VP Ops/Chief Medical Officer-UVMC
Medical director job in Troy, OH
About the Company
Upper Valley Medical Center (UVMC) is committed to providing the “ideal patient experience.” Our mission is to ensure high-quality care, patient safety, and evidence-based medical standards are practiced at UVMC.
About the Role
The Chief Medical Officer (CMO) of UVMC will lead the implementation and maintenance of the “ideal patient experience” at UVMC, partnering with various leaders to ensure compliance and improve safety, quality, and service.
Responsibilities
Lead the implementation and maintenance of the “ideal patient experience” at UVMC.
Partner with the Director of Quality and Patient Experience, Chief Nursing Officer (CNO), and Hospital leadership.
Ensure compliance with Joint Commission, HIPAA, and other accreditation bodies.
Participate in the development of programs and services to improve safety, quality, and service.
Serve as a site leader of clinical quality innovation at Premier Health.
Collaborate with the Premier Health System CMO, CNO, and CCO.
Build and maintain relationships with physicians, advanced practice providers, nursing, and other clinical leadership.
Provide direction, oversight, and coordination with hospital and physician leadership.
Provide direct supervision to a team of employees.
In partnership with the VP of Acute Hospital Medicine, share responsibility for the Hospitalists program performance at UVMC.
Remain connected to the patient experience by scheduling and performing clinical care in area of specialty.
Additional duties as directed by the Premier Health System CMO, CNO, and UVMC President.
Qualifications
Minimum Level of Education Required: Medical Doctorate degree
Preferred educational qualifications: Master's in business or healthcare administration
Required Skills
Clinical process improvement and transformation
High-reliability concepts
Clinical transformation
Electronic medical records management
Integrative care management
Medical staff relations
Medical staff services and credentials
Peer review
Change leadership
Physician satisfaction and engagement
Patient service, grievances, and complaints
Academic medicine
Personnel management
Budget management
Preferred Skills
Minimum Level of Experience Required: 3 - 5 years of job-related experience
Prior job title or occupational experience: Progressive leadership experience
Prior specific functional responsibilities: Hospital or Department Leadership
Preferred experience: Medical Director, Quality Director or Associate Chief Medical Officer
Other experience requirements: Experience in patient safety, quality management and performance improvement
Pay range and compensation package
Details regarding pay range or salary will be discussed during the interview process.
Equal Opportunity Statement
Upper Valley Medical Center is committed to diversity and inclusivity in our hiring practices and workplace culture.
Center Medical Director Primary Care Cincinnati, OH making well over $300,000
Medical director job in Cincinnati, OH
Center Medical Director Primary Care Outpatient Cincinnati, OHCOMPENSATION: $280,000-$300,000 + Bonus Total comp. well over $300,000We are a physician-led and mission-driven, primary care organization, is currently one of the most successful full- provider, transforming care of the neediest population.
Our mission is to honor seniors with affordable VIP care that delivers better health.
In order to achieve our vision and deliver our mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and personal opportunity and join the team.
Transportation is provided to patients that need it at no charge.
Role:Salary: Base $280,000-$300,000Hours: Monday Friday work schedule; Clinic Hours 7:30a 5:00p (last patient is scheduled at 4:15) Work/Life BalanceSmall Patient Panel 60-90 patients max Manage PCPs and NPs Center Medical Director Training:PCP Black Belt Training and PCP EssentialsMedical Director and Center OperationsChenMed Leadership Pathways ProgramMedical Economics and Center Financial PerformanceSales and GrowthBenefits:Paid Time Off -33 days Comprehensive Benefit PackagePartnership (No buy-in) Health, Dental, Vision and supplemental benefits plans for the provider in their family 401K 5.
5% match$3,500 + 1 week RelocationClinic offers:Inhouse Consulting Specialist: Cardiology, Podiatry and more Holistic Health Services: Acupuncture, Tai Chi, Yoga and NutritionDoor to Door Transportation for our patients (Uber/Lyft) Requirements:Board Certified/Board Eligible in: FM, IM or Geriatric MedicineEducation: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or a related specialty.
Experience: At least 1 year of clinical experience in a geriatric or family practice setting.
Leadership experience preferred Skills: Strong leadership, communication, and analytical skills.
Proficiency in Microsoft Office and the ability to travel locally and occasionally regionally.
For more information contact: Stephen Kanfer 954 _ 263 _5115
Center Clinical Director, Associate
Medical director job in South Vienna, OH
We're unique. You should be, too.
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to joinour team.
The Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned center. The incumbent in this role is accountable for maximizing overall core model execution, including improving clinical quality, efficiency, outcomes, and clinician/patient satisfaction. In addition to being accountable for the overall clinical outcomes of his/her assigned center, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties (amount dependent on number of direct reports). The remainder of their time is allocated to leadership responsibilities, including PCP performance, engagement, and building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors, including PCP capacity, market needs, size of centers, patient membership, and Market Clinical Director direction.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
Independently provides care for patients with acute and chronic illnesses encountered in older adult patients.
Takes full accountability for patient care and outcomes and appropriately seeks consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient.
Engages with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not).
Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs.
Leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market.
Leads Super Huddle (SH) and Transforming Care Meeting (TCM) weekly, as well as supports Center Manager/Center General Manager center clinical leader and/or market clinical leader is not available, based on guidance from Market Chief Medical Officer. Fills in as needed for center clinical leadership needs, including monitoring daily center census as part of joint center accountability for outcomes.
Plays an active role in the management of their center and helps cover for other providers who may be out for various reasons. It is also expected that each Clinical Director will take an active role as needed in recruiting patients for the center and recruiting and interviewing additional providers for the company.
Managing, mentoring and coaching PCPs in his/her assigned center to deliver outstanding clinical outcomes, including sampling other PCP's daily huddles within their center
Leadership rounding with the PCPs (reduced involvement of market clinical leader)
Partnering with Center Operations Director/Market General Manager to drive continued improvement of center financial performance, and helping increase center membership
Performs other duties as assigned and modified at manager's discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other applications used in the company
Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes
Fluency in English, verbal and written. There may be jobs in some centers that require fluency in other languages, and this will be made known at the time of application.
This job requires use and exercise of independent judgment
EDUCATION AND EXPERIENCE CRITERIA:
MD or DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required
Current, active MD licensure in State of employment is required
A minimum of 1-year clinical experience in geriatric, adult or family practice setting preferred, with Lead PCP ideally being a ChenMed PCP Partner
Completion of Chen Medical training, including Masterful Conversations and meeting facilitation, as part of the individual development plan
Board certification in Internal Medicine, Family Medicine, Geriatrics or similar specialty is preferred, Board Eligibility is required
Once Board certified, PCP will maintain board certification in their terminal specialty by doing necessary MOC, CME and/or retaking board exams as required
Must have a current DEA number for schedule II-V controlled substances
Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment
PAY RANGE:
$238,832 - $341,189 Salary
EMPLOYEE BENEFITS
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#LI-Onsite
Clinical Director - Physical Therapist - Full Time
Medical director job in Vandalia, OH
Setting: Outpatient
We're looking for a Physical Therapist to take on a full-time role with one of our area clients. You'll help patients move better, feel better, and stay active-whether they're recovering from an injury or managing long-term conditions. Apply today and a recruiter will reach out with the details. Please note this is a Clinic Director position. PT required.
Position Details:
Clinic Director opening - PT only
Monday-Friday days! No weekends or on call!
Competitive compensation + additional compensation opportunities!
Outpatient ortho, averaging 11 patients/day
Multi-disciplinary environment with direct access to referring physicians
Minimum Requirements:
Bachelor's, Master's or Doctoral Degree in Physical Therapy from an accredited school approved by the APTA
Active State License is Required to Start the Position
BLS Certification May Be Required from AHA or ARC
Impacting Patient Care Nationwide
Jackson Therapy Partners offers a variety of career options for physical therapists including direct hire positions, temp-to-hire, and travel contracts. Thanks to nationwide partnerships with clients from every setting, we help therapy professionals find the perfect job including great pay, awesome benefits, relocation assistance, and even sign-on bonuses, all at no cost to you! Discover your perfect match using ProVenture, our AI enhanced career app designed just for you.
EEO Statement
Jackson Healthcare and its family of companies are an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Assistant Director of Nursing
Medical director job in Eaton, OH
You don't just clock in at a job. You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When our employees feel special, so do our residents.
Check out the role overview below If you are confident you have got the right skills and experience, apply today.
We are currently seeking applicants for our Assistant Director of Nursing position.
We offer a great FULL TIME benefits and perks package!
Company Paid Benefits:
Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Life and AD&D (Guardian)
Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.
Examples that are available for help: Emotional Support-Stress, Realtionships, Addictions, Mental Illness, Anger, Loss, Depression, Time Management.
Work and Life Balance Specialists
Employee Optional Benefits:
Medical (BCBS)-for Employee, Spouse, and/or Dependents.
HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!
Dental (Guardian)- for Employee, Spouse, and/or Dependents.
Vision (Guardian VSP)- for Employee, Spouse, and/or Dependents.
Additional Voluntary Life (Guardian)- for Employee, Spouse, and/or Dependents.
Additional Voluntary AD&D (Guardian)
Critical Illness (Guardian)- for Employee, Spouse, and/or Dependents.
Hospital Indemnity (Guardian)- for Employee, Spouse, and/or Dependents.
Accident (Guardian)
Metlife Legal (Legal Shield)- for Employee, Spouse, and/or Dependents.
Assistance with Adoption, Lawyers, Wills and Trusts and much more!
No waiting periods, no claim forms, no deductibles!
Metlife Pet Insurance
Wide range of coverages for your fur babies!
All dog and cat breeds are covered.
I dentity Theft (All State)
401(k)with Matching (TransAmerica)
Tuition Reimbursement
Perks :
Vacation from 90th Day of Employment
On Demand Pay Option
Bonuses :
Resident Referral Bonus Opportunities
Employee Referral Bonus Opportunities
What does an Assistant Director of Nursing do at Danbury?
Schedule shift coverage
Admission assessments / annual assessments / condition change assessments
Annual H&P/ prepare family notification letter
Omission reports
Prepare for and assist doctor on rounds every week and update doctor book
Initial admission care plan / updates as needed
Assist with monthly care plans if needed
Send out physician orders
Enter new nurses into lab and mobiles
What experience or skills do you need to be an Assistant Director of Nursing?
Experience in Assisted Living
Current LPN licensure
Flexible schedule
Strong people skills and problem-solving skills
If you're someone that wants to make our residents' days better, then apply now for immediate consideration!
We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. xevrcyc
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
IND789
Perm - Medical Director - OB/GYN Cincinnati, OH
Medical director job in Cincinnati, OH
Job Title: Medical Director - OB/GYN Employment Type: Full-Time Perm Mercy Health Physicians, part of Bon Secours Mercy Health, is seeking an experienced and visionary OB/GYN Medical Director to lead our Women's Health Program at Anderson Hospital. This key leadership role offers a unique opportunity to combine clinical excellence with strategic program development within one of the Midwest's most respected Catholic health systems.
Key Responsibilities:
Clinical Practice: Provide comprehensive full-time OB/GYN care, including outpatient consultations, surgical procedures, and deliveries at Anderson Hospital, which features a Level II NICU and approximately 1,600 deliveries annually.
Program Leadership: Develop and expand the Women's Health service line, focusing on strategic growth and quality improvement on Cincinnati's east side.
Team Collaboration: Partner with hospital leadership, multidisciplinary teams, and university affiliates to optimize patient outcomes, enhance satisfaction, and promote service excellence.
Mentorship & Education: Mentor physicians and advanced practice providers, fostering professional development, teamwork, and clinical excellence.
Operational Leadership: Oversee program operations, quality metrics, and compliance, dedicating protected administrative time.
Work Schedule: Maintain a balanced Monday-Friday schedule, with participation in a 1:6 call rotation.
Qualifications:
Experience: Minimum of 5 years of OB/GYN practice experience.
Certification: Board Certified in Obstetrics and Gynecology.
Licensing: Valid Ohio medical license or ability to obtain one.
Additional: Proven leadership skills, strategic thinking, and a patient-centered approach.
Compensation & Benefits:
Salary & Incentives: Competitive employment package with salary expectations compatible with experience; open to discussion. Leadership stipends and dedicated administrative time provided.
Additional Compensation: Signing bonus, relocation assistance, and student loan repayment options are available.
Benefits Package:
Health, Dental, Vision, HSA/FSA
Disability and Life Insurance
Retirement Plans: 403(b) with company match, 457(b), and Supplemental Executive Retirement Plan
CME funding, generous PTO, and resources promoting work-life balance
Candidate Requirements:
Only applicants with at least 5 years of OB/GYN experience will be considered.
This opportunity is strictly for employed, full-time candidates.
We are unable to support J1 or H1B visa sponsorship.
Locum or 1099 candidates are not accepted.
Location & Contact:
Address: 7500 State Road, Cincinnati, OH 45255
Join us to lead a thriving OB/GYN department dedicated to exceptional patient care, professional growth, and community impact. We look forward to welcoming a dynamic leader to our team.
Plan Performance Medical Director
Medical director job in Mason, OH
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations can be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Plan Performance Medical Director** serves as a lead clinician and oversees the administration of medical services for the individual ACA health plans across 17 states. This role involves managing the overall medical policies and clinical guidelines to ensure appropriate and cost-effective care. The Director also leads initiatives to direct the plan regarding cost of care and other strategic directives. Additionally, this position involves collaborating with market plan presidents during meetings with state regulators.
**How you will make an impact:**
+ Supports the Medical Management staff to ensure timely and consistent responses to members and providers.
+ Provides guidance for clinical operational aspects of a program.
+ Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
+ May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
+ Interprets existing policies or clinical guidelines and develops new policies based on changes in the healthcare or medical arena.
+ Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care.
+ Identifies and develops opportunities for innovation to increase effectiveness and quality.
+ Provides expertise, captures and shares best practices across regions to other medical directors.
+ May chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees.
**Minimum Qualifications:**
+ Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
+ Requires active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Travels to worksite and other locations as necessary. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
**Preferred Skills, Capabilities and Experiences:**
+ Experience with clinical finance data, as well as medical cost and trend analysis.
+ Strong communication skills, including both presentation and writing abilities.
+ Proficiency in Excel and PowerPoint.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $275,264 to $450,432.
Locations: Woodland Hills, CA; Denver, CO; Mendota Heights, MN; New York City, NY.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Medical Director - Commercial
Medical director job in Mason, OH
Medical Director- Commercial Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Prefer candidates to reside in the following states: CO, OH, IN, KY, MO, and WI.
Schedule: Monday through Friday 8am-5pm CST or EST (If candidate is living in Colorado MST is fine). Weekend rotation coverage 5-6 weekends a year.
The Medical Director will be part of the Central Region team responsible for utilization review case management and appeals for local Commercial business in the CO, OH, IN, KY, MO, and WI markets. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.
How you will make an impact:
* Supports clinicians to ensure timely and consistent responses to members and providers.
* Provides guidance for clinical operational aspects of a program.
* Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
* May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
* Serves as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees.
* May chair company committees.
* Interprets medical policies and clinical guidelines.
* May develop and propose new medical policies based on changes in healthcare.
* Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identifies and develops opportunities for innovation to increase effectiveness and quality.
Minimum Requirements:
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Must possess an active unrestricted medical license to practice medicine or a health profession.
* Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Qualifications:
* General Surgeon or Primary Care specialties preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $262,152 to $393,228
Locations: Colorado.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyMedical Director needed for Primary Care in Cincinnati, OH - 280-300K + Full Benefits
Medical director job in Cincinnati, OH
Quick job details:
Medical Director (Primary Care)
Schedule: Mon - Fri
Patient population: Geriatric
Split: 80 % clinical | 20% Admin
EMR:
DASH
Designed & built for clinic allowing for 50% less dictation
Compensation: 280-300K base
Benefits: Full Benefits
Requirements: Must be board certified in FM or IM
On-site resources:
Cardiologist, Podiatrist, Acupuncturist, Social worker
Lab, X-Ray, Ultra Sound
Dispensary of over 200 meds - No narcotics
About Us:
HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.
Our Promise:
We will put you in front of the decision makers.
We will provide feedback on your application.
We will work on your behalf to obtain as much info as you need to make a well-informed decision.
If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!
The HealthPlus Team.
Hospice Medical Director - Contract
Medical director job in Cincinnati, OH
Otterbein is a not-for-profit, faith-based ministry that is a national leader and innovator in retirement living communities and long-term care. Otterbein Hospice is seeking a Contract Medical Director, to assist in the growth of our Hospice ministry. Otterbein Hospice compliments already strong independent senior services, outpatient capabilities and clinical facilities at Otterbein.
Hospice is a philosophy of care for those facing life-limiting illnesses, as well as their families and caregivers. The focus of hospice care is to help patients experience peace, comfort, and quality of life while also offering support and services to their family and caregivers.
At Otterbein Hospice, our dedicated and compassionate team is here to help you through all stages of life's journey. When the time comes for hospice care, our team will involve you and your loved ones in your care options, and together with you, develop a personalized plan of care. Our team includes nurses, a chaplain and social worker for your care and support. We offer the peace that comes with being cared for in your home.
At Otterbein, you're more than an employee, you're a Partner in Caring. Together, we work side by side toward a shared goal: delivering person-centered care that respects every resident and the choices they make.
Whether in our vibrant communities, our welcoming small house neighborhoods, Home Health, Hospice or Home Office, we provide the highest level of compassionate, quality care.
Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and truly one-of-a-kind.
Responsibilities
Be responsible for directing and coordinating medical care provided by the Hospice
Assist in the development of transfer and emergency treatment policies and procedures
Participate in client care conferences and guide administrative staff in the development and implementation of medically related Hospice programs and client care policies and activities
Assist in developing written rules and requirements for all licensed independent practitioners who have privileges at the Hospice
Consult with attending physician and the Interdisciplinary Team in establishing a written plan of care for each client, and in reviewing and updating the plan of care at intervals specified in the plan
Obtain necessary certification of a hospice client as terminally ill as required by state and federal regulations
Verify credentials of physicians who seek appointment as members of the medical staff of the Hospice and then subsequently approve the physicians' credentials with the Hospice Program Director
Ensure that an alternate credentialed physician would be available to respond to the needs of the Hospice in his/her absence due to vacations, illness or other extenuating circumstances
Provide emergency medical coverage in cases of emergent situations requiring physician intervention for all clients including when the clients own attending physician may not be available
Participate in appropriate planning and presentation of the Hospice's in-service education program for associates and volunteers.
Provide consultation to Hospice staff in the development of an adequate medical record system
Participate, as appropriate, in the Hospice's performance improvement and utilization review activities
Provide the Program Director with a written summary of appraisals, recommendations, plans relative to resident care activities, appropriateness of the Hospice's scope of services, medical equipment and staffing on a quarterly basis.
Consult with Hospice administration regarding the Hospice's ability to meet the clients' needs and about future client care programs
Evaluate occurrence worksheets reported to risk management, assist in identifying safety hazards and make recommendations to improve the Hospice's service delivery.
Keep current with policies and programs of public health agencies that may affect client care
Represent Hospice to both the medical and non-medical community through presentations, meetings, and media to better its understanding and acceptance by the community
Monitor employee health and advise the Program Director on employee health policies
Comply with the policies, rules, and regulations of and with federal, state and local laws and rules and regulation of any governmental agency or public authority and the appropriate accrediting agencies
Qualifications
TRAINING/EXPERIENCE REQUIREMENTS:
Must hold a medical degree and have advanced knowledge of hospice philosophy and concept
Demonstrated expertise with terminally ill patients and families
At least two years of experience in long term care as a consultant, advisory committee member or admitting physician, and in the provision of gerontological medicine
Auto-ApplyVeterinarian Medical Director
Medical director job in Cincinnati, OH
Are you an established veterinarian (3+ years of practice under your belt) eager for the next step in your career?
Are you excited by the opportunity to become a Medical Director and manage your own hospital and team?
We are recruiting for a Medical Director for a brand-new hospital in dog-friendly and outdoorsy Cincinnati, Ohio. The hospital is being built as you read this and has an anticipated opening in summer of 2025. If you come onboard now, we would welcome your input in designing floor plan and ordering equipment!
We are a family-owned Veterinary Hospital whose mission is simple - be the practice we want to bring our own pets to!
Here's what you'll receive from us:
• The autonomy to practice medicine the way you see fit
• Partnership in the practice
• Relationships to both local, outside specialists as well as direct access to a network of ER/Specialty DVM's
• Robust CE allowance
• Medical/Vision/Dental
• 401(k)
• PTO and Paid Holidays
• Staff referral bonuses
• ProSal compensation model without negative accrual
• Referral bonus for associate DVM candidates
• Housing and relocation assistance
If you have been thinking about a new opportunity, or perhaps just interested in living in a beautiful location while you further your veterinary medicine career, this opportunity might be calling your name!
Confidential inquiries are welcome!
Medical Director - West Side Animal Clinic
Medical director job in Hamilton, OH
Job Description
Veterinary Medical Director - West Side Animal Clinic | Hamilton, OH
Are you a passionate, team-oriented veterinarian ready to lead with compassion and collaboration? West Side Animal Clinic in Hamilton, Ohio, is seeking an experienced Veterinary Medical Director to guide our talented team, uphold our standards of comprehensive, high-quality medicine, and continue building the legacy of trust we've earned in our community.
About Us
For years, West Side Animal Clinic has been a trusted name in the Hamilton community-providing top-tier medical, surgical, and dental care for dogs and cats. We combine advanced diagnostics with a compassionate approach, ensuring our patients receive the highest standard of individualized care. Our focus extends beyond treatment - we emphasize preventive medicine, client education, and long-term wellness.
Your Role
As Medical Director, you'll serve as both a leader and a clinician. You'll work alongside a dedicated team to deliver quality medicine while fostering a culture of learning, collaboration, and growth. You'll have the autonomy to shape medical protocols, mentor associate veterinarians, and inspire the entire staff to provide the best possible patient care.
We're Looking For Someone Who:
Demonstrates excellent communication and leadership skills
Has 5+ years of clinical experience in small animal medicine
Possesses strong surgery and dentistry skills
Values teamwork and trusts their support staff
Enjoys teaching, mentoring, and inspiring others
Is eager to build lasting relationships with clients and the local community
Stays current on industry trends and advances in veterinary medicine
Our Investment in You:
Competitive base salary (no negative accrual) + production
Generous sign-on and relocation assistance
Health, dental, and vision insurance (HSA option available)
401(k) options
Flexible scheduling and paid time off
Paid CE days + annual CE allowance
Paid license renewals, membership dues, and AVMA PLIT coverage
Personal pet discounts
Why You'll Love Hamilton, Ohio
Located just north of Cincinnati, Hamilton is a thriving and affordable community with a rich arts scene, a walkable downtown, and the nation's largest indoor sports complex, Spooky Nook. Enjoy concerts, breweries, parks, and riverfront trails - all within minutes of home. It's a wonderful place to live, work, and grow your career.
Office Hours
Monday - Friday | 8:00 AM - 6:00 PM
If you're ready to lead a dedicated team that values collaboration, mentorship, and high-quality medicine, we'd love to hear from you.
Apply today and make your next leadership move with West Side Animal Clinic!
Veterinarian, Medical Director
Medical director job in Troy, OH
Full-Time Stonyridge Veterinary Services As a key leader in our hospital, you'll drive positive changes and growth. Your influence will shape our vision, foster an exceptional culture, and maintain high standards of care. Partnering with the practice manager and leadership team, you'll develop strategies, implement improvements, and guide our hospital towards excellence in patient and client care, while supporting staff development.
At Stonyridge Veterinary Service, we offer primary care services for cats, dogs, and pocket pets in Troy and the Miami County area.
We are a 2-doctor small animal practice with a highly collaborative and supportive team. Our hospital partners with the local humane society and area shelters, giving you the opportunity to make a meaningful impact in the community while practicing high-quality medicine. We value balance just as much as dedication-no weekend hours required!
Hours
Monday- Friday: 8 am- 6 pm
As the head of your hospital, you'll have the guidance and resources to excel as a leader. This includes access to a Medical Initiatives Committee to become stronger and more equipped to develop your practice.
Experience & Skills Requirements
* Doctor of Veterinary Medicine (DVM / VMD) or equivalent degree required.
* State Veterinary Board License and must be in good standing for the state in which they intend to be hired, prior to their start date.
* Active DEA license or DEA licensure eligible.
Benefits - our care in action
Thrive offers a suite of benefits to support team members' emotional, physical, professional, and financial wellbeing. In addition to our health and life insurance, and short- and long- term disability plans, we offer eligible team members:
* Competitive compensation
* Medical Director Stipend
* Opportunities for growth in dentistry, ophthalmology, dermatology, rehab, surgery, and more!
* Comprehensive health benefits
* Mental health resources, including 24/7 access to Lyra Health
* Paid parental and purr-ental leave
* Employer-sponsored childcare and elder care
* Personalized care for every family-forming journey
* 401(k) match
* Pet perks and veterinary service discounts
* Student loan management tools and assistance
Thrive's Medical Excellence and Education Department leads training and mentorship programs designed to support and empower you with the knowledge, tools, and resources to strengthen and nurture your professional journey.
Plus, we have an innovative Medical Leadership Program that equips you with essential skills in leadership, hospital operations, and medical excellence. It combines self-paced learning, live presentations, and mentorship. With on-demand support and 1:1 mentor buddy, we ensure our medical leaders have the support they need to excel.
Compensation negotiable based on credentials and experience. The actual salary offered will carefully consider a wide range of factors, including your skills, qualifications, experience, and location.
About Thrive
Vet-founded and Austin-born, Thrive Pet Healthcare has expanded to over 380 partner hospitals nationwide, united by a mission to shape the future of pet well-being through medical excellence, innovative technology, and a connected community.
We bridge general practice, urgent care, specialty, and emergency care, and our locally rooted, nationally connected hospitals benefit from Thrive's extensive resources while maintaining their unique identities.
We believe that supporting our people is the key to helping pets thrive through every stage of life.
Join us where #WeThriveTogether. We provide customizable professional development opportunities, a supportive work environment that values work-life rhythms, and 24/7 mental health support.
Auto-ApplySenior Medical Director
Medical director job in Covington, KY
Job Purpose The Medical Director will be responsible for growing and leading a therapeutic portfolio through their medical and clinical development expertise and by providing medical and safety monitoring of awarded clinical trials. The Medical Director will be responsible for playing a leadership role in shaping the strategy and vision of CTI's medical program, with a special emphasis on cell and gene therapy, and fostering multi-disciplinary collaboration and cross-organizational initiatives.
Candidates will have specialized training and experience in one of the following disciplines: Hematology/Oncology, transplant medicine, allergy/immunology, cardiovascular, endocrine, gastroenterology, infectious diseases, internal medicine, nephrology, neurology, or pulmonary diseases.
What You'll Do
Drive growth of a therapeutic area portfolio through medical and clinical development expertise and by providing medical oversight of awarded clinical trials
Participate in the lifecycle of CTI's work from early engagement to clinical consulting to RFP and bid defenses to clinical trial execution and delivery
Accountable for medical oversight and management of awarded studies, including protocol review, eligibility discussions, oversight of medical issues, training of internal and site teams, safety review, and medical support of regulatory issues
Early engagement business development activities, including providing advice and recommendations on protocols and clinical development plans, assessing key needs of sponsors, and applying innovations
Responsible for working with a broad range of sponsors, creatively assessing opportunities, and developing strategies for trials and innovations for the execution of studies
Use clinical, scientific, and operational knowledge to harness data and clinical trial resources to develop innovative, data-driven, and patient-centered solutions for clinical development projects, studies, and trials, addressing the specific needs and challenges of each customer
Provide clinical and scientific expertise to all CTI departments as requested and collaborate closely with teams to develop integrated strategies for clinical trials and studies
Partner with the regulatory team on clinical development plans, target product profiles, regulatory submissions, interactions with health authorities, and protocol development
In partnership with Sales, Operations, and other functions, responsible for award of strategic and tactical new business to achieve annual Gross New Business targets. Along with other key experts, responsible for leading teams in developing focused proposals
Provide scientific, clinical, and operational advice to internal stakeholders developing proposals: this may include, but is not limited to, providing the strategy to protocol design/clinical development plan, mining data to address important clinical questions relevant to the study, reviewing the protocol for scientific/regulatory soundness and feasibility, identification of target site and principal investigator profiles, understanding the standard of care and competitive landscape, informing strategies for site and country selection and patient recruitment
Support preparation of customer and bid defense meetings, e.g., training and preparation of the assigned project team; provide specific content; ensure presentation focus and content effectively conveys therapeutic area strategy
Attends and presents at customer meeting, or bid defense or partnership meetings, as required
Responsible for staying current on industry pipeline and scientific and business landscape; does due diligence research of the therapeutic landscape; educates and informs CTI clinical and business teams about cutting-edge therapeutic developments
Drive thought leadership activities including presentations, publications, and interactions with the medical scientific community to connect key areas of growth and innovation that CTI is focused on. which include cell and gene therapy and rare disease, and groundbreaking strategies to optimize the execution of clinical trials, using data and patient-centered approaches
What You Bring
Excellent communication, presentation, and interpersonal skills, including good command of English language (both written and spoken) is required
Strong leadership skills
Ability to work with minimal supervision and lead a virtual team in a matrix organization
Innovative and strategic thinker
Strong business acumen including confidence with financial considerations, excellent negotiation and influencing skills, and comfort working in both sales and operational environments
Flexible with the ability to work in situations where specifications may or may not be well defined and willing to support work in other therapeutic areas when required
Confident and capable in the use of technology, applications, and other media
Proven ability to make decisions with limited information, bringing clarity to disparate information to inform actions and drive results
Ability to establish and maintain effective working relationships with coworkers, managers, and clients
Committed to the principles of collaboration, teamwork, civility, and respect
Effective mentoring and training skills, fostering learning and knowledge sharing with colleagues
Board-certified physician in chosen area of medical specialization
Medical degree from an accredited school
At least 3 years of clinical research/clinical development experience
Knowledge of ICH-GCP, clinical trial design, statistics, and regulatory/clinical development process
Previous experience in a CRO or industry role preferred
Why CTI?
We support career progression - 25% of our global staff is promoted annually and we have a structured mentoring program to provide the support you need to move forward
We value education and training - We provide tuition reimbursement, partner with universities and colleges to create programs in our field, and have a dedicated training department
We value our people - We have never had a layoff in our 20-year history, support a work-life balance with flexible schedules, and have provided cash bonuses every year for the past decade
Our culture is unparalleled - Click here to learn more about "The CTI Way"
We think globally and act locally - We have a global philanthropic program supporting our team's efforts to improve their local communities (Click here to learn more about our "CTI Cares" program)
Important Note
In light of recent increase in hiring scams, if you're selected to move onto the next phase of our hiring process, a member of our team will reach out to you directly from **************** email address to guide you through our interview process. Please ensure you are applying for jobs directly on our website (***************** or from our verified LinkedIn page.
Please Note
We will never communicate with you via Microsoft Teams or text message
We will never ask for your bank account information at any point during the recruitment process
Equal Opportunity Employer Veterans Disabled
If you are local to a CTI location, then you may be expected to come into the office and work an office or hybrid schedule depending on your role
Clinic Medical Director
Medical director job in Newport, KY
Medical Director
Reports to: Executive Director, Faith Community Health Network with additional oversight from the Faith Community Clinic Board of Directors
Classification: Full-time
Location: Newport, Kentucky
Position Summary
The Medical Director (MD or DO) provides clinical leadership and oversight for the Faith Community Clinic (FCC), ensuring safe, high-quality, and compassionate patient care. This position supports the mission of the Faith Community Health Network to serve neighbors in need with dignity and holistic, community-based healthcare.
The Medical Director combines direct patient care with administrative oversight and supervision of staff, volunteers, and students.
Qualifications
Required:
MD or DO license to practice in Kentucky in good standing
Minimum of 3 years experience in primary care or community health required.
Strong working knowledge of OSHA, CLIA, HIPAA, infection control, and quality improvement standards
Excellent interpersonal and leadership skills; ability to coach, develop, and support clinical staff
Demonstrated commitment to compassionate, patient-centered care
Preferred:
Previous leadership, teaching or supervisory experience
Familiarity with electronic health record (EHR) systems
Experience in developing workflows, standing orders, and clinical protocols
Core Competencies
Collaborative, supportive leadership
Clinical excellence and sound judgment
Organized and adaptable in a dynamic clinical environment
Mission-driven and service-oriented
Strong communication and problem-solving skills
Key Responsibilities
Provide direct patient care (approximately 70% of time) in a primary and urgent care setting.
Develop and oversee clinical protocols, lab services and ensure quality of care standards are met.
Ensure compliance with all clinical standards, regulatory requirements (OSHA, CLIA, HIPAA), and FCHC policies.
Supervise and mentor operations director, volunteer clinicians, including physicians, NPs, PAs, and students.
Proctor and oversee medical students (UK College of Medicine NKY) and PA students (Mount St. Joseph University).
Review charts, labs, and diagnostics; sign off on care plans as needed.
Participate in leadership meetings, staff development, and initiatives that align with the clinics mission and values.
Lead quality improvement, peer review, and risk management processes.
Serve as primary liaison to CHFS, HRSA, and other regulatory bodies.
Collaborate with the Operations Director to ensure efficient, patient-centered operations.
Represent the clinic in community, donor, and partner meetings.
Physical and Work Requirements
Ability to stand, walk, and assist patients for extended periods.
Must maintain confidentiality and uphold ethical and professional standards.
Schedule & Compensation Overview
Schedule: Full-time, MondayThursday, 9:00 AM4:30 PM (with possible Friday expansion)
Salary Range: $200,000 to $230,000 annually (based on experience)
Benefits: Health, Life, Disability, Retirement, and PTO (3 weeks in Year 1, increasing with tenure)
Projected Hire Date: EarlyMid February 2026
Clinic Opening: Late March 2026 (Newport Free Clinic)
Faith Statement
Faith Community Health Clinic seeks to reflect Christs compassion through healthcare that honors the dignity and worth of every individual. While no specific faith affiliation is required, the Medical Director should be comfortable working in an environment that integrates faith-based values into healthcare delivery
Medspa Medical Director (Ohio)
Medical director job in Anna, OH
At Moxie, we empower ambitious aesthetic entrepreneurs to build profitable, independent practices-without burnout, overwhelm, or guesswork. In just a few years, we've grown from an idea to a global, remote-first team of more than 140 people, supporting hundreds of practices nationwide.
Our purpose is simple: to unlock sustainable success for aesthetic entrepreneurs, at every stage of their journey.
**Must hold an active license and reside in, or have a primary office located in Ohio.
We work with talented nurse injectors to empower them to build independent businesses. We help connect Medical Directors to RN, NP, and PA providers, to provide insight into state regulations and standards of care.
Our providers work through our software platform which streamlines administrative tasks to allow you to focus on medical partnership.
Review SOPs, consent forms, charts, etc.
Be on call in case of emergency
Provide general supervision according to state law
Once vetted, you will have the opportunity to interview and select the injectors you'd like to partner with, at the rates you determine. You may work with as many injectors as you choose, in accordance with state law.
Requirements:
MD or DO with an active state license
Previous aesthetic medicine experience either as a practitioner or collaborating physician
Formal Training with injectables and other aesthetic services.
Benefits:
Pay & Perks
Competitive compensation
Liability is covered
Other Info:
This is a PC owner position - Moxie manages everything on your behalf for the PC
Experience in either Dermatology, Plastic Surgery, Ophthalmology, or Oculoplastic Surgery is a plus
We're specifically looking for Medical Directors licensed to practice in Ohio.
At Moxie, we believe in creating a workplace where everyone feels valued, trusted, and included. Our team lives by our values: act as owners, give more than we take, move with speed and care, and simplify and learn every day.
We welcome people of all backgrounds, experiences, and perspectives to apply. If you require any accommodations to fully participate in the interview process, please let us know, we're happy to assist.
Auto-ApplyBehavioral Health Medical Director-Psychiatrist Appeals
Medical director job in Mason, OH
**Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations can be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
**Work schedule: Monday - Friday. Half day Saturday rotation, once a month.**
The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.
**How you will make an impact:**
+ Supports clinicians to ensure timely and consistent responses to members and providers.
+ Provides guidance for clinical operational aspects of a program.
+ Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
+ Serves as a resource and consultant to other areas of the company.
+ May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees.
+ Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare.
+ Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
+ Identifies and develops opportunities for innovation to increase effectiveness and quality.
+ Provides oversight, direction, and guidance to Medical Director Associates.
+ Works independently with oversight from immediate manager.
+ May be responsible for an entire clinical program and/or independently performs clinical reviews.
+ Typically has program management responsibilities including clinical policy development, improvement of quality, cost, and outcomes, program development/implementation, and overseeing clinical/non-clinical activities.
**Minimum Qualifications:**
+ Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
+ Must possess an active unrestricted medical license to practice medicine or a health profession.
+ Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
+ Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ For Health Solutions and Carelon organizations (including Behavioral Health) only, minimum of 5 years of experience providing health care is required.
+ Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
**Preferred Skills, Capabilities and Experiences:**
+ Child and Adolescent experience preferred.
+ Utilization Management experience.
+ Applied Behavior Analysis (ABA) experience.
+ An active unrestricted medical license to practice medicine or a health profession in California or ability to obtain upon hire.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $274,068 to $428,976.
Locations: Costa Mesa, CA, Walnut Creek, CA, Woodland Hills, CA
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Medical Director-Dermatology Appeals
Medical director job in Mason, OH
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Medical Director-Dermatology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
How you will make an impact:
* Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers.
* Provide guidance for clinical operational aspects of a program.
* May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
* Serve as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees.
* May chair company committees.
* Interpret medical policies and clinical guidelines.
* May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identify and develop opportunities for innovation to increase effectiveness and quality.
* Work independently with oversight from immediate manager.
* May be responsible for an entire clinical program and/or independently perform clinical reviews.
Minimum Qualifications
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Board certification in Dermatology.
* Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
* Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency.
* For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyMedical Director-Dermatology Appeals
Medical director job in Mason, OH
**Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
**How you will make an impact:**
+ Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers.
+ Provide guidance for clinical operational aspects of a program.
+ May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
+ Serve as a resource and consultant to other areas of the company.
+ May be required to represent the company to external entities and/or serve on internal and/or external committees.
+ May chair company committees.
+ Interpret medical policies and clinical guidelines.
+ May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
+ Identify and develop opportunities for innovation to increase effectiveness and quality.
+ Work independently with oversight from immediate manager.
+ May be responsible for an entire clinical program and/or independently perform clinical reviews.
**Minimum Qualifications**
+ Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
+ Board certification in Dermatology.
+ Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
+ Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
+ Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency.
+ For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Utilization Management Medical Director- NC Medicaid
Medical director job in Cincinnati, OH
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Ideal candidate will live in North Carolina but not required. Alternate locations may be considered.
The Medical Director will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.
How you will make an impact:
* Supports clinicians to ensure timely and consistent responses to members and providers.
* Provides guidance for clinical operational aspects of a program.
* Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
* May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
* Serves as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees.
* May chair company committees.
* Interprets medical policies and clinical guidelines.
* May develop and propose new medical policies based on changes in healthcare.
* Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identifies and develops opportunities for innovation to increase effectiveness and quality.
Minimum Requirements:
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Must possess an active unrestricted medical license to practice medicine or a health profession in North Carolina.
* Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Qualifications:
* Pediatrics board certification preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-Apply