Medical director jobs in Sarasota, FL - 241 jobs

As the Clinical Manager II, you will have 24/7 operational responsibility for the OR and serve as a key leader in Perioperative Services. You'll oversee a highly complex and high-volume surgical department, supervising a team of 75+ FTEs, and directly influencing patient outcomes, staff development, and departmental performance. Key Responsibilities: Lead day-to-day operations of the Operating Room, ensuring high-quality, efficient, and safe patient care Manage staff performance, professional development, and orientation/education across all shifts Collaborate with surgical services, anesthesia, and interdisciplinary teams to support optimal workflow and outcomes Oversee departmental budgeting, staffing, scheduling, and resource allocation Drive quality improvement initiatives aligned with hospital-wide strategic goals Support a culture of excellence, accountability, and continuous learning Why Join SMH-Venice? As part of the nationally recognized Sarasota Memorial Health Care System, SMH-Venice offers the unique opportunity to be part of a growing, innovative campus with strong support from executive leadership and access to leading-edge technology and resources. Totals Rewards Package: Paid Time Off (start earning PTO on day one of employment) Tuition Reimbursement Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars Life Insurance Disability Insurance Retirement Savings Plan: 403b Bereavement Leave Free Parking Direct Deposit Free Wellness Screening Free confidential counseling services Employee Discount Programs Recognition Programs Referral Programs Required Qualifications What We're Looking For: Required Qualifications: Bachelor of Science in Nursing (BSN) Minimum 4 years of clinical nursing experience, with at least 2 years in a supervisory or management role Current FL RN license, BLS & ACLS certifications Nursing specialty certification required (e.g., CNOR) Nursing leadership certification required within 2 years of hire/promotion Preferred Qualifications: Master of Science in Nursing (MSN) or related healthcare leadership degree Proven experience managing complex surgical services or high-acuity departments Exceptional communication, team-building, and strategic planning skills

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations can be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Plan Performance Medical Director serves as a lead clinician and oversees the administration of medical services for the individual ACA health plans across 17 states. This role involves managing the overall medical policies and clinical guidelines to ensure appropriate and cost-effective care. The Director also leads initiatives to direct the plan regarding cost of care and other strategic directives. Additionally, this position involves collaborating with market plan presidents during meetings with state regulators. How you will make an impact: * Supports the Medical Management staff to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. * Interprets existing policies or clinical guidelines and develops new policies based on changes in the healthcare or medical arena. * Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care. * Identifies and develops opportunities for innovation to increase effectiveness and quality. * Provides expertise, captures and shares best practices across regions to other medical directors. * May chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees. Minimum Qualifications: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Requires active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Travels to worksite and other locations as necessary. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Preferred Skills, Capabilities and Experiences: * Experience with clinical finance data, as well as medical cost and trend analysis. * Strong communication skills, including both presentation and writing abilities. * Proficiency in Excel and PowerPoint. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $262,752 to $450,432. Locations: California, District of Columbia (aka Washington, DC), Illinois, Maryland, Minnesota, Massachusetts, New York, New Jersey, Washington State. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Director Equivalent Workshift: Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We will transform the way healthcare is administered in the United States by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences. We prioritize the well-being, needs, and dignity of individuals with empathy guiding all interactions. We embrace curiosity, foster creativity, and leverage technology to enhance healthcare accessibility and efficiency. We uphold the highest ethical standards, maintain transparency, and take responsibility to build trust. We drive excellence through teamwork, partnerships, and dedication to continuous improvement. We are committed to equitable, purpose-built healthcare solutions that benefit all communities. We're not just about business - we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish. PURPOSE & SCOPE: **This is a part-time position, 20-25 hours per week.** Your schedule will most likely be between Monday-Friday or depending upon business needs. Each of your shifts will be 4-5 hours in length. The Part-Time Medical Director of Utilization Management is responsible for working hand-in-hand with senior leaders to provide medical expertise and decision making within the Utilization Management team. This role will be responsible for ensuring that healthcare services are medically necessary, appropriately utilized, and meet the highest standard of quality. Adhere to standard Federal, State and/or CMS compliant medical policies within the organization. This role involves reviewing clinical cases, providing medical expertise, and collaborating with various stakeholders to ensure efficient and effective healthcare delivery. All departmental workflows and document retention must be adhered to by the Medical Director. At times, peer to peer phone and/or teams calls may be required based upon business and contractual needs. PRINCIPAL RESPONSIBILITIES AND DUTIES: Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values. Educates primary care physicians regarding systems, structures, processes and outcomes necessary for assurance of regulatory compliance related to market activities. Develops strategies for improving all aspects of market performance including RAPS, membership, and medical management. Participates in case reviews and medical necessity determination. Serve as a resource for clinical staff, offering guidance on complex cases and medical necessity. Conducts post service reviews issued for medical necessity and benefits determination coding. Maintains accurate and thorough documentation of activities and decisions. Analyzes aggregate data and reports to primary care physician. Serves as the liaison between physicians and health plan Medical Directors. Performs secondary review when prior authorization, initial and concurrent reviews do not meet medical necessity criteria or level of care appropriateness. Participates in the Grievance and Appeal review process to provide recommendations. Utilize clinical expertise to identify the salient points within a case review. Identify process improvements opportunities and inefficiencies. Interact with external physicians as needed - through secure messaging, text, and potential phone calls. Opportunity to be involved in additional responsibilities such as special projects, focus groups, new Medical Director training, or organizational committees. Collaborate with management and operations team members to propose strategic, operational, and technological solutions for improving quality. Other duties as assigned. EDUCATION, EXPERIENCE AND REQUIRED SKILLS: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) degree. Preferably, Board Certified Adult Psychiatrist Unrestricted license in at least one state within the United States. 5+ years of clinical practice experience. 2+ years of experience in utilization management activities. Proficiency with Microsoft Office applications. M.D or D.O and five (5) years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. Board Certified by the American Board of Psychiatry and Neurology, and an active, unrestricted license to practice medicine in a state or territory of the United States. Previous experience with administrative oversight of the medical function of an insurance (or related) company. Previous experience leading a team of professionals. A strong perspective on how to increase operational excellence and automation through process improvement and technology partnerships. Strong interpersonal skills, with the ability to regularly interact with various client departments/project teams. An ability to balance critical thinking with hands-on execution. Forward-thinking strategic leader. Results-driven. Ability to work in a fast-paced and changing environment and react professionally under pressure. Self-starter with strong organizational skills. Excellent oral and written communication skills. COMPENSATION, BENEFITS, & WELL-BEING: At HealthAxis, we believe people do their best work when they feel valued, supported, and treated fairly. We take a transparent and people-first approach to compensation and benefits that reflects the expertise and impact each team member brings. The pay range for this position is $150.00-$160.00 per hour. Actual compensation within this range will be determined based on job-related factors, including but not limited to: skills, experience, geographic location, and internal equity. In addition to compensation, we offer a comprehensive benefits package designed to support your health, financial security, and work-life balance, including: Health insurance (Medical, Dental, and Vision coverage available) Flexible Spending and Health Savings Account options Company-paid life insurance and disability coverage 401K Retirement Plan with Company match Paid Time Off, paid holidays, and paid volunteer time Educational Assistance Program and professional development courses Employee Assistance Program and other wellbeing resources Fully remote work environment with flexible scheduling options Benefits are available to eligible full-time employees and may vary by location. HealthAxis is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex (including sexual orientation, transgender status or pregnancy), age, disability, genetic information, military status, veteran status, marital status, political affiliation, or any other characteristic protected by applicable federal, state or local laws.

NEW Nursing Leadership opportunity! Details - Full-time and permanent - Opportunities for growth - Full, comprehensive benefits package (PTO, health insurance, life insurance, 401k, etc) - Sign-on bonus/relocation assistance possible! Requirements - BLS certification - AS or BS in Nursing -Strong background in nursing and desire to succeed at a leadership level Shift: many different schedules are available for this position! Apply today -- positions are closing fast! Details: Permanent, full time position -- NOT a travel nursing role Excellent pay and full benefits Position Qualifications: RN must have completed an approved education, received and maintained certification. Already have or willing to obtain state license for this position New PERMANENT job opening at highly-rated, beautiful facility! -- Click APPLY today. Or email your resume to marina@ka-recruiting.com with any questions! If you are interested in learning more about this job, or if you are a healthcare professional looking for a new position in any capacity, contact Marina - call/text 617-430-7080 or email your resume to marina@ka-recruiting.com Or book a 5 minute phone call here: https://calendly.com/marinaka/job-opportunity-information-meeting

Monday - Friday 8am-5pm Are you looking for a physician practice with a family environment, but with the benefits and support a large organization can provide? Where daily patient care is backed by evidenced based medicine and career options are limitless, then look no further! At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. This role offers an opportunity for physicians to blend their love of patient care with their management skills, working for the leader in the workplace health industry. Concentra is recognized as the nation's leading occupational health care company and one of “America's Greatest Workplaces," as noted in Newsweek. Responsibilities Responsibilities This clinic-based position provides direct patient care, leading by example, and creating an exceptional patient experience Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure Manages clinicians, support staff, and complies with APC supervisory requirements Creates a professional and collaborative working environment Works with leaders to identify and implement changes to ensure continuous medical clinic improvement Maintains relationships with center clients and payers Works with medical clinic leadership team to manage clinical and support staffing levels Promotes, cultivates, and exemplifies Concentra values for all clinic colleagues Fosters an environment of collaboration, professionalism, patient/colleague safety, quality care, continuous improvement and reward and recognition Possesses financial awareness and provides input to clinic budget and key business metrics Why Choose Us With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. . Qualifications Qualifications Active and unrestricted medical license Unrestricted DEA license and dispensing license for state of jurisdiction (required prior to start date) Must be eligible to participate in Medicare/Not opted out of any payors Board Certification or Eligibility in an ABMS or AOA recognized specialty preferred FMCSA NRCME certification preferred or willingness to obtain (we provide this CME for those not yet certified) Additional Data Benefits Many of our clinics offer working hours M-F, 8 to 5, no nights, no weekends, no holidays, no call Compensation package: Competitive base salary with annual merit increase opportunity Monthly Medical Director Stipend Monthly RVU Bonus Incentive Quarterly Quality Care Bonus Incentive Generous Paid Time Off package for new colleagues include: 24 days of Paid Time Off (annually, with roll-over) 5 days of Paid CME Time (annually) 6 Paid Holidays Medical Malpractice Coverage Reimbursement for dues upon approval, for the renewal of applicable licensure, certifications, memberships, etc. 401(k) with Employer Match Tuition Reimbursement opportunity Medical/Vision/Prescription/Dental Plans Life/Disability Insurance: Colleague Referral Bonus Program Opportunity to teach residents and students Training provided in Occupational Medicine Supplemental health benefits (accident, critical illness, hospital indemnity insurance) Pre-tax spending accounts (health care and dependent care FSA) Concentra accredited CME courses Occupational Health University Leadership development programs Relocation assistance (when applicable) Identity theft services Colleague discount program Unmatched opportunities for advancement locally and nationally This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.

Medical Cost AI Intelligence Director (IT Strategy & Planning Director) Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidate resides within a commutable distance from an office. The Medical Cost AI Intelligence Director is responsible for strategy, planning and execution of technology solutions to proactively manage medical costs through the use of AI & analytics focused capabilities to drive affordable healthcare across the industry. The role will also be responsible for comprehensively looking at the provider and payer landscape to identify and drive innovative approaches for understanding medical cost trends, provider behavior, provider billing behavior, and healthcare industry operations to streamline medical costs for health plan members. How you will make an impact: * Develop and execute overall technology, inclusive of AI & analytics, strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities are enables by technology delivery. * Partners with senior planning leaders and executive leadership to create sound multi year plans with clear planning assumptions and accurate financial insights for the technology function. * Monitors and conducts research of related technology and business trends, using data and qualitative performance measures, to advise senior management relative to IT strategy. * Synthesizes annual and multi-year plans to demonstrate tie-back to corporate and senior leadership-level strategies and goals. * Conduct external research and engage partners across multiple departments within the broader enterprise to frame up potential strategic initiatives for investment or execution support. * Use forecast models and scenario analysis to analyze performance and develop action plans to address emerging market and technological opportunities. * Researches new ventures and prospective service expansion opportunities. Create executive reports that decipher complex technical issues. Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 10 years experience in Data Collection and Analysis, IT Consulting, IT Performance Management, Strategy or Financial Planning, Business Intelligence and Analytics, or Business Process Design; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Healthcare experience within the provider systems, healthcare insurers , or services companies that support providers systems or healthcare insurers strongly preferred. * Experience implementing analytics solutions including use of advance AI/ML techniques strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $178,200 to $291,600. Locations: California, District of Columbia (Washington DC), Illinois, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Fetch Specialty & Emergency Veterinary Centers is a family-owned, multi-specialty and emergency veterinary group with hospitals across Florida and South Carolina. Our team is a mix of foodies, adventurers, athletes, musicians, parents, plant lovers, and more. Whether you love the beach, live concerts, or quiet evenings with Netflix, you'll find your people here. We believe great medicine starts with great culture-and our culture starts with you. Our Story: Fetch opened its doors in 2016 as a boutique oncology center in Naples, FL. Since then, we've grown into a thriving network of five specialty and emergency hospitals. We're proud to be privately owned-giving us the flexibility to invest in innovation, prioritize quality of life, and make decisions based on what's best for our team and our patients. No corporate red tape. No layers between you and leadership. About the Role: Fetch is looking for an experienced and talented Veterinary Medical Director to lead our team of veterinary professionals in Brandon, Florida. In this role, you'll manage both medical operations and staff mentoring, ensuring top-notch care for our patients and exceptional service for our clients. With a 50/50 split between clinical work and administrative duties, this is a unique opportunity to shape patient care and optimize how the hospital runs day-to-day. As Medical Director, you'll lead and inspire our veterinary team, creating a positive, collaborative, and high-performing work environment. You'll oversee medical operations, establish care protocols, and drive continuous improvements in patient care and client services. Partnering closely with our Chief Medical Officer, COO, CEO, and hospital leadership, you'll fine-tune medical practices and put new policies into action. You'll also mentor your team, build strong relationships with referring veterinarians, stay current on the latest in veterinary medicine, and provide hands-on care for complex cases. Additionally, you'll ensure compliance with regulations, address client concerns, and play an active role in developing new talent. Requirements A Board-Certified or Residency-Trained Veterinary Specialist Licensed (or eligible for licensure) in the State of Florida Minimum of two (2) years of experience in a veterinary specialty practice or equivalent clinical leadership role Benefits Competitive base salary plus production Signing bonus and relocation assistance Medical, dental, and vision insurance Paid parental leave Safe Harbor 401(k) with employer match CE and uniform allowance Paid licenses, PLIT, and professional dues PTO and paid holidays A leadership team that listens, supports, and invests in you

Job Description Fetch Specialty & Emergency Veterinary Centers is a family-owned, multi-specialty and emergency veterinary group with hospitals across Florida and South Carolina. Our team is a mix of foodies, adventurers, athletes, musicians, parents, plant lovers, and more. Whether you love the beach, live concerts, or quiet evenings with Netflix, you'll find your people here. We believe great medicine starts with great culture-and our culture starts with you. Our Story: Fetch opened its doors in 2016 as a boutique oncology center in Naples, FL. Since then, we've grown into a thriving network of five specialty and emergency hospitals. We're proud to be privately owned-giving us the flexibility to invest in innovation, prioritize quality of life, and make decisions based on what's best for our team and our patients. No corporate red tape. No layers between you and leadership. About the Role: Fetch is looking for an experienced and talented Veterinary Medical Director to lead our team of veterinary professionals in Brandon, Florida. In this role, you'll manage both medical operations and staff mentoring, ensuring top-notch care for our patients and exceptional service for our clients. With a 50/50 split between clinical work and administrative duties, this is a unique opportunity to shape patient care and optimize how the hospital runs day-to-day. As Medical Director, you'll lead and inspire our veterinary team, creating a positive, collaborative, and high-performing work environment. You'll oversee medical operations, establish care protocols, and drive continuous improvements in patient care and client services. Partnering closely with our Chief Medical Officer, COO, CEO, and hospital leadership, you'll fine-tune medical practices and put new policies into action. You'll also mentor your team, build strong relationships with referring veterinarians, stay current on the latest in veterinary medicine, and provide hands-on care for complex cases. Additionally, you'll ensure compliance with regulations, address client concerns, and play an active role in developing new talent. Requirements A Board-Certified or Residency-Trained Veterinary Specialist Licensed (or eligible for licensure) in the State of Florida Minimum of two (2) years of experience in a veterinary specialty practice or equivalent clinical leadership role Benefits Competitive base salary plus production Signing bonus and relocation assistance Medical, dental, and vision insurance Paid parental leave Safe Harbor 401(k) with employer match CE and uniform allowance Paid licenses, PLIT, and professional dues PTO and paid holidays A leadership team that listens, supports, and invests in you

HealthPlus Staffing is assisting a rapidly growing outpatient Primary Care group that focuses on providing services to our aging population with their search for a Medical Director who will be in charge of overseeing patients who are considered High Risk. The Medical Director will oversee six teams (one team per Area) consisting of a High-Risk ARNP (HR-NP) and a Clinical Social Worker (HR-CSW) and will be expected to manage, mentor, and guide these teams as well as deliver primary, urgent and acute medical care to the assigned population of Level 4(a) and 4(b) patients. Job Details: Must be MD or DO Must have an active FL license 5-7 years of Leadership experience 10+ years of experience treating Geriatric patients Geriatrics fellowship preferred Palliative Care fellowship preferred This is a high level position with tremendous importance to the organization. For such reason the position offers: Highly lucrative salary Sign-On Bonus Productivity bonus (top tier) Full benefits package with top of the line benefits. Please apply today to schedule an interview. We look forward to finding your next position. The HealthPlus Team

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medical Director will have program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities. Will also be responsible for utilization review/management. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you will make an impact: Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Serves as a resource and consultant to other areas of the company. May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees. Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Minimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Preferred Qualifications: Clinical experience in a relevant specialty (Pediatrics, Family Practice, Internal Medicine, Geriatrics, Palliative Medicine, OB/GYN, Emergency Medicine) strongly preferred. Experience in managed care experience strongly preferred. 1-2 years utilization management review experience preferred. Knowledgeable of Medicaid/Medicare policies and guidelines strongly preferred. Job Level: Director Equivalent Workshift: Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

The Senior Regional Medical Director (SRMD) is responsible for the oversight of all Medical Staff within their region across all services lines. The SRMD will lead a team of Medical Directors, physicians, and advanced practice providers, implementing clinical best practices and driving clinical safety and quality initiatives. By partnering closely with the operations team, the SRMD will align clinical strategies with operational and organizational goals. The SRMD reports directly to the National Medical Director. We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering: Up to $50K Sign-On Bonus! Competitive compensation package Outstanding work life balance Health, vision, and dental benefits 401K plan match Life insurance (100% company paid) PTO and paid holidays We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive. Responsibilities Oversee all activities of the Medical Directors in their region with the goal of managing best practice performance as executed through the Medical Directors with an emphasis on following best practices in all aspects of the patient journey that the providers can impact. This is reflected in clinical performance KPIs. Serve as the Senior Medical Director for Office-Based Lab (OBL) functions, collaborating with operational leaders and physician service line directors to promote safe, high-quality, and cost-effective endovascular care across all service lines. Provide direct coaching to OBL physicians, in coordination with the National Medical Director. Drive the growth and development of UVVC endovascular service lines by staying current on advancements in vascular care through professional development and applying this knowledge to clinical strategies. Work with the National Medical Director to maintain alignment across the UVVC platform. Develop, implement and maintain comprehensive vascular care programs, ensuring the proper screening, evaluation, treatment and referrals for all patients. Drive clinic performance by monitoring Key performance Indicators (KPIs) such as conversion, modality mix and utilization. Monitor and improve clinical quality metrics, including medical necessity audits, vascular screening program, patient reported outcomes and patient satisfaction. Support the maintenance of Medical Coverage Guidelines for insurance plans, ensuring compliance through collaboration with Medical Directors. Participate in the recruitment, interviewing, and onboarding of new providers. Support Business Development team by providing clinical guidance to ensure messaging aligns with the organization's services lines and core values. Support organizational growth by identifying opportunities to expand clinical services and improve the patient care model. Demonstrate and promote a work culture committed to UVVC's Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity. Demonstrate behaviors that are consistent with UVVC's Standards of Conduct as outlined in our employee handbook and Code of Conduct. Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization. Other duties as assigned. About us: UVVC, is a leading provider of comprehensive vein and vascular care with over 45 clinics across Arizona, Chicago, Colorado, Florida, Georgia, Texas, and expanding. Our mission is to revolutionize vascular care by delivering an all-inclusive clinic experience that addresses every aspect of lower extremity vein, vascular, and wound conditions. United Vein & Vascular Centers (UVVC) is distinguished by its innovative approach to diagnosing and treating a variety of vascular conditions that affect the pelvis and lower extremities. With a team of committed specialists, cutting-edge medical technology, and a patient-centric approach that emphasizes minimally invasive procedures, UVVC ensures superior care and optimal outcomes for it's patients.

Job Description Join Evara Health-Driven by Purpose, Powered by People Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job-it changes lives What you'll Do: Leadership in Clinical Excellence: As Medical Director, you will guide and support provider teams to ensure patient care is delivered at the highest quality and lowest cost. Comprehensive Oversight: You will oversee clinical policies, quality initiatives, and provider performance to align with best practices and organizational goals. Mentorship & Development: Provide supervision and mentorship to dental teams, fostering professional growth and consistency in patient care. Holistic Collaboration: Work alongside a multidisciplinary team to integrate dental services with primary care, behavioral health, and other community resources. Mission Alignment: Champion Evara Health's values of inclusion, integrity, and dignity while leading efforts that directly impact underserved populations. Why You'll Love Working Here Impact: Shape the future of care delivery by leading initiatives that improve clinical outcomes, strengthen provider performance, and elevate patient experiences. Growth: Expand your leadership skills through continuous professional development and engagement in strategic planning and innovation. Recognition: Be valued as both a clinical leader and a provider, with your contributions recognized across the organization and the community. Required Education & Experience Graduate of an accredited School of Dentistry. Completion of internship and/or residency. Licenses, Certification or Registration Valid Florida Dental License. Board Certified in Dentistry. Valid DEA Certificate (if applicable). Valid Basic Life Support (BLS) Certification. Culture & Benefits At Evara Health, we not only care for our communities but also deeply value the health and wellbeing of our team. Here's how we support our employees: Generous Time Off: 20 days of paid time off with an option to cash out unused day Holidays: 10 paid holidays and an additional day off for your birthday. Wellness Perks: Enjoy a free gym membership to support your health and fitness goals. Retirement Planning: 403(b) with 2% employer contribution up to 4% match Continuing Education: Tuition reimbursement eligibility which includes $1,500 per year and up to $2,000 annually in CME support, in addition to 3 days of CME leave. Comprehensive Insurance Plans: Medical, Dental, Vision, Life, Short & Long-Term Disability + extra coverage options. Employee Assistance Program (EAP): Confidential counseling, legal & financial advice through EAP At Evara Health, your career goes beyond a job. Thrive, grow, and help deliver life-changing care to the people who need it most.

Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job-it changes lives What you'll Do: Leadership in Clinical Excellence: As Medical Director, you will guide and support provider teams to ensure patient care is delivered at the highest quality and lowest cost. Comprehensive Oversight: You will oversee clinical policies, quality initiatives, and provider performance to align with best practices and organizational goals. Mentorship & Development: Provide supervision and mentorship to dental teams, fostering professional growth and consistency in patient care. Holistic Collaboration: Work alongside a multidisciplinary team to integrate dental services with primary care, behavioral health, and other community resources. Mission Alignment: Champion Evara Health's values of inclusion, integrity, and dignity while leading efforts that directly impact underserved populations. Why You'll Love Working Here Impact: Shape the future of care delivery by leading initiatives that improve clinical outcomes, strengthen provider performance, and elevate patient experiences. Growth: Expand your leadership skills through continuous professional development and engagement in strategic planning and innovation. Recognition: Be valued as both a clinical leader and a provider, with your contributions recognized across the organization and the community. Required Education & Experience Graduate of an accredited School of Dentistry. Completion of internship and/or residency. Licenses, Certification or Registration Valid Florida Dental License. Board Certified in Dentistry. Valid DEA Certificate (if applicable). Valid Basic Life Support (BLS) Certification. Culture & Benefits At Evara Health, we not only care for our communities but also deeply value the health and wellbeing of our team. Here's how we support our employees: Generous Time Off: 20 days of paid time off with an option to cash out unused day Holidays: 10 paid holidays and an additional day off for your birthday. Wellness Perks: Enjoy a free gym membership to support your health and fitness goals. Retirement Planning: 403(b) with 2% employer contribution up to 4% match Continuing Education: Tuition reimbursement eligibility which includes $1,500 per year and up to $2,000 annually in CME support, in addition to 3 days of CME leave. Comprehensive Insurance Plans: Medical, Dental, Vision, Life, Short & Long-Term Disability + extra coverage options. Employee Assistance Program (EAP): Confidential counseling, legal & financial advice through EAP At Evara Health, your career goes beyond a job. Thrive, grow, and help deliver life-changing care to the people who need it most.

ArchWell Health is an innovative, rapidly-growing medical group that is changing the way primary care is delivered to seniors. Our state-of-the-art centers are located in communities where there is little to no quality healthcare today. The ArchWell Health model of care is entirely driven by proving better primary care to our patients, not by the volume of services we provide. Because we are fully accountable for the health of our patients, we spend more time with them and offer more comprehensive care. Put simply, we provide the care that our patients deserve. For more information, visit *********************** The Associate Market Medical Director is responsible for providing leadership and administrative support to a group of providers in a market. This role is primarily patient-facing, but will have dedicated time in their schedule for administrative work. The ideal candidate will be a physician with experience in value-based care who enjoys patient care but is seeking to expand into a leadership role. Clinical Duties Include: Rendering outpatient primary care medical and consulting services for ArchWell Health patients Keeping and maintaining (or causing to be kept and maintained) appropriate records of all professional services Appropriately documenting the care of patients which includes ensuring the accuracy of patient records, encounter notes, medical diagnoses, and documentation Working with care team members and other employees in a collaborative manner consistent with ArchWell Health's policy of providing high quality care while maintaining excellent morale among colleagues Working with colleagues to ensure a high-quality patient experience, that minimizes wait times and allows patients with urgent needs to be evaluated in a timely manner Being available to participate in public relations, direct sales, or outreach events inside or outside of ArchWell Health centers in order to engage the community and promote the ArchWell Health model of care Participating in clinical meetings which include reviews of hospitalized patients, clinical outcomes, quality improvement and/or peer review activities Being available for call coverage on nights, weekends and/or holidays with respect to patients of the center(s) where the provider regularly provides clinical services or, if requested, to patients of other ArchWell Health centers, pursuant to a call schedule determined by ArchWell Health in its discretion, provided the provider's obligations will be consistent with the demands placed on other providers Associate Market Medical Director Duties Include: Provide direct leadership to a subset of providers in the market, likely across multiple locations, including conducting monthly (at minimum) 1:1s, conducting annual performance reviews, reviewing standard metrics, and addressing performance or behavior-related issues if present Conduct referral reviews, IDT rounds, and admission record reviews as needed to support direct reports and drive stronger utilization management within the market Partner with operations to drive and execute workflows in alignment to the ArchWell Health model Required Education/Experience: M.D. or D.O. graduates Minimum of two (2) years of experience post residency (MD/DO) Minimum of one (1) year of recent, relevant value-based care experience Board certified/eligible in Internal Medicine or Family Medicine (required for physicians only) Be highly collaborative, and enjoy leading care teams with a patient-centric orientation Confident in the ability to deliver high quality primary care, which includes being available to patients and addressing their medical and social needs Driven to care for those with comorbid conditions, the elderly and/or medically underserved Passionate about their work and energized by being part of a fast growing organization Internal Candidates must be in good standing with no disciplinary action in the past 12 months at ArchWell Health About ArchWell Health: At ArchWell Health, we're creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We're passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Tidewell Hospice, a part of Empath Health is seeking an Associate Medical Director to join the Empath team. What you'll Do The Associate Medical Director: • Provides physician direction and guidance to the Empath Health hospice program to assure the maintenance of quality care for patients and families. • Participates in the Interdisciplinary Team (IDT) meeting, performs certification, recertification, provides symptom control expertise, performs clinical visits in the home or inpatient setting and provides regulatory visits to meet recertification requirements. • Serves as an educator and researcher of hospice care Why Join Empath Health? Earn Competitive Pay: Your skills and contributions are recognized and rewarded. Benefits & Wellness: Medical, dental, vision, life insurance, retirement with company match, plus wellness programs to support your mind and body. Industry-Leading PTO: 5+ weeks to rest, recharge, and live your Full Life. Grow Your Career: CEU support, tuition reimbursement, and advancement opportunities. Make a Difference: Join a mission-driven team dedicated to kindness, compassion, and Full Life Care for All. What You'll Need • MD or DO from an accredited medical school • Licensure: Licensed to practice medicine in the State of Florida • Active DEA license • Board certification by an American Board of Medical Specialties' recognized specialty that deals with care of the terminally ill, such as Internal Medicine, Family Practice, Oncology or Geriatrics. • Minimum of three years post graduate medical practice experience What You'll Find at Empath Health Unified in empathy, we serve our communities through extraordinary Full Life Care for All. Empath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. Full Life Care means caring for the whole person, body, mind, and spirit, with empathy and dignity. Our care goes beyond medicine to help people feel seen, supported, and valued at every stage of life. At Empath Health, you'll find purpose, partnership, and possibility in a culture where compassion drives excellence and every team member helps make life's journey more meaningful. Empath Health values diversity as it strengthens our community and care. We embrace the diversity of cultures, thoughts, beliefs and traditions of our employees, volunteers and people we are honored to serve across our network. Our diverse staff reflects our community and each day, we work to be respectful, sensitive and competent with each other and those in our care. In every journey, we are dedicated to achieving comfort, dignity and exceptional care. Those of all backgrounds are welcome and encouraged to apply with us or seek our care and services. Our commitment to patient, client, staff and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm. Participation in the seasonal influenza program is a condition of employment and a requirement for all Empath Health employees Providing compassionate, full life care is an honor we take seriously at Empath Health. Join our team and make a positive impact in the community!

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations can be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The **Plan Performance Medical Director** serves as a lead clinician and oversees the administration of medical services for the individual ACA health plans across 17 states. This role involves managing the overall medical policies and clinical guidelines to ensure appropriate and cost-effective care. The Director also leads initiatives to direct the plan regarding cost of care and other strategic directives. Additionally, this position involves collaborating with market plan presidents during meetings with state regulators. **How you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to members and providers. + Provides guidance for clinical operational aspects of a program. + Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. + Interprets existing policies or clinical guidelines and develops new policies based on changes in the healthcare or medical arena. + Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care. + Identifies and develops opportunities for innovation to increase effectiveness and quality. + Provides expertise, captures and shares best practices across regions to other medical directors. + May chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees. **Minimum Qualifications:** + Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). + Requires active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Travels to worksite and other locations as necessary. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. **Preferred Skills, Capabilities and Experiences:** + Experience with clinical finance data, as well as medical cost and trend analysis. + Strong communication skills, including both presentation and writing abilities. + Proficiency in Excel and PowerPoint. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $262,752 to $450,432. Locations: California, District of Columbia (aka Washington, DC), Illinois, Maryland, Minnesota, Massachusetts, New York, New Jersey, Washington State. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._ * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Monday - Friday, 8am-5pm schedule Are you looking for a physician practice with a family environment, but with the benefits and support a large organization can provide? Where daily patient care is backed by evidenced based medicine and career options are limitless, then look no further! At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. This role offers an opportunity for physicians to blend their love of patient care with their management skills, working for the leader in the workplace health industry. Concentra is recognized as the nation's leading occupational health care company and one of “America's Greatest Workplaces," as noted in Newsweek. Responsibilities Responsibilities This clinic-based position provides direct patient care, leading by example, and creating an exceptional patient experience Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure Manages clinicians, support staff, and complies with APC supervisory requirements Creates a professional and collaborative working environment Works with leaders to identify and implement changes to ensure continuous medical clinic improvement Maintains relationships with center clients and payers Works with medical clinic leadership team to manage clinical and support staffing levels Promotes, cultivates, and exemplifies Concentra values for all clinic colleagues Fosters an environment of collaboration, professionalism, patient/colleague safety, quality care, continuous improvement and reward and recognition Possesses financial awareness and provides input to clinic budget and key business metrics Why Choose Us With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. . Qualifications Qualifications Active and unrestricted medical license Unrestricted DEA license and dispensing license for state of jurisdiction (required prior to start date) Must be eligible to participate in Medicare Board Certification or Eligibility in an ABMS or AOA recognized specialty preferred FMCSA NRCME certification preferred or willingness to obtain Additional Data Benefits Many of our clinics offer working hours M-F, 8 to 5, no nights, no weekends, no holidays, no call Compensation package: Competitive base salary with annual merit increase opportunity Monthly Medical Director Stipend Monthly RVU Bonus Incentive Quarterly Quality Care Bonus Incentive Generous Paid Time Off package for new colleagues include: 24 days of Paid Time Off (annually, with roll-over) 5 days of Paid CME Time (annually) 6 Paid Holidays Medical Malpractice Coverage Reimbursement for dues upon approval, for the renewal of applicable licensure, certifications, memberships, etc. 401(k) with Employer Match Tuition Reimbursement opportunity Medical/Vision/Prescription/Dental Plans Life/Disability Insurance: Colleague Referral Bonus Program Opportunity to teach residents and students Training provided in Occupational Medicine Supplemental health benefits (accident, critical illness, hospital indemnity insurance) Pre-tax spending accounts (health care and dependent care FSA) Concentra accredited CME courses Occupational Health University Leadership development programs Relocation assistance (when applicable) Identity theft services Colleague discount program Unmatched opportunities for advancement locally and nationally This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medical Director-Cardiology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you will make an impact: * Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers. * Provide guidance for clinical operational aspects of a program. * May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations * Serve as a resource and consultant to other areas of the company. * May be required to represent the company to external entities and/or serve on internal and/or external committees. * May chair company committees. * Interpret medical policies and clinical guidelines. * May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes. * Identify and develop opportunities for innovation to increase effectiveness and quality. * Work independently with oversight from immediate manager. * May be responsible for an entire clinical program and/or independently perform clinical reviews. Minimum Qualifications * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Board certification in Cardiology. * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. * Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency. * For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Candidates must reside in Florida near our Miami or Tampa locations. The Medical Director will support the following Florida Medicare plans: Simply Healthcare Plans, Healthsun Plans, Freedom Health, and Optimum Healthcare Plans and will be responsible for utilization review case management for these markets. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. How you will make an impact: Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Perform utilization management reviews to determine medical necessity and appropriateness of care, using nationally recognized criteria (e.g., MCG, InterQual, CMS guidelines). Collaborate with UM nurses and case managers to review inpatient admissions, outpatient procedures, and continued stays. Provide peer-to-peer discussions with treating physicians to discuss medical necessity decisions and care alternatives. Ensure timely and accurate completion of reviews in compliance with state and federal regulations, NCQA, and company standards. Serves as a resource and consultant to other areas of the company. May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees. Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Expectation for this role also includes weekend and holiday coverage during assigned weekend rotations to support continuity of UM operations and ensure timely case processing. Minimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession in Florida. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: Bilingual- Spanish speaking preferred. Utilization Management case review experience strongly preferred. Previous experience working for a health plan or managed care organization preferred. Previous Medicare experience preferred. Internal/Family Medicine or other adult medicine training preferred. Job Level: Director Equivalent Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.