on MLOPS life cycle experience with MLOPS workflows traceability and versioning of datasets. Build and maintain familiarity with Otsuka Machine Learning tech stack including AWS, Kubernetes, Snowflake, and Dataiku **Omnichannel Optimization** + Design and deploy recommendation systems to tailor communications based on stakeholder preferences and behaviors. Utilize machine learning algorithms (e.g., collaborative filtering, content-based filtering) to enhance personalization efforts. + Analyze the performance of omnichannel campaigns (email, SMS, in-app, HCP portals, etc.) to identify high-impact touchpoints and optimize engagement strategies. Use A/B testing and uplift modeling to evaluate the effectiveness of different communication strategies and content types. **Stakeholder Collaboration** + Effectively communicating analytical approach to address strategic objectives to business partners. + Work closely with medical affairs, marketing, and IT teams to ensure alignment and integration of omnichannel strategies. Provide technical guidance and support to cross-functional teams on data-related projects. + Stay updated with emerging industrial trends (Conferences and community engagement) and develop strategic industry partnerships on Omnichannel analytics to strengthen Otsuka's analytical methods and outcomes. + Model Otsuka's core competencies (Accountability for Results, Strategic Thinking & Problem Solving, Patient & Customer Centricity, Impact Communications, Respectful Collaboration & Empowered Development) that define how we work together at Otsuka. Key matrixed partners included: Brand Marketing, Creative / CRM / Digital agencies, Media, Market Research, Analytics, Otsuka Information Technology (OIT), Sales Operations, and Medical/Regulatory/Legal integrated business partners. **Minimum Qualification:** + Bachelor's degree in data sciences, computer science and 4-6 years of relevant experience **Preferred Knowledge, Skills, and Abilities:** + Demonstrated experience with scripting and implementing data analytics algorithms and models. Hands on experience using a modeling and simulation software (e.g. Python, Matlab, R, NONMEM, SAS, S-Plus, etc.) is a plus. + Knowledge/Experience in the usage of machine learning/AI tools in life science area(s) and handling life science datasets is preferred. + Excellent interpersonal, technical, and communication skills to lead cross-functional teams. + Profound grasp of Machine Learning lifecycle - feature engineering, training, validation, scaling, deployment, scoring, monitoring, and feedback loop. + Have implemented machine learning projects from initiation through completion with particular focus on automated deployment and ensuring optimized performance. + Agile skills and experience + Experience in Healthcare (esp. US) industry is a plus. **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 $164,530.00 - Maximum $245,985.00, 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.
    $164.5k yearly 60d+ ago
  • Manager, Medical Rebates Execution

    Cardinal Health 4.4company rating

    Medical director job in Jefferson City, MO

    **_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 + Ensure GPO Admin Fees and Rebates are properly accounted for + 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 + 8+ years of professional experience in related field preferred, including but not limited to Accounting, Finance, or Audit + 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 **_What is expected of you and others at this level_** + Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to manage varied tasks and projects + Manages department operations, supervises professional employees, and ensures employees operate within guidelines + Develop team and individual development plan goals for direct reports + Participates in the development of policies and procedures to achieve specific goals + Recommends new practices, processes, metrics, or models + Works on or may lead complex projects of large scope, including leading offshore teams and working in conjunction with other CAH teams + Develops technical solutions to a wide range of difficult problems; solutions are innovative and consistent with organization objectives + Receives guidance on overall project objectives + Independently determines method for completion of new projects + Gains consensus from various parties involved + Acts as a mentor to less experienced colleagues **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:** 12/28/2025 *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 48d ago
  • Medical Consultant- Psychiatrist

    UNUM 4.4company rating

    Medical director job in Jefferson City, MO

    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:** 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 12d ago
  • Memory Care Director

    Cedarhurst 2.8company rating

    Medical director job in Columbia, MO

    Job DescriptionDescription: Memory Care Director Cedarhurst Senior Living is a leading provider of senior living communities, dedicated to enriching the lives of residents through exceptional care and personalized services. With a commitment to excellence and innovation, Cedarhurst creates vibrant environments where seniors can thrive and enjoy a fulfilling lifestyle. Why Work for Cedarhurst: At Cedarhurst, our core values guide how we work together and how we care for those we serve. We expect every team member to be passionate, trustworthy, empathetic, positive, respectful, and approachable. Being part of Cedarhurst means making a meaningful difference every day. We believe our team is our greatest strength. That's why we invest in comprehensive training, as well as opportunities for both personal and professional growth. We're committed to promoting from within and supporting team members who want to build their careers with us. Cedarhurst offers a competitive benefits package, including medical insurance, life insurance, long-term disability coverage, and a 401(k) plan with company match (after one year of service) for eligible employees. At Cedarhurst, we go beyond the standard benefits program to recognize and support our team. Along with comprehensive benefits, we offer GROW Points-a unique rewards system that celebrates your hard work and dedication. You'll also enjoy perks like exclusive Skechers shoe discounts, early paycheck access, and more! Position Summary: The Memory Care Director is responsible for the overall leadership and daily operations of the Memory Care neighborhood, ensuring the consistent delivery of high-quality, person-centered care and services. This role oversees resident assessments, care planning, regulatory compliance, life enrichment programming, and customer satisfaction while fostering a safe, engaging, and supportive environment. The Director leads and develops a high-performing care team, serves as the primary liaison for residents and families, and collaborates with department heads to maintain seamless service delivery across clinical, dining, and enrichment functions. By balancing operational oversight with compassionate leadership, the Memory Care Director promotes resident wellbeing and upholds the company's mission and values. Essential Functions: Provide overall leadership for the daily operations of the Memory Care neighborhood, ensuring compliance with regulations, effective marketing and sales efforts, and consistently high resident and family satisfaction. Partner with department heads to ensure all team members fulfill their responsibilities in maintaining a clean, safe, and engaging Memory Care neighborhood. Direct and monitor the delivery of individualized care and services, ensuring accurate care plans, timely assessments, and full compliance with all applicable regulations Develop, oversee, and enforce infection control, medication management, and restraint policies, ensuring adherence to best practices and the implementation of committee recommendations. Recruit, develop, and lead a high-performing resident care team through effective hiring, training, supervision, performance evaluation, and retention strategies. Serve as the primary liaison for residents, families, staff, and external partners, ensuring timely communication, addressing inquiries, and providing information regarding care and services. Conduct assessments of prospective and returning residents to determine appropriate placement and level of memory care services. Promote and maintain a safe working environment by implementing accident-prevention measures, ensuring proper equipment use, and reinforcing safe work practices. Contribute to the sales process by engaging with prospective residents and families, highlighting the value of memory care services, and supporting community growth initiatives. Ensure the development and delivery of engaging life enrichment activities and special events that support residents' cognitive, physical, and social wellbeing. Oversee and coordinate safe resident transportation and ensure activity spaces, equipment, and resources are prepared and available. Coordinate and oversee scheduling of resident medical transportation, ensuring timely and reliable access to healthcare appointments. Oversee the move-in process, including apartment inspections, preparation of move-in materials, and support for residents and families to ensure a smooth transition. Ensure comprehensive life enrichment programming is offered both within and outside the community, across all times of day and week, and confirm that activities are consistently led by trained life enrichment staff. Ensure compliance with food safety and handling standards during mealtimes and activities, collaborating with dining staff to maintain safe and enjoyable experiences. Partner with the Executive Director to plan and deliver monthly staff in-service training sessions, ensuring ongoing education and professional development. Collaborate with the Dining Services Director to deliver a fine dining experience for residents and ensure all dining staff receive appropriate training and support. Demonstrate collaboration, initiative, and leadership by effectively managing conflict resolution and fostering positive relationships among residents, families, staff, and community partners. Other duties as assigned. Qualifications: Three (3) years of nursing experience in a senior care community with proven leadership and organizational skills preferred. LPN license preferred but not required. CPR or BLS certification preferred. Demonstrated proficiency in common digital tools and applications, including Microsoft Office programs (Outlook, Excel, Word), web-based platforms, electronic health record systems, and any HR-related systems as applicable. Working Conditions: This position may need to walk or stand for extended periods and move throughout the community, resident apartments, and other areas of the community. While performing the duties of this job, the employee may occasionally be required to stoop, kneel, crouch, or crawl, as well as climb or balance. While performing the duties of this job, the employee is required to communicate effectively and identify/interpret written information. This position may need to lift up to fifty (50) pounds independently, and up to 200 pounds with assistance. Individuals in this position are required to follow all infection prevention and control protocols, including the use of personal protective equipment (PPE) when necessary, to ensure the health and safety of residents, staff, and visitors. This role involves actively participating in all staff activities aimed at fostering teamwork, unity, and morale. The individual will contribute as a collaborative team player, working alongside colleagues to create a supportive and cohesive work environment. Individuals in this position are required to stay current on all training and ongoing education initiatives. They are expected to actively pursue self-improvement and embrace opportunities for continuous learning to enhance their skills and knowledge. We are an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, we will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer. Cedarhurst considers the health and safety of its residents, family members, and team members as its highest priorities. All offers of employment are contingent upon the successful completion of a background check and drug screening, participation in required health assessments (such as TB testing or physical evaluations), and the use of designated personal protective equipment (PPE) as required by company policy and applicable law. Requirements:
    $67k-89k yearly est. 4d ago
  • Director of Emergency Services - Hospital Setting - Columbia, MO

    Mountain Management Group

    Medical director job in Columbia, MO

    The Director of Emergency and Trauma Services plans, organizes, directs, coordinates, and evaluates care and staffing for the Emergency Department. Evaluation of staffing includes planning for the next shift. Responsible for developing strategic goals for the department/service grouping as well as fiscal year business plans required to achieve such goals. The Director is the key person who translates strategies into day-to-day operations assuring standards of nursing process, care, treatment, and services are followed and unit specific policy and procedure reflect current facility practice and nursing best practices. Responsible for directing and evaluating the provision of patient care, treatment and services in the department. Key functions of the position include planning, leading, organizing, directing, and evaluating. Accepts 24-hour accountability for areas of responsibility. Ensures compliance with regulatory agencies impacting nursing care. Develops, implements, and monitors objectives and goals to integrate technical and human resources to support organization's mission. Provides direction, support and guidance to the staff and demonstrates positive role model in response to questions, issues or concerns raised by staff, family or physicians during tour of duty. Education: Associate degree in Nursing from an accredited School of Nursing; BSN preferred. Experience: Two years of experience in a hospital ER setting and minimum of one (1) year supervisory experience preferred Evidence of excellent interpersonal skills, self-directed, excellent time management and problem solving skills. Evidence of the analytical skills necessary in order to solve technical, clinical, administrative, and managerial problems. Requires professional level of knowledge in emergency room/trauma nursing operations with relatively complex plans, systems, and programs. Requires evidence of communication skills necessary to interpret hospital policies effectively. Ability to make presentations to hospital senior management Manage the performance of employees within a large or diverse department Evidence of independent decision making requiring definition of the possible choices from broad information where the alternatives and implications may be unclear. Specific knowledge of NIMS and Emergency Preparedness. Specific knowledge of American College of Surgeons Trauma Designation requirements. Special Skills & Qualifications: 1 to 2 years of previous management/leadership experience. At least 5 years of ER RN experience. Licenses / Certificates: Current State licensure as a Registered Nurse in the State of Missouri. Obtain TNCC, BLS, ACLS, and PALS certification within first 90 days of employment. Maintains Trauma education as required for trauma program manager and department.
    $111k-194k yearly est. 60d+ ago
  • Director I, Patient Access (Onsite, MO)

    Ensemble Health Partners 4.0company rating

    Medical director job in Columbia, MO

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERINGS: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $92,400 - $126,000 based on experience By embodying our core purpose of customer obsession, driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Director of Patient Access is responsible for administering and reviewing the performance of patient access functions within Ensemble Health Partners. Additionally, they are responsible for identifying and implementing strategies to improve processes, promoting operational efficiency, enhancing the patient experience and meeting regulatory compliance guidelines. This is an onsite position and requires regional travel to other facilities within the market. Job Responsibilities include, but are not limited to: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. Leadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results. Coaching & Building Talent - Achieves results by exercising influential leadership; empowering the team and providing impactful feedback, instruction, and development (coaching the coach) of their associates. Plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on development and retention of high performers. Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement. Executive Communication and Presence- Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear). Leading Teams - Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work. Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results. Provides vision, leadership and operational oversight for on-site Patient Access staff within a specific hospital or market. Will provide direction to all admitting and registration teams across all entry points. This includes establishing positive, collaborative relationships with operational leaders at these specific sites or markets. Organizes functions through establishing clear accountabilities, delegation of duties and appropriate departmentalization without creating silos. Develops and maintains an effective, visible and well-respected team by selecting, evaluating, coaching and managing the performance of qualified professionals. Negotiates and recruits with other department managers the need for cross training and support in their areas as necessary. Promotes team-building relationships in all areas of responsibility. Works in a collaborative manner with all managers/team leaders to ensure a successful and compliant revenue cycle process. Accountable for a comprehensive and effective communication strategy within the facility and/or market that promotes Employee Engagement, which includes enhanced employee productivity and morale. Communication style should promote a common understanding of the facility / market, vision, strategy and accountabilities. Promotes a culture of two-way communications and creates opportunities for staff participation. Staff should have regular assessments and educational opportunities. Determines appropriate staffing levels, monitors compensation and strengthens recruiting and retention process. Directs hiring and training for leadership and patient access staff. Manages the budget. May be required to perform other job-related duties as requested. Experience: Bachelor's degree or equivalent work experience 3 + years of leadership experience 3+ years of Patient Access experience Experience in healthcare provider finance operations or similar service environment required Demonstrated use of KPIs to drive and track team performance Financial and project management experience required Strong communication, organizational, interpersonal, and customer service skills required Able to work in a fast-paced environment Certifications: CRCR certification required within first 9 months of hire CHAM preferred Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $92.4k-126k yearly Auto-Apply 22d ago
  • Therapy Program Manager-PT/PTA/OT/OTA or SLP

    Concept Rehab 4.1company rating

    Medical director job in Ashland, MO

    Job DescriptionDescription: The Therapy Program Manager is responsible for the daily operations and direction of the assigned rehab program, including clinical responsibility, communication with customers and the rehab team. The Manager is responsible for program compliance and the effective and efficient delivery of clinical services. The TPM regularly promotes and engages in teamwork, collaboration and transparency among colleagues and pursues career development through professional organizations, networking, continuing education and training opportunities. This non-exempt, full-time position reports to the Director of Operations. The successful candidate operates independently, with integrity, and will be extremely organized with complete attention to detail. The candidate will be highly driven with strong management skills, follow-through and a focus on owning the outcome, as well as an ability to concentrate on the most important objective at the current moment, with a high level of adaptability. Requirements: Essential Functions of the Job Responsible for day-to-day management of the therapy program (including but not limited to clinical programing, financial goals/objectives, action plans, assistance with performance reviews of therapists in the program, etc.) in collaboration with Director of Operations. Responsible for scheduling or facilitating daily staff coverage at the facility level. Responsible for accuracy of EOM process mid-month and completing EOM and ongoing accuracy checks with month end accuracy check list. ? Responsible for assisting with facility orientation with new hires. Responsible for facility tours and assists with CRI interview process. Attend facility meetings including but not limited to the following: UR, Rehab, Falls, and QA Completes clinical duties as assigned by Director of Operations. Provides marketing assistance as needed. Manages resources / supplies for department with Director of Operations. Complete monthly audits with compliance, documentation, certification tracking, etc. Assist in Gathering ADR and chart review while communicating with Director of Operations and compliance. Coordinate administrative duty completion including filing, FOM data entry, therapy room maintenance, equipment calibration, etc. ? Provide weekly reports to Director of Operations. Consistently portray the mission, vision, core values, cornerstones and professional image of Concept Rehab, exercise good judgment in the performance of the job. Special projects and other duties as assigned. Core Competencies Strong interpersonal skills. High emotional intelligence. Outstanding oral and written communications. Problem-solving, analytical and critical evaluation skills. Technology skills. Cultural awareness. Ethical practice. Ability to exercise independent judgment and discretion. Clinical competency in own discipline. Maintain confidentiality. Required Qualifications Hold a license to practice in the state(s) where services are being provided. Therapist or Therapy Assistant with experience as a clinician, previous Rehab Manager experience preferred. Preferably have a minimum of one year of experience working in long-term care. Prior management experience preferred.
    $78k-110k yearly est. 11d ago
  • Director of Surgical Services

    Community Health Systems 4.5company rating

    Medical director job in Moberly, MO

    This position is for a full time Director of Surgical Services at Moberly Regional Medical Center in Moberly, MO. **Benefits** include a competitive total rewards package designed to support the health, life, career and retirement of our colleagues. The Director, Surgical Services provides strategic leadership and operational oversight for the surgical services department, ensuring the delivery of safe, high-quality patient care. This role is responsible for departmental planning, regulatory compliance, financial management, and fostering collaboration among multidisciplinary teams. The Director promotes a culture of excellence, innovation, and continuous improvement to optimize surgical outcomes, patient satisfaction, and operational efficiency. **Essential Functions** + Oversees daily operations of the Surgical Services department, ensuring effective scheduling, staffing, and resource allocation to support safe and efficient patient care. + Leads quality improvement initiatives to enhance patient safety, surgical outcomes, and operational performance. + Collaborates with surgeons, anesthesiologists, nursing staff, and other stakeholders to coordinate surgical schedules, optimize patient flow, and facilitate interdisciplinary communication. + Recruits, hires, and retains highly qualified surgical services staff, providing mentorship, fostering professional development, and promoting continuing education opportunities. + Monitors and evaluates patient care processes and outcomes, addressing patient concerns and implementing strategies to improve satisfaction and experience. + Drives initiatives to create and sustain a positive work culture, achieving employee satisfaction and retention goals through effective leadership and management practices. + Responds to and resolves patient care issues, complaints, and incidents, conducting investigations and implementing corrective actions as necessary. + Maintains current knowledge of industry trends, clinical best practices, and emerging technologies, ensuring the department remains competitive and compliant with evolving standards. + Establishes and monitors key performance metrics, using data-driven insights to identify opportunities for improvement and to measure departmental success. + Collaborates with Supply Chain and Procurement teams to manage inventory, surgical instruments, and equipment, ensuring availability and proper utilization. + Participates in strategic planning and organizational initiatives to expand surgical services and enhance the facility's market position. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Leadership Responsibilities** + **Supervision and Staff Management** + Provides leadership, mentorship and professional development opportunities for departmental staff. + Schedules employees to ensure effective use of resources. Consults with leadership on any potential staffing issues. + Conducts performance evaluations, sets goals and provides feedback to staff on their performance and development. + **Strategic Planning and Financial Oversight** + Collaborates with hospital leadership to set the strategic direction for the department, including budgeting, resource allocation and long-term planning. + Monitors expenditures, ensuring cost-effective delivery of services. + Evaluates and implements new technologies to enhance operational efficiency. + Develops and implements departmental policies and procedures and protocols to optimize quality and overall efficiencies. + **Quality Assurance and Regulatory Compliance** + Ensures compliance with all relevant regulatory bodies. May oversee the accreditation process with relevant agencies ensuring that services meet or exceed industry standards. + Participates in audits, inspections and accreditation processes as applicable. + Follows established quality control practices to ensure accuracy, consistency and safety. + **Collaboration and Communication** + Works closely with leadership teams to coordinate and improve service delivery. + Stays up-to-date with industry advancements, new technologies, and regulatory changes. + **Staff Responsibilities** + May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job. **Qualifications** + Bachelor's Degree in relevant field required or + Seven (7) plus years of direct experience in lieu of a Bachelor's degree required + Master's Degree preferred + 3-5 years of experience in closely related field with Bachelor's degree required + 3-5 years of previous leadership experience preferred **Knowledge, Skills and Abilities** + Strong leadership, organizational, and communication skills. + Ability to collaborate with interdisciplinary teams and manage cross-functional relationships. + Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement. + Communicate effectively with leadership, team members, and stakeholders. + Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines. + Problem-solving and critical thinking skills. + In depth knowledge of industry best practices and regulatory compliance (if applicable). + Strong organizational and time management skills. + Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + BCLS - Basic Life Support issued by American Heart Association (AHA), American Red Cross (ARC), or American Safety and Health Institute (ASHI) required + ACLS - Advanced Cardiac Life Support issued by American Heart Association (AHA), American Red Cross (ARC), or American Safety and Health Institute (ASHI) required INDLEAD To apply, please email heather_****************** Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $96k-169k yearly est. Easy Apply 26d ago
  • Director of Rehab

    Innovate Rehab and Wellness 3.3company rating

    Medical director job in Moberly, MO

    Oversees therapy operations within a contracted facility, ensuring quality of care, providing treatment to residents, ensuring compliance, and efficient staffing. Responsibilities • Oversee rehabilitation operations at multiple assigned facilities. • Supervise, mentor, and support facility-level DORs and therapy staff. • Provide treatment as appropriate to professional designation/licensure. • Ensure therapy services meet Innovate Rehab & Wellness standards, as well as federal, state, and payer regulations. • Monitor productivity, quality outcomes, and financial performance across facilities. • Partner with facility administrators and nursing leadership to address operational challenges. • Conduct audits, and compliance checks; implement corrective action when needed. • Support recruitment, onboarding, and professional development of therapy leaders. • Report area performance metrics to Area Director or VP of Operations. • Foster consistency in therapy programs, policies, and culture across assigned facilities. Qualifications Qualifications • Licensed PT, OT, SLP, PTA, or COTA/OTA. • Minimum 2-3 years of clinical experience in long-term care. • Leadership and supervisory experience strongly preferred. Core Competencies • Strong leadership and team-building skills. • Excellent problem-solving and organizational ability. • Ability to manage compliance and productivity metrics. Physical Requirements • Combination of clinical and administrative duties. • Ability to perform occasional resident assessments and treatment as needed. • Sit, stand, and move between therapy areas and resident rooms. • Lift/carry up to 25 lbs; occasional assistance with transfers if providing direct care.
    $66k-102k yearly est. 11d ago
  • Assistant Director of Nursing

    Columbia College 4.2company rating

    Medical director job in Columbia, MO

    Assistant Director of Nursing Department: Nursing Location: Columbia, MO, 65216 Type: Faculty, Full-Time Pay: $95,000 to $110,000 per year (Pay range may vary based on geographic location) Applicants must be legally authorized to work in the United States; visa sponsorship is not available for this position. Columbia College is committed to creating an inclusive employee experience for all regardless of race, color, national origin, gender, religion, sexual orientation, age or disability. The college maintains a safe place for open discourse and overall, fosters a sense of community that welcomes everyone. : We are seeking a highly skilled and experienced Assistant Director of Nursing to join our team in Columbia, MO. The Assistant Director of Nursing will work closely with the Chair and Director of Nursing to oversee the nursing staff and ensure the delivery of high-quality patient care. Key Responsibilities: Assistant administrative responsibility to supervise the Associate of Science in Nursing programs located in Columbia and Lake Ozark, MO and the Bachelor of Science in Nursing programs. Assist in the development and implementation of nursing policies and procedures Assist in supervising and evaluating nursing faculty and staff performance Ensure compliance with all regulatory requirements Assist in coordination of curriculum and evaluation, mentoring, accreditation, clinical, and remediation processes Participate in the recruitment and training of faculty and nursing staff Collaborate with other healthcare professionals to provide comprehensive patient care Assist in budget planning and management Some requirement to teach in the BSN and ASN programs Assist in maintaining standards of nursing education set by state and national accrediting agencies. Establish and maintain positive relationships with personnel of cooperative agencies and clinical sites Involve alumni and employers of graduates in periodic evaluation of the nursing programs. Counsel and guide students in their educational, professional, and vocational goals. Skills and Qualifications: Proven experience as an Assistant Director of Nursing or similar administrative role in academia or healthcare Current RN license in the state of Missouri Strong leadership and communication skills Knowledge of nursing best practices and regulations Ability to multitask and prioritize in a fast-paced environment Bachelors, Masters and Doctorate degree in Nursing required This job description is not meant to be all-inclusive of every duty and responsibility required by the employee in the position. Eligibility for employee benefits and perks is determined by employment status. For more information please see ***************************** The offer of employment and assignment to duties is contingent upon a satisfactory criminal background check. The information may include, but is not limited to, academic, residential, achievement, performance, attendance, disciplinary, employment history, credit history, driving history, and criminal history of public record. Columbia College is an equal opportunity employer. In compliance with the Higher Education Opportunity Act (HEOA) and the Jeanne Clery Disclosure of Campus Security Policy and Campus crime Statistics Act (Clery Act), the Department of Campus Safety for Columbia College has provided the Annual Security and Fire Safety Report and crime statistics for the main campus and venues nationwide. Columbia College is required to distribute this information to all current and prospective employees and students. Please follow the link below for the full report or contact Human Resources at ************ for a printed copy.
    $95k-110k yearly 60d+ ago
  • Practice Manager - Vein Institute

    JCMG

    Medical director job in Jefferson City, MO

    RESPONSIBILITIES Job Specific Competencies: Ensure quality of care by developing and interpreting JCMG's philosophies and standard of care; enforcing adherence to state board of nursing and the state's nurse practice act requirements; measuring health outcomes against standards and making or recommending adjustments. Completes patient care requirements by scheduling and assigning medical office staff, following up on work results. Maintains nursing operations by initiating, coordinating, and enforcing program, operational, and JCMG policies and procedures. Maintains nursing guidelines by writing and updating policies and procedures. Maintains staff job results by coaching, counseling, and disciplining; planning, monitoring, and appraising job results in collaboration with the Director of Clinical Operations. Provides information to patients and healthcare team by answering questions and/or requests. Resolves patient needs by utilizing multidisciplinary team strategies. Maintains safe and clean working environment by designing and implementing procedures, rules, and regulations; calling for assistance from staff or other healthcare professionals. Protects patients and employees by developing and interpreting infection-control policies and protocols. Maintains a cooperative relationship among healthcare teams by communicating information, responding to requests, building rapport, and participating in team problem solving methods. Ensure that nursing staff remains in compliance with professional development and regulatory standards. Maintain a healthy, collaborative team environment. Screen and interview candidates. Address patient complaints in a compassionate and timely fashion Oversee daily practice operations, including appointment scheduling, billing procedures, debt collections, cleaning, security, and occupational health and safety. Control the supply of medications and medical equipment Perform other duties as assigned. JCMG Core Competencies: Strives for continuous quality improvement. Participates in educational experiences designed to maintain and/or improve professional competence. Maintains high work ethic standards. Provides quality customer service to staff, patients and visitors at all times. MINIMUM QUALIFICATIONS Education: Graduate from an accredited school of nursing with an active RN license in the state of Missouri preferred, but not required. Minimum of a Bachelor's Degree in healthcare or business preferred LNHA license my be considered in lieu of formal education requirements Experience: 5+ years nursing experience Strong leadership skills and ability to work collaboratively with a large team 3 years supervisory experience Certification/License: MO LPN or RN license in good standing BCLS certification LNHA license Knowledge/Skills/Abilities: Good verbal and written communication skills Ability to problem solve and make good decisions Ability to work effectively with Physicians, Administrative/Management staff, internal and external customers, and patients. Excellent computer skills Ability to work efficiently under time constraints Ability to handle multiple assignments simultaneously WORK ENVIRONMENT Works in heated and air-conditioned area consistent with a normal office environment. BENEFITS Health insurance & employer paid short- and long-term disability Generous PTO policy, beginning at 148-hours annually 56 hours paid Holiday Leave Employer Retirement Plan (401K) with employer match Tuition reimbursement and other professional advancements, including a Medical Assistant training program
    $60k-110k yearly est. 60d+ ago
  • Manager-Clinical Services (Sign-on Bonus)

    Acadia Healthcare Inc. 4.0company rating

    Medical director job in Columbia, MO

    * $8,000 Sign-on Bonus * Plan, implement and coordinate the clinical services offered by the facility. * Provide oversight and support to all clinical operations in areas assigned. * Provide oversight and monitor clinical services as it relates to service provision, treatment and access. * Review and analyze clinical and operational performance results. Develop plans for improvement as needed. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. * Develop and implement behavioral health processes, procedures and policies across programs. * Participate in daily, weekly, monthly and annual planning and reporting processes as appropriate. * Represent the company at meetings in the community. * Collaborate with other company employees to foster and promote a cooperative work environment. * Support compliance by adherence to accreditation standards as well as standards of funding agencies and licensing boards. * Demonstrate a positive, empathetic and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority. * Other duties as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Master's Degree in Psychology, Social Work, Counseling or Psychiatric Nursing required. * Five or more years' experience in behavioral health services with clinical experience required. * Three or more years' supervision experience required. * Management or administration experience and/or three years work experience in Utilization Management required. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Meet DWMHA credentialing requirements for professional practice Masters Level licensed behavioral health professional as QMHP (Qualified Mental Health Professional) CMHP (Child Mental Health Professional), and QMRP (Qualified Mental Retardation Professional). * Must possess a full license in one of the following disciplines: LLP/LP, LPC, LMSW, NP/RN. * CPR and de-escalation/restraint certification required (training available upon hire and offered by facility). * First aid may be required based on state or facility. * $8,000 Sign-on Bonus * Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null
    $58k-91k yearly est. 58d ago

Learn more about medical director jobs

How much does a medical director earn in Columbia, MO?

The average medical director in Columbia, MO earns between $148,000 and $367,000 annually. This compares to the national average medical director range of $143,000 to $369,000.

Average medical director salary in Columbia, MO

$233,000

What are the biggest employers of Medical Directors in Columbia, MO?

The biggest employers of Medical Directors in Columbia, MO are:
  1. Good Shepherd Hospice
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