Medical director jobs in Mississippi - 333 jobs

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 join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in his/her assigned market. The incumbent in this role is accountable for center performance objectives, P&L, growth, and culture. In addition to being accountable for the overall clinical outcomes of his/her assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, 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 Regional President direction. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Directs accountability for clinical outcomes and day-to-day management of Medical Directors in multiple centers within assigned market, with regular presence in the centers under direct management, and under the supervision of the Regional President. Ensures successful clinical operations and meeting/exceeding plan market earnings. Manages, mentors and coaches Medical Directors in his/her assigned market to deliver outstanding clinical outcomes. Oversees and facilitates talent development of the PCPs, NPs, and Medical Directors in his/her centers including, but not limited to leading facilitated practice (physician shadowing/coaching), conducting 1:1s with direct reports, executing leadership development plans and performance management. Cultivates a center-level physician culture that is fully aligned with and delivering on the ChenMed core model, core values & behaviors and service standards. Assists Clinical COE in training of new practitioners within the assigned centers. Participates in recruiting and interviewing PCP and specialist candidates. Partners with Clinical COE and Talent Acquisition to support clinical talent lifecycle to accelerate Clinical talent growth, including hiring of PCPs, NPs, and Medical Directors, managing, and mentoring physicians, role modeling exemplary clinical leadership. Establishes and supports the development and cultivation of successful relationships with payers, specialists, the community, and hospitals, among others, and driving a social media presence locally, as part of the core responsibilities for the role Monitors and supports overall market culture, responding with urgency to workplace concerns. Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. Other duties as assigned and modified at Regional President's discretion, which may include: Assists Regional President with market quality and performance improvement initiatives. Oversees monthly scorecard reviews and in conjunction with Clinical Leadership, for delivery of quarterly clinical metric analysis. Provides training to other ChenMed entities, as needed. Develops deep relationships with providers and key stakeholders in the market. Uses the understanding of the local market dynamics to drive clinical initiatives. Builds clinical credibility and trust to deepen relationships. Assists with implementation of cost reduction and market clinical strategies. Delivers outstanding clinical outcomes and service to patient panel as a PCP (20%). Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: Consistently demonstrates the following behavioral competencies: Customer focus - Builds strong customer relationships and delivers customer-centric solutions. Demonstrates self-awareness - Uses a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses. Ensures accountability - Holds self and others accountable to meet commitments. Drives results - Consistently achieves results, even under tough circumstances. Develops talent - Develops people to meet both their career goals and the organization's goals. Drives engagement - Creates a climate where people are motivated to do their best to help the organization achieve its objectives. Interpersonal savvy - Relating openly and comfortably with diverse groups of people. Technical knowledge and skills: Excellent clinical skills. Knowledge and experience in a managed care delivery system. Knowledge of clinical outcomes and quality improvement processes. Experience of population risk management or complex chronic disease care management. History of being a natural teacher to fellow Physicians. Other skills and abilities: Good analytical skills. Ability to build relationships with external organizations. Conflict management and resolution skills. Familiar with, if not proficient in Microsoft Office Suite products, including Excel, Word, PowerPoint and Outlook. Computer skills: Comfortable with the electronic medical record (EMR) and facile with keyboarding. Ability to travel locally, regionally and nationally up to 30% of the time. Spoken and written fluency in English 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 A minimum of 2 years' clinical experience required; 3 years preferred. Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population Board eligibility is required. Board Certified in Internal Medicine, Family Medicine, Geriatrics or similar is preferred, but hires may have other sub-specialty training and board certification. Current, active license to practice medicine in State of employment. High performing physician with a proven track record of clinical leadership experience. Must have completed all internal physician training and have attained partnership. Experience with population risk management or complex chronic disease care management. Experience working with interdisciplinary teams in quality improvement and/or medical/healthcare leadership activities preferred. Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a panel of >400 patients with outstanding clinical, customer service and cost outcomes. Preferred to have been with the organization >2 years, be a recognized leader amongst peers, and can lead teams in quality and performance improvement initiatives. If specialty, has demonstrated leadership within his/her specialty and delivered superior outcomes, with a proven ability to deliver primary care in our model. 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

Lead with Excellence as the Director of Nursing- RN at Diversicare of Amory in Amory, MS! Are you ready to take the helm of the nursing department and make a profound impact on the lives of patients and residents? Diversicare is seeking a passionate Director of Nursing to join our exceptional team, driving excellence in care and leadership. Why Choose Diversicare: Leadership Opportunity: As our Director of Nursing (RN), you'll shape the quality of care and life for our residents, driving the nursing department forward while contributing to our facility's overarching mission. We're Proudly Agency-Free: Unlike other companies, we believe in building a direct connection with our team members, fostering trust, respect, and collaboration. Values-Driven Culture: At Diversicare, we embody trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication. As Director of Nursing (RN), you'll champion these values, fostering a workplace culture of excellence. Comprehensive Benefits: Enjoy a competitive benefits package, including a competitive salary, lucrative bonus plan, medical/dental/vision coverage, a robust 401k plan, tuition reimbursement, vacation and sick time, long and short-term disability benefits, and more. What You'll Do: Administrative Leadership: Assume responsibility in the absence of the Administrator, implementing policies and procedures to ensure compliance and collaborating with key stakeholders to maintain best practices. Budget Management: Assist in preparing and administering the department budget, ensuring efficient resource allocation. Team Development: Recruit, coach, and evaluate nursing staff, fostering a culture of continuous improvement and professional growth. Quality Improvement: Analyze and evaluate nursing services to enhance resident care, developing systems that promote resident well-being and functional independence. What You'll Bring: RN License: Hold a current Registered Nurse license issued by the State Board of Nursing, with demonstrated managerial and administrative prowess. Experience: Preferably possess experience in long-term care or working with geriatric populations, with at least two years of supervisory experience. Organizational Skills: Proficient in organizing and planning programs, assigning personnel, and evaluating reports and data to drive quality improvement initiatives.

The Utilization Management (UM) Medical Director provides clinical leadership for the UM program, ensuring members receive appropriate, high-quality care. You will oversee review guidelines, collaborate with internal teams and external partners, and drive compliance with regulatory and accreditation standards. How will you make an impact & Requirements **This is a remote position; however, candidates located in CA, NV, or AZ are preferred.** CareMore Health is a physician-founded and physician-led organization that has been transforming care delivery since 1992. With 25 clinics, 65,000+ members and partnerships with 30+ health plans, we've built a reputation for delivering exceptional, integrated healthcare experiences to Medicare, Medicaid, and group or private plan members. Our mission is simple: to improve health outcomes by delivering a transformative and integrated healthcare experience impacting physical, social and emotional well-being. Cultivating life-long relationships with patients, grounded in compassion and unwavering dedication to excellence in care, we've built care teams around our patients' needs - including doctors, nurse practitioners, case managers, community health workers, social workers, pharmacists and specialists, all working together to produce the best outcomes possible. This people-first, value-based model ensures physicians can practice medicine the way it was meant to be practiced - with time to connect, collaborate, and truly care for patients. Key Responsibilities Lead the development, implementation, and periodic review of UM policies and clinical criteria Provide physician oversight for concurrent and retrospective review activities Approve and interpret clinical guidelines, pathways, and criteria for admission, continued stay, and discharge Serve as the primary clinical liaison with payers, providers, and regulatory bodies Mentor and educate UM nurses, physician reviewers, and other staff on best practices Analyze utilization data and quality metrics to identify trends and areas for improvement Participate in appeals and peer-to-peer discussions to resolve clinical disputes Maintain compliance with NCQA, URAC, CMS, state regulations, and organizational standards Participation in the physician call rotation, requiring coverage for one full weekend (Saturday and Sunday) approximately every four to five weeks. As compensation, one half-day of flex time (AM or PM) is provided during the following work week Qualifications Medical degree (MD or DO) from an accredited institution Active, unrestricted medical license in [State/Region] Board certification in an acute-care specialty (e.g., Internal Medicine, Family Medicine, Pediatrics) Minimum of 5 years clinical practice experience, with 2+ years in utilization management or managed care Location Preference for candidates in CA, NV, or AZ Requires availability to work standard Pacific Time Zone business hours, regardless of physical location **The posted compensation range represents the national market average. Compensation for roles located in premium or high-cost geographic markets may fall above this range. This position is bonus eligible based on individual and company performance.** Compensation: $0.00 to $

Medical Director Veterinarian | Southfield MI A highly regarded veterinary hospital in the Southfield area is seeking a Medical Director to lead its clinical team. This role is ideal for a veterinarian with a passion for leadership, mentorship, and high-quality medicine who is ready to take on the responsibility of guiding a talented group of professionals while maintaining the highest standards of patient care. This leadership opportunity comes with a generous sign-on bonus and potential equity, making it a rewarding career move for the right candidate. Key Responsibilities Lead, mentor, and inspire veterinarians and support staff Establish and maintain medical protocols that ensure quality patient care Perform both routine and advanced surgical procedures Interpret diagnostic results with accuracy and efficiency Build strong, lasting client relationships through trust and communication Qualifications Doctor of Veterinary Medicine (DVM) degree Strong skills in mentorship and surgical procedures Team-oriented, compassionate approach to leadership Ability to safely handle and lift 40+ lbs Compensation & Benefits Competitive base salary plus production bonuses Substantial sign-on bonus and equity opportunities Comprehensive medical, dental, and vision coverage 401(k) with employer match Student loan repayment support Paid CE days with allowance plus additional PTO Generous paid time off and holiday schedule Life insurance, income protection, and supplemental coverage Long-Term Incentive cash program How to Apply Veterinarians interested in this leadership opportunity are encouraged to send their resume to: 📧 ************************** Please complete the online application to be considered. For more information, please contact: Sam Ortiz Senior Talent Acquisition Specialist 📞 ************** 📧 ************************** Equal Opportunity Employer This veterinary organization is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration regardless of race, color, religion, sex, national origin, disability, or veteran status.

Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. •Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. * Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. * Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity. * Participates in and maintains the integrity of the appeals process, both internally and externally. * Responsible for investigation of adverse incidents and quality of care concerns. * Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams. * Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements. * Reviews quality referred issues, focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care. * Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care. * Ensures medical protocols and rules of conduct for plan medical personnel are followed. * Develops and implements plan medical policies. * Provides implementation support for quality improvement activities. * Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed. * Fosters clinical practice guideline implementation and evidence-based medical practices. * Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management. * Actively participates in regulatory, professional and community activities. Required Qualifications * At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience. * Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state (MS) of practice. * Board certification-specialty in Obstetrics and Gynecology. * Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. * Ability to work cross-collaboratively within a highly matrixed organization. * Strong organizational and time-management skills. * Ability to multi-task and meet deadlines. * Attention to detail. * Critical-thinking and active listening skills. * Decision-making and problem-solving skills. * Strong verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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

**Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + **4 x 10h (Fri, Sat, Sun, Mon)** + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business metrics. + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility to adapt and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-30-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

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

Want to be a part of a creative and positive team where you can make a real difference? Are you looking for a community to put roots down and grow while taking the lead in an established practice? Would you like to be a voice for the voiceless? Here at Pampered Paws Animal Hospital, we are looking for a Medical Director who is ready to add their own unique signature touch on veterinary medicine and help our amazing practice grow. Pampered Paws Animal Hospital is located in Oxford, MS and is seeking a Medical Director to join our Practice Pampered Paws Animal Hospital is a Compassionate and Progressive Small Animal Practice looking for an exceptional Medical Director who is committed to the highest quality of medicine. We service an Exceptional clientele with well-trained staff and 30-minute office visits. We place a heavy emphasis on client and community education. We do not perform declaws, ear cropping, tail docking, or convenience euthanasia. All spay, neuter, dental, and surgery patients receive an IV catheter with fluids on the fluid pump, (ECG, NIBP, Pulse Ox, Esophageal Stethoscope on amplifier) and comprehensive pain medicine. The medicine we practice is consistent with what is taught in vet school. Exceptional clientele makes Paws an extraordinary place to practice. There are 3 buildings that total approximately 8,000 square feet: the hospital, pet resort, and grooming spa with an acre dog park for our patients to enjoy. For more information, please visit our website: ****************** About the Hospital * Excellent and well-trained staff * Class 4 laser therapy * 24-hour nurse on call service * Anesthesia monitoring system with capnography * State of the art in-house lab * Digital x-ray * Hand-held dental X-ray * Treatment area with dental table and separate surgical suite * 3 exam rooms * Front and back reception for efficient client flow * Close driving distance to MS State and Memphis Veterinary Specialist for referrals. About Oxford, MS Oxford, Mississippi is home to Ole' Miss (The University of Mississippi) which is in Northern Mississippi, about an hour south of Memphis, TN. Paws Animal Hospital is located on 6 acres and surrounded by acres of rolling hills, wildlife, and low-density residential homes, yet only 1.5 miles from the most rapidly growing part of town. Because we are not located on a busy road, and our clients must seek us out, we are not exposed to the clientele who burn vets out. Our clients love their pets as much as we love their pets! Exceptional clientele makes Paws an extraordinary place to practice. Oxford, MS offers a family-friendly community, rich with charm and culture, and festive with frequent sporting events. Oxford offers a true sense of place and community. National Veterinary Associates is a leading global pet care organization united in the love of animals and the people who love them. At NVA, we're on a mission to improve the lives of pets and the people who love them. That starts by empowering our care teams. We nurture their growth with resources to practice medicine their way. Our network of 1,000 hospitals connects them to a community of professionals who share their passion so they can learn and grow together. Our national presence enables us to deliver technology and innovations that simplify work and expand care for all. At NVA, we're committed to your professional growth. We support your entire career journey, offering opportunities ranging from mentorship to ownership. NVA offers a comprehensive benefits program including medical, dental, vision, a 401k with employer match, and paid time off (including sick time) for all eligible employees. The team can provide more information about compensation and benefits for your specific location during the process. For positions based in Colorado, NVA provides eligible employees with paid sick and safe leave and public health emergency leave in accordance with the requirements of Colorado's Healthy Families and Workplaces Act. NVA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Pursuant to the San Francisco Fair Chance Ordinance, Los Angeles Fair Chance Initiative for Hiring Ordinance, and any other state or local hiring regulations, we will consider for employment any qualified applicant, including those with arrest and conviction records, in a manner consistent with the applicable regulation.

THIS IS FOR A FUTURE OPENING Physician/Medical Director STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic . The general duty of the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center (VAMC) in accordance with the terms and conditions of the Veteran Affairs Primary Care Program, and to supervise the Community Based Outpatient Clinic's (CBOC's) day-to-day delivery of medical care. ESSENTIAL FUNCTIONS: Provide medical care based on primary and preventative care, to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training. Function as the point of entry into the Veteran's Administration health care system. Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. Provide leadership to CBOC clinicians. Evaluate the effectiveness of existing clinical methods and procedures and suggest improvements. Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT) strategic initiatives. Participate in review and improvement of clinical success in of areas of responsibility. Adhere/monitor policies, procedures and regulations to ensure compliance and patient safety. Participate in quality improvement, care management, risk management, peer review, utilization review, clinical outcomes, and health enhancement activities. Must be prepared to sign a collaborative practice agreement with clinic APRN and/or PA. Manage medical care, basic mental screenings, medication adjustments, mild depression, anxiety, and loss/grief issues, and continuity of care with the VAMC for patients enrolled in the VA Primary Care Program. Emphasize wellness, prevention and early detection. Promote continuity and quality of care through an ongoing relationship with the veteran enrollee. Maintain universal precautions and infection control practices. Develop and maintain an ongoing relationship with the veteran and assists in making referrals for services and/or admissions to the VAMC as medically appropriate. Determine which referrals are required based on examination and patient needs. Provide smooth and timely flow of patients in accordance with the VA access standards and triage protocol. Oversee all delivery of care to patients by the CBOC. Administer medications per facility protocols. Perform cardiopulmonary resuscitation (CPR) and assist during respiratory and cardiac arrest procedures. Document all pertinent patient information in their Veterans Health Information Systems and Technology Architecture (VISTA) medical records to demonstrate quality care delivery and promote continuity of care. Keep the VISTA clinic reminder tracking system current for each enrolled patient. Determine level of urgency of follow-up, referral/consultation appointments in accordance to the VA access standards and the patient's medical necessity. Keep patient informed regarding their plan of care, including lab and diagnostic test results as needed. Provide health educational, materials and resources to patients and their families for informational purposes. Participate in the ongoing Performance Improvement Program between its Subcontractor(s), and the VAMC. Assist in ensuring that all required reports are completed in an accurate and complete fashion. Assist in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. Comply with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, Subcontractor safety and operational regulations, directives and standards. Ensure all patient information on encounter forms is complete and accurate. Maintain confidentiality of all information and supporting patients` privacy, rights, and safety. Act as a liaison for the VAMC. Perform other work-related duties as assigned Required Skills Retain an active, full and unrestricted medical license in the state in which the physician practices. (State specific license in which the CBOC is located required). Board-certified by the ABMS in Internal Medicine and or Family Practice or the BOS ABMS in Internal Medicine and or Family Practice or board eligible within four (4) years of residency completion in either Internal Medicine and/or Family Practice. Current and unrestricted DEA. Experience with safe and reasonable practices regarding opioid medications for chronic musculoskeletal pain. Retain current Cardiopulmonary Resuscitation (CPR)/ Basic Life Support (BLS) from the American Heart Association (AHA) or the Military Training Network (MTN). Knowledge of and ability to apply professional medical principles, procedures, and techniques in accordance with the community and VA standards of practice. Knowledge of pharmacological agents used in patient treatment, including desired effects, side effects, complications, and patient usage considerations. Knowledge of the basic concepts of customer service technique related to age-specific population. Demonstrated effective verbal and written communication skills in the English language along with proper telephone etiquette. Working knowledge of Microsoft Office Software and computer maneuverability including experience with Electronic medical Records systems Must have exceptional diplomatic communication skills and experience in handling difficult customer situations. Must be detailed oriented, and have the ability to multi-task.

**Parexel** is in the business of improving the world's health. We do this by providing a suite of biopharmaceutical services that help clients across the globe transform scientific discoveries into new treatments. From clinical trials to regulatory, consulting, and market access, our therapeutic, technical, and functional ability is underpinned by a deep conviction in what we do. We believe in our values, Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to join our Global Medical Sciences team.** **The role can be based remo** t **ely in the US or Canada.** The Medical Director is a medical expert with specialized therapeutic expertise and some experience across indications, clients and drug development. They initiate and maintain medical and consultative relationships with clients, consult on early engagement and pre-award efforts and serve as a medical monitor for contracted projects. The Medical Director may take on leadership roles by participating in initiatives, mentoring junior MDs and/or, where appropriate, managing a team of physicians. Primary activities will focus on **Medical Monitoring Delivery & PV Support** . The medical monitor will independently deliver all medical support required for successful delivery of the projects according to contracted agreement with the sponsor (i.e., tasks and time per task contracted) and according to the assigned role (Global Lead Physician or Regional Lead Physician). **Medical Expertise** and experience in **Ophthalmology** is essential to the medical monitor role and will be manifested in high quality consultation on protocol development or drug development programs, medical review of various documents, collaboration on internal therapeutic area meetings, training module development, white papers, slide sets, publications etc. **Client Relationship Building & Engagement,** including soliciting and addressing client feedback and suggestions regarding medical study-related activities, are core skills required of the medical monitor. **Business Development:** the medical monitor will provide medical expertise / leadership in Proposal Development Teams (PDTs) for client bid pursuit meetings. **Skills** + Excellent interpersonal skills including the ability to interact well with sponsor/client counterparts + Client-focused approach to work + Excellent time management skills + Excellent verbal and written medical communication skills + Excellent standard of written and spoken English + A flexible attitude with respect to work assignments and new learning + Ability to manage multiple and varied tasks with enthusiasm and prioritize workload with attention to detail + Willingness to work in a matrix environment and to value the importance of teamwork. **Knowledge And Experience** + Experience in clinical medicine (general or specialist qualifications) with Fellowship or specialty training in **Ophthalmology** , which is expected to be kept up to date. + A background in clinical aspects of drug development, including all aspects of Medical Monitoring and study design/execution, preferred + Clinical practice experience + Good knowledge of the drug development process including drug safety, preferred + Experience in Pharmaceutical Medicine, preferred + Experience leading, mentoring and managing individuals/ a team, preferred **Education** + US Board certified in **Ophthalmology** or Canadian equivalent + Experience as a Physician in Industry or as a clinical trial investigator is required + Previous CRO experience is strongly preferred + Medically qualified in an acknowledged medical school with completion of at least basic training in clinical medicine (residency, internship) The ability to travel 15% domestically or internationally is required \#LI-LB1 \#LI-REMOTE EEO Disclaimer Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

The Medical Director, Rheumatology and/or Dermatology Medical Strategy is a critical role responsible for shaping the strategic processes and planning for assets in early development (e.g., pre-Phase 3) within the Nephrology and Immunology portfolio. This position manages the unique challenge of establishing an emerging portfolio, incorporating newly acquired assets, which requires significant scientific and strategic agility and a strong ability to balance competing priorities. This position reports directly to the Senior Director, Immunology Lead, who in turn reports to the Executive Director, Nephrology & Immunology Lead. **** **Key Responsibilities Include:** **Medical Strategy & Narrative** + Provide key medical input into the initial development of the Target Reimbursable Product Profile as well as early development plans ensuring scientific consistency and alignment across R&D, Clinical, Global Medical Affairs, and Early Commercialization functions + Provide high-quality scientific/clinical input and review of early asset plans, ensuring content aligns with the overarching Medical Narrative + Serve as a primary scientific resource, providing guidance on the disease state and mechanism of action for the early Nephrology and Immunology portfolio helping to translate science into value for patients and stakeholders + Lead the Strategy and Tactical Planning Process, identifying critical data needs for the emerging portfolio **Evidence Generation Process** + Oversee the Medical Evidence Generation Process, translating strategic data gaps into clear research priorities and providing expert input into the design and feasibility of clinical trials and data generation initiatives + Support the planning and execution of Medical Affairs evidence generation activities relevant to early assets **External Stakeholder Engagement** + Identify and engage Medical experts to support collection, curation and communication of clinical Medical and methodological insights to inform understanding of unmet medical needs, emerging standard of care and development opportunities + Develop Key Intelligence Topics & Questions (KITs/KIQs) for relevant assets, serving as the blueprint for insight collection from Medical Experts + Lead the strategic planning, content development, and successful facilitation of consulting activities including Advisory Boards, ensuring objectives align with data gap analyses and asset/portfolio strategy + Lead scientific exchange with Medical Experts to gather insights and validate development hypotheses + Support the development of scientific publications, abstracts, and presentations related to early assets **Cross-functional Integration & Planning** + Collaborate within the Nephrology & Immunology Medical Business Unit with the Nephrology & Immunology Medical Communications and Field Medical Affairs sub-teams + Partner with and serve as a scientific and clinical resource for cross-functional colleagues including Clinical Development, Global Integrated Evidence & Innovation, Regulatory and Global Marketing and Market Access + Support indication prioritization and portfolio planning for early assets + Consider technology and AI to support workflow improvement **Qualifications** **Education and Experience:** + Advanced scientific degree is required (PharmD, MD, PhD, or equivalent) with expertise in **Rheumatology and/or Dermatology** + Preference for previous experience in Clinical Development, Research, or early-stage Medical Affairs + Expertise in Rheumatology or Dermatology is strongly preferred + Experience supporting BD evaluations for potential acquisitions + Experience contributing to the integration and strategic planning for newly acquired or in-licensed assets + Proven experience managing Evidence Generation processes and executing scientific Advisory Boards **Skills and Competencies:** + Motivated and solution-oriented with the ability to work collaboratively across the organization, particularly with R&D and Clinical teams + Strategic agility required to build and adapt scientific strategy for an emerging portfolio + Excellent communication and interpersonal skills, including experience presenting complex development strategies to large internal groups and engaging a limited number of highly specialized external experts + Full understanding of rules and regulations in pharma, with the ability to apply knowledge of guidelines and regulations to early-stage Medical Affairs activities + Ability to work in a fast-paced, dynamic environment, with a proactive and problem-solving mindset + Strong understanding of drug development processes, especially early-stage development + \#LI-PG1 **Competencies** **Accountability for Results -** Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change. **Strategic Thinking & Problem Solving -** Make decisions considering the long-term impact to customers, patients, employees, and the business. **Patient & Customer Centricity -** Maintain an ongoing focus on the needs of our customers and/or key stakeholders. **Impactful Communication -** Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka. **Respectful Collaboration -** Seek and value others' perspectives and strive for diverse partnerships to enhance work toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $209,599.00 - Maximum $313,375.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate's job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws. **Application Deadline** : This will be posted for a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits. Come discover more about Otsuka and our benefit offerings; ********************************************* . **Disclaimer:** This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives. They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf. Please understand, Otsuka will **never** ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment. Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters. To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website ******************************************************* . Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ************. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: ******************* , or your local authorities. Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. ("Otsuka") does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka's application portal without a valid written search agreement in place for the position will be considered Otsuka's sole property. No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

Description & Requirements This federally funded initiative delivers medical readiness services - including physical exams, screenings, dental care, and preventative health - to military personnel in remote or underserved areas. Services are provided through a network of providers and mobile teams, ensuring consistent access to care and compliance with Department of Defense readiness standards. The Regional Medical Officer (RMO) Region 3 Northeast serves as the senior clinical leader overseeing medical readiness operations across a large and highly populated Northeast and Midwest corridor. This role supports a federally funded medical readiness initiative delivering physical exams, screenings, dental services, and preventative care to military personnel, including those in urban centers, remote locations, and underserved communities. Region 3 (Midwest) Coverage: WI, IA, MN, ND, SD, NE, KS, OK, TX, WY, CO ***Please note that this position is contingent upon bid award*** Essential Duties and Responsibilities: - Serve as the regional clinical lead, overseeing medical readiness operations within assigned geographic area. - Coordinate and monitor delivery of services (physical exams, immunizations, dental screenings) to meet DoD readiness requirements. - Ensure compliance with federal regulations, HIPAA, and program protocols. - Collaborate with chief medical officer, clinicians, mobile teams, subcontractors, and scheduling units to optimize service delivery. - Provide clinical oversight, review documentation, and address escalated medical concerns. - Support credentialing, audits, quality assurance reviews, and reporting requirements for federal stakeholders. - Act as a liaison between program leadership and regional providers to maintain operational efficiency and quality of care. Minimum Requirements - Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited institution. - Active, unrestricted medical license in the U.S. - 5+ years of clinical experience, preferably in occupational health, preventive medicine, or military readiness programs. Additional Minimum Requirements: - Ability to travel frequently within the assigned region, including weekend overnight stays, to support mobile or remote readiness events. - Experience supporting DoD or federal healthcare programs. - Familiarity with medical readiness requirements and electronic health record systems. (Preferred) - Leadership experience managing dispersed clinical teams. (Preferred) - Specialty in Primary Care, Occupational Medicine, Pediatrics, or Preventative Medicine. (Preferred) Region 3 (Midwest) Coverage: WI, IA, MN, ND, SD, NE, KS, OK, TX, WY, CO #LI-AM1 #maxcorp #HotJobs1230LI #HotJobs1230FB #HotJobs1230X #HotJobs1230TH #TrendingJobs #c0rejobs #HotJobs0106LI #HotJobs0106FB #HotJobs0106X #HotJobs0106TH #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 199,920.00 Maximum Salary $ 270,480.00

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide: + Award-winning culture + Inclusion and diversity as a priority + Performance Based Incentive Plans + Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition reimbursement + Flexible work environments **_*All the benefits listed above are subject to the terms of their individual Plans_** **.** And that's just the beginning... With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to accepted norms of medical practices and Code of Conduct guidelines. Physicians and psychologists conduct their reviews and analyses within appropriate ethical standards and maintain their professional licenses and Board certifications. This role is expected to provide excellent customer service and to interact on a regular basis with business partners, health care providers, and other specialized resources. **Principal Duties and Responsibilities** + Provide timely, clear medical direction and opinions to team partners, with reasoned forensic analysis to support the medical opinions + Partner/consult with fellow medical consultants when appropriate to ensure the completion of a whole person analysis + Apply medical knowledge to determine functional capacity through assessment of medical and other data related to impairment, regarding accuracy of diagnoses, treatment plans, duration guidelines, and prognosis + Provide relevant medical education and knowledge to others in terms appropriate and understandable to the intended audience + Perform telephone contacts with the insured's healthcare providers to gather medical information and to facilitate a better understanding of the claimant's functional abilities + Make timely and appropriate referrals for second opinion reviews when appropriate or required according to current guidelines and best practices + Demonstrate ability to manage and complete high volumes of assigned work, maintain consistently good turnaround times, and operate with a sense of urgency + Focus not only on individual workload, but on the team/group work volumes to ensure organizational success + Receive feedback and follow through with appropriate behaviors/actions + Perform other duties as assigned **Job Specifications** + Professional Degree (MD, DO, PhD, PsyD) + Active, unrestricted US medical license + Board certification required for physicians in their area of specialty + Minimum of five years of clinical experience in medical specialty + Strong team and collaborative skills. Ability to work in a fast paced, team based, corporate environment + Ability to mentor others and to give and receive constructive, behaviorally based feedback with peers and partners \#IN1 \#LI-RA1 Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience. $133,500.00-$274,100.00 Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Unum

**_What Finance Operations contributes to Cardinal Health_** Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets. Finance Operations is responsible for core financial operation processes. This can include customer and vendor contract administration; customer and vendor pricing, rebates, billing vendor chargeback research and reconciliation; processing vendor invoices and employee expense reports for payment; fixed asset accounting for book and tax records; cash application; and journal entries. + Demonstrates knowledge of financial processes, accounting policies, systems, controls, and work streams + Demonstrates experience working in a transnational finance environment coupled with strong internal controls + Possesses understanding of service level goals and objectives when providing customer support + Works collaboratively to respond to non-standard requests + Possesses strong organizational skills and prioritizes getting the right things done **_Responsibilities_** + Manage a team of Cardinal Health and Genpact individuals who oversee the entirety of the GPO Admin Fees and Rebates set up and report creation functions, including P&L accruals, rebate setups within SAP Vistex and ad hoc reporting for key internal and external stakeholders. Responsible for the month end accounting close process. + Ensure GPO Admin Fees and Rebates are properly accounted for based on core accounting principles + Own first level review/approval responsibilities for non-standard rebate structures to ensure proper audit documentation is maintained and proper approvals are received + Oversee key rebate accuracy and timeliness CSLs and KPIs + Partner with cross-functional teams to research and resolve root cause issues impacting rebate accuracy or ability to set up Rebates and GPO Admin Fees timely; apply big picture knowledge to assess and interpret financial impact of process changes and resulting driver outcomes of GPO Admin Fee/Rebate set up changes + Foster a strong SOX internal control structure and seek opportunities for improvements, including build out of SOP processes and project development + Transform current payout and reporting process into Vistex implementation and go-forward build/upkeep + Develop plans for future systematic enhancements + Assist team with more complicated customer and transaction activities; oversee escalations to ensure closure in a timely manner + Partner with and be a thought-provoking leader to business partners across the organization to properly account for transactions, including but not limited to Sales, Legal, Finance, Pricing, Accounting and Contracting + Actively collaborate and support cross-functional team initiatives to improve customer experience, both internally and externally + Establish team and individual-oriented goals for growth and development **_Qualifications_** + Bachelor's Degree in Accounting, Finance or Business Management, preferred + CPA preferred + 8+ years of professional experience in related field, preferred, including Accounting, Finance, or Audit, preferred + Accounting and Finance acumen + Ability to lead a new team and influence others + Knowledge with SAP and legal contracts (revenue recognition standards is a plus) + Data mining experience (relevant application tool experience is a plus) + Strong written and verbal communication skills + Process improvement oriented + Strong SOX/internal control understanding **Anticipated salary range:** $105,100 - $135,090 **Bonus eligible:** Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/16/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

**Become a part of our caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal and review process to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director, Home Health Grievances & Appeals assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. **Responsibilities:** + Oversee the process for direction and support to clinical and operational leadership regarding Medicare and governmental audit trends, denials, and any CMS initiative and/or demonstration projects. + Collaborates with leadership team in the development of an education plan to improve processes to preserve and recover revenue. + Analyzes region-wide outcome indicators to measure achievement of quantitative and qualitative standards. Assists in the development, implementation and analysis of internal and external benchmarking programs to measure the region's effectiveness in improving performance + Maintains region-wide Performance Improvement program which includes Customer Satisfaction, complaints, infection monitoring, Incident Reporting, and quarterly branch PI activity + Provides feedback and recommendations for changes to policies and processes, procedures and systems to enhance measures taken to improve performance + Communicate with Corporate leadership, Regional and Divisional leaders as appropriate to resolve issues that may place patients or the company at risk + Oversee educational in-services based on analysis of PI data and activities Acts as a resource for the Operations Support team and communicates Performance Improvement results + Participate in special projects and performs other duties as assigned. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Nursing or related field + 10-15 years progressively responsible experience in home health or hospice industry that includes performance improvement and outcomes measurement + 5 years' experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and application of regulations and performance improvement standards + Strong Project management principles and clinical policy development/implementation required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to interpret and apply regulatory requirements + Excellent verbal/written communication and presentation skills + Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses + Must be able to work well independently and in a team environment + Excellent communication and organization skills + Strong attention to detail + Healthcare industry experience preferred + Must read, write and speak fluent English + Must have good and regular attendance + Approximate percent of time required to travel: 30% + Performs other related duties as assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN, PT or OT preferred + More than 3 years of grievance and appeals experience + Strong knowledge in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and speak English and Spanish **Additional Information** **SSN Alert Statement** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. 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Requirements Must have a caring heart. 2 years of experience working with the senior population, preferably with memory impaired residents and in a long-term care and/or health care setting. A high school diploma and/or GED are required. Working knowledge of MS Word, PowerPoint, and Publisher to develop a calendar. Must have and maintain a safe driving record. Possessing specific skills involving building life station, art, crafts, design, imagination and innovative planning for activities and events is required. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Baptist Urgent Care is looking for dedicated, compassionate, and experienced Area Manager to join our dynamic healthcare team in Starkville and Columbus, MS. ABOUT BAPTIST URGENT CARE: Baptist Urgent Care, with 10 locations in Tennessee and Mississippi, is an affiliate of Urgent Team, one of the largest independent operators of urgent and family care centers in the Southeast. The Urgent Team Family of Centers provides quality and affordable family healthcare at more than 80 locations under eight brands. Baptist Urgent Care's convenient, walk-in centers provide a range of healthcare services including treatments for injuries and illnesses, occupational health and wellness care. The centers are open seven days a week: Monday through Friday, 8 a.m. to 8 p.m., Saturday, 9 a.m. to 5 p.m., and Sunday, 1 p.m. to 5 p.m. Additionally, all Baptist Urgent Care centers are Accredited Care Centers - a designation from the Urgent Care Association which recognizes the company's commitment to safety, quality, and scope of services. JOB SUMMARY: The overall operational responsibility for the business functions of the assigned centers (multi-site, with no more than three assigned centers) to ensure service quality, financial results, optimum utilization of resources, efficient delivery of services and a superior patient experience. KEY RESPONSIBILITIES: The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned. •Evaluates patient flow through the center to ensure appropriate utilization of businessresources. •Monitor wait times for the center and manage the workflow accordingly. •Identifies opportunities to increase business and scope of services provided by the center. •Ensures high team member morale and a professional, effective, and efficient workingatmosphere. •Participates in administrative business operations meetings as scheduled. Counsels,disciplines and/or recommends termination of team members as necessary. •Owns the performance results in regards to patient experience, patient volume, financialresults and service standards •Serve as the communication liaison between the home office and all center teammembers •Understands workflow and function of all positions. •Effectively serve as a fill-in on all positions qualified for, when absences or patientvolumes warrant additional help. •Serve as the subject matter expert (SME) for training and systems, i.e. UltiPro,DocuTAP, HealthStream, Front Desk processes and Occupational Health. •Implement the policies and procedures from the Home Office. Follow all operationalguidelines. •Responsible for OccHealth sales and grassroots marketing of your center with supportfrom the home office service line leaders. •Practice and adhere to the Code of Conduct, Mission and Value Statement. WHAT'S REQUIRED? • Previous experience working in a healthcare environment, management experience required • Working knowledge of workflow and scheduling. • Must be able to maintain a highly structured environment. FULL-TIME BENEFITS INCLUDE: • Competitive Salary • Medical, Dental, and Vision Options • Retirement savings plans • Continuing Education Reimbursement • Paid Time Off • 401K plan with company contribution • No-Cost Office Visits and generous discounts on some billable services • and MORE!

Join our team at Bristol Hospice and take on the pivotal role of Director of Patient Care Services (DPCS). In this position, you will be responsible for the overall direction of hospice clinical services. Why Bristol Hospice? Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: * Integrity: We are honest and professional. * Trust: We count on each other. * Excellence: We strive to always do our best and look for ways to improve and excel. * Accountability: We accept responsibility for our actions, attitudes, and mistakes. * Mutual Respect: We treat others the way we want to be treated.