Physician / Administration / Wisconsin / Permanent / Medical Director Opportunity, Milwaukee, WI Job
Medical director job in Milwaukee, WI
Concentra Medical Center is searching for a Leader. We are seeking a BC/BE physician who has an unrestricted license, an active DEA, and someone who is eligible to treat Medicare patients. The Center Medical Director (CMD) will lead our Milwaukee location, Monday through Friday 8A - 5P, no call and no weekends.
Our Center Medical Directors are a vital part of a dedicated team of clinicians committed to exceptional patient care.
Additionally, they facilitate efficient and effective center operations by balancing the dynamics of patient care and leadership within a clinical environment.
This is an extraordinary opportunity for you to make a difference as you watch your direct leadership impact the health of Americas workforce.
Clinic Manager - Physical Therapist - Outpatient - Monthly Incentive - Kenosha Wisconsin
Medical director job in Kenosha, WI
Clinic Manager PT (Full-Time/Part-Time/PRN)
Up to $10,000 Sign-On Bonus (for qualified candidates at eligible locations)
Outpatient - Monthly Incentive - Kenosha, Wisconsin
Grow Your Career. Make a Difference. Thrive in Outpatient Care.
Looking to build a meaningful career as a Clinic Manager PT? At CORA Physical Therapy, we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care. Join a team that's redefining what it means to serve others and grow your purpose.
Why Clinic Managers Choose CORA:
Outpatient Setting - Make real connections and see your impact.
Flexible Schedules - Early shifts, late shifts, or condensed weeks.
Competitive Pay - Your skills and dedication are recognized.
Full Benefits Package - Medical, dental, vision, disability & life insurance.
401(k) Program - Invest in your future.
Student Loan Assistance - Up to $24K at eligible locations.
Tuition Reimbursement - Continue your education without the burden.
Unlimited Internal CEUs + external CEU stipend.
Professional Development - Residency program, clinical ladder, leadership training, and mentorship.
Technology that Works for You - EMR automations and AI-powered tools to save time.
Relocation Assistance - Available for select opportunities.
*Benefits vary based on
employment type
.
What You'll Do
As a Clinic Manager PT at CORA, you'll:
Provide inclusive, hands-on care in one of our outpatient clinics.
Evaluate patients and develop personalized plans of care.
Leverage tech tools and outcome data to guide clinical decisions.
Clearly and efficiently document evaluations and treatments.
Collaborate with teammates to grow your skills and clinic culture.
What You'll Need
Degree from a CAPTE-accredited Physical Therapy program.
Licensed or license eligible as a Clinic Manager PT.
A passion to learn, grow, and make an impact - new grads welcome!
Who We Are
CORA Physical Therapy is a network of outpatient clinics serving communities across 10 states. We believe every patient deserves high-quality care, and every team member deserves the tools and support to thrive. Our culture is built on gratitude, curiosity, collaboration-and a commitment to Treat Everyone Right.
Apply today to become a Clinic Manager PT with a team that sees the best in you.
Note on Sign-On Bonus Eligibility:
The advertised sign-on bonus (up to $10,000) is available for qualified Physical Therapist candidates at select CORA clinic locations. Specific terms and eligibility will be discussed during the hiring process.
CORA Physical Therapy is an Equal Opportunity/Affirmative Action employer committed to building a team that reflects the diverse communities we serve.
Behavioral Health Medical Director-Psychiatrist Appeals
Medical director job in Waukesha, WI
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations can be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work schedule: Monday - Friday. Half day Saturday rotation, once a month.
The Medical Director is responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.
How you will make an impact:
* Supports clinicians to ensure timely and consistent responses to members and providers.
* Provides guidance for clinical operational aspects of a program.
* Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
* Serves as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees.
* Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare.
* Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identifies and develops opportunities for innovation to increase effectiveness and quality.
* Provides oversight, direction, and guidance to Medical Director Associates.
* Works independently with oversight from immediate manager.
* May be responsible for an entire clinical program and/or independently performs clinical reviews.
* Typically has program management responsibilities including clinical policy development, improvement of quality, cost, and outcomes, program development/implementation, and overseeing clinical/non-clinical activities.
Minimum Qualifications:
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Must possess an active unrestricted medical license to practice medicine or a health profession.
* Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions and Carelon organizations (including Behavioral Health) only, minimum of 5 years of experience providing health care is required.
* Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Skills, Capabilities and Experiences:
* Child and Adolescent experience preferred.
* Utilization Management experience.
* Applied Behavior Analysis (ABA) experience.
* An active unrestricted medical license to practice medicine or a health profession in California or ability to obtain upon hire.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $274,068 to $428,976.
Locations: Costa Mesa, CA, Walnut Creek, CA, Woodland Hills, CA
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
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.
Medical Director - Commercial
Medical director job in Waukesha, WI
Medical Director- Commercial Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Prefer candidates to reside in the following states: CO, OH, IN, KY, MO, and WI.
Schedule: Monday through Friday 8am-5pm CST or EST (If candidate is living in Colorado MST is fine). Weekend rotation coverage 5-6 weekends a year.
The Medical Director will be part of the Central Region team responsible for utilization review case management and appeals for local Commercial business in the CO, OH, IN, KY, MO, and WI markets. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.
How you will make an impact:
* Supports clinicians to ensure timely and consistent responses to members and providers.
* Provides guidance for clinical operational aspects of a program.
* Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
* May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
* Serves as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees.
* May chair company committees.
* Interprets medical policies and clinical guidelines.
* May develop and propose new medical policies based on changes in healthcare.
* Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identifies and develops opportunities for innovation to increase effectiveness and quality.
Minimum Requirements:
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Must possess an active unrestricted medical license to practice medicine or a health profession.
* Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Qualifications:
* General Surgeon or Primary Care specialties preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $262,152 to $393,228
Locations: Colorado.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyPhysician Medical Director
Medical director job in New Berlin, WI
Eligible for a bonus up to $50,000 + Monthly and Quarterly Bonus Incentives!
Ready for a change? 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 Physician 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.
Location: New Berlin
Hours: Mon-Fri 8a-5p
*Up to 50k bonus potential!
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)
Commuter benefits
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, including disability/veteran
#LI-MG1
Auto-ApplyMedical Director Job Near Milwaukee, WI
Medical director job in Milwaukee, WI
Well\-established managed care clinic seeks an experienced physician to serve as Medical Director. Group will consider either an FP or IM trained physician. Practice is committed to helping seniors lead healthier, happier lives through superior medical care. This role blends clinical care with leadership responsibilities including setting a strong example for delivering high\-quality primary care, mentoring & leading the primary care team. Position may also involve maintaining a small clinical practice to stay closely connected to patient care. Compensation includes generous salary, stipend, incentives, benefits, CME\/vaca\/relo, retirement, malpractice & much more. Enjoy easy access to Milwaukee WI and nearby cities.
For more details on this position & others we have, email us at ************************** or call **************.
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Easy ApplyMarket Medical Director (MD)
Medical director job in Milwaukee, WI
COMPENSATION: BASE $280K-$300K + 25% BONUS POSSIBLE $375,000 New Center Opens EOY 2025!
We're a new, innovative healthcare provider devoted to improving the lives of our patients. We deliver best-in-class care at comfortable, accessible neighborhood clinics where our patients can feel at home and become part of a vibrant, wellness-focused community. Our patients experience greater continuity of care and the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities. The center provides Uber/Lyft to those who don't drive. Also, they offer exercise, art and other activities for their seniors to promote better health at no cost to the patient.
Role:
• Compensation: Base $280,000-$300,000
• Bonus: 25% of base salary
• Will cover all clinics in the market b/w 3-5 clinics depending on the market
• Timeline they can start ahead of the new market launch. Start 2 months prior to market opening
• President of the medical group
• As company is growing can lead to other roles - there will be opportunity for growth.
• When opening new markets, the MMD will be involved in opening a center.
• The MMD will fill in the Gaps seeing patients. The established markets will be more administrative.
• Overseeing clinical operations & working with the VP's of operations.
• They would be able to open up these clinics and see patients as needed until they are at a place where they are solid with growth they can provide more administrative oversight
Benefits:
• Health, Vision, Dental (including family options)
• Pre-tax or post-tax Roth contributions available. You may contribute from 1% to 50% of eligible pay up to $23,000
• 100% match on the first 3% contribution, 50% match on contributions on the next 3%. Contribute 6% each pay period to maximize match (4.5% matching funds)
• PTO, Paid Holidays & Floating Holidays - up to 29 days a year
Requirements
Requirements:
• MD or DO
• IM/FM Board Certified, Geriatrics (a plus)
• Need the ability to mentor and coach
• Would like someone with 3-5 years of VBC experience or managed care experience
• Travel within the market
• Strong interpersonal skills
Salary Description 375,000
Medical Director / Physician Opportunity on Lake Michigan
Medical director job in Racine, WI
Are you a Physician ready for a fresh start in a leadership role as an experienced Physician? Our client is waiting for you to join their clinic on Lake Michigan as the Medical Director!!
The ideal candidates will have experience in Occupational Medicine, Urgent Care, or a strong interest in transitioning to Occupational Medicine.
This role offers excellent work -life balance, leadership support, and a collegial work environment.
Hours: Monday -Friday, 8am -5pm
Key Responsibilities:
Provide leadership focused on mentoring, training, and developing clinical staff.
Deliver optimal patient care while managing clinical operations effectively.
Oversee clinician onboarding and ensure adherence to clinical workflows and best practices.
Collaborate with leadership to identify opportunities for clinical improvement and growth.
Maintain strong relationships with employers, payers, and local communities.
Provide clinical coverage, balancing direct patient care with leadership duties.
Requirements
Board Certification/Eligibility preferred.
Experience in Occupational Medicine or Urgent Care (training provided if necessary).
Current WI medical license and unrestricted DEA license.
Graduate of an accredited MD or DO program.
Eligible to participate in Medicare.
Benefits
Competitive salary with director stipend, incentive bonus, and sign -on bonus.
Comprehensive training in Occupational Medicine.
Malpractice coverage and CME opportunities.
401(k) with employer match.
Full benefits package including medical, vision, prescription, and dental plans.
Market Medical Director
Medical director job in West Bend, WI
At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it.
As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.
Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.
If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you.
For more information about our company, visit CuranaHealth.com.
Summary
The Market Medical Director (MMD) serves as the senior physician leader for a designated state market. This role is rooted in clinical practice, with the majority of time dedicated to direct patient care. In addition, the MMD provides essential administrative leadership to ensure quality outcomes, physician engagement, and growth. The MMD works in dyad partnership with the Director of Clinical Operations (DCO) and reports directly to the Regional Medical Director (RMD).
Essential Duties & Responsibilities
Clinical Leadership
Provide direct patient care across assigned facilities, including history and physicals, ongoing rounds, and management of complex cases.
Serve as a trusted clinical leader for physicians, addressing challenging cases, transitions of care, and high-risk patients.
Champion quality improvement efforts, closing care gaps and optimizing outcomes.
Stay current with medical best practices, regulations, and licensure requirements.
Administrative & Leadership Functions
Partner closely with the Director of Clinical Operations (DCO) to align clinical and operational goals.
Lead state-level quality initiatives, ensuring outcomes align with organizational benchmarks.
Build and maintain strong relationships with state operators and facility partners.
Support new initiatives and programs at the state level, from design to implementation.
Deliver regular state reports to the Regional Medical Director (RMD), highlighting clinical outcomes, physician engagement, retention, and growth.
Physician Engagement & Development
Promote physician engagement, citizenship, and alignment with organizational mission and values.
Monitor physician turnover and retention, developing strategies to support satisfaction and career development.
Support panel growth for the state medical group while maintaining clinical excellence.
Lead onboarding, mentoring, and ongoing development of physicians.
Lead physician hiring within the state market, including interviews, physician evaluation, training, and initial orientation.
What We Offer
We know that caring for seniors takes more than just medical expertise-it takes support, tools, and opportunities to grow. That's why Curana offers:
Unlimited earning potential with competitive compensation models.
Medical Directorship opportunities with leadership and influence.
Autonomy of practice backed by strong clinical and administrative support.
Cutting-edge care model that empowers you to transform senior healthcare.
Data-driven tools & AI solutions to better understand and manage patient needs.
Streamlined communication with smart texting and modern tech platforms.
Professional development including CME support, APP mentorship, and leadership training.
Quality incentives with bonuses tied to patient outcomes and care excellence.
Work-life balance supported by generous paid time off.
Benefits
Medical, Dental, Vision insurance
401(k) with company match
Company-paid short- and long-term disability
Comprehensive malpractice coverage
UpToDate subscription for clinical decision support
Qualifications
Doctor of Medicine (MD) or Doctor of Osteopathy (DO); board-certified in Internal Medicine, Family Medicine, Geriatrics, or a related specialty.
Active, unrestricted medical license in the state of practice; DEA certification as required.
Minimum 5 years of clinical practice experience, ideally in post-acute, senior health, or primary care.
Demonstrated leadership skills in clinical oversight, quality improvement, or medical group management.
Strong interpersonal and communication skills, with the ability to collaborate across clinical and operational teams.
This role requires travel to and from one or more assigned facilities. Depending on the amount of travel required, Curana may in future determine that a valid driver's license, current auto insurance, and an acceptable driving record are required. If so, you will be provided with thirty (30) days notice of this requirement. From that time forward, please be advised that Periodic motor vehicle (MVR) checks may be conducted as a condition of, and/or for, continued employment.
We're thrilled to announce that Curana Health has been named the 147
th
fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16
th
in the “Healthcare & Medical” industry category and 21
st
in Texas.
This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.
Auto-ApplyMedical Director
Medical director job in Franklin, WI
Job Description
The Site Medical Director provides clinical leadership at the assigned facility and ensures compliance with medical standards and regulations. They deliver direct care, supervise healthcare staff, and coordinate with internal and external healthcare providers. Responsibilities include documentation, emergency response, treatment planning, and formulary compliance. The Medical Director supports continuous quality improvement efforts and participates in policy and protocol development. They also play a key role in chronic care clinic oversight, pharmacy monitoring, and medical program review.
Responsibilities
Provide direct medical care and document all clinical encounters in compliance with standards
Supervise and support healthcare staff and ensure adherence to clinical protocols
Oversee chronic care clinics, utilization review, and quality improvement initiatives
Collaborate with the Health Services Administrator to enhance patient care and outcomes
Maintain clinical oversight and consult on complex medical cases or referrals
Qualifications
EDUCATION
Medical school graduate
EXPERIENCE
Experience in Family Practice, Emergency Medicine, Internal Medicine or Public Health preferred
LICENSES/CERTIFICATIONS
Must have and maintain current licensure within the State of employment
Maintains a current DEA number
Must be able to obtain and maintain CPR certification
Must maintain privileges and CME requirements for continued medical practice in the State
Medical Director & Practice Co-Owner
Medical director job in Brookfield, WI
Brand-new facility featuring separate suites for surgery, radiology, dental, and feline care Fully equipped with digital dental radiography, ultrasound, EMR, and therapeutic laser Designed for growth, with multiple exam rooms and space for specialty expansion
Supportive operations team and clinical staff ready to bring your vision to life
Job Description
Location: Plano, TX or Brookfield, WI
Are you ready to lead with purpose and passion?
We're seeking a
Medical Director
to co-lead a brand-new, high-tech veterinary hospital in a thriving community - and
co-own
it. This rare opportunity blends clinical leadership with ownership, offering a career-defining role where you'll shape the culture, guide the medical vision, and share in the long-term success of the practice.
Whether you're based in
Plano, Texas
- a growing city that blends urban innovation with suburban comfort - or
Brookfield, Wisconsin
, known for its family-friendly charm and natural beauty - you'll be at the helm of something extraordinary.
Why This Role Is Different
Own Your Future
: Access an equity partnership in a fast-growing veterinary group with
no cash buy-in required
.
Leadership That Matters
: Build your team, shape clinical protocols, and nurture a collaborative, positive work culture.
Freedom to Practice
: Tailor services to your medical passions - from surgery to diagnostics to specialty care - all within a fully equipped, modern facility.
Balanced Lifestyle
: Enjoy flexible hours, no weekends, and no after-hours on-call responsibilities.
Additional Information
Estimated Compensation Range (Full-Time Medical Director):
Base Salary:
$150k - $250k/$300k+/year
Plus:
Production-based bonuses,
equity partnership
, and full benefits (health, CE, PTO, etc.)
$50k signing/retention bonus
Psychiatrist - Medical Director
Medical director job in Waukegan, IL
Our Medical Director for Behavioral Health Services serves our community by providing direct patient care as well as overseeing the psychiatry providers and Medication-Assisted Treatment (MAT) providers, including provider recruitment, development and retention, scheduling, establishment and achievement of productivity benchmarks, quality improvement, clinical direction, and risk management to ensure quality and cost-effective care.
* Reporting directly to the Director of Behavioral Health this position oversees psychiatric services and serves as the medical advisor for the department's behavioral health services.
* Develops vision for the clinical activities to improve the health outcomes, obtain quality incentives and shared savings, and create innovative clinical models of of care.
* Oversees the achievement of productivity standards as set by LCHD and is responsible for working with the providers and clinical leadership to ensure that performance expectations are understood and met.
* Monitors performance management data for areas of responsibility and assures the implementation of Continuous Quality Improvement principles and projects.
* In conjunction with the Director of Behavioral Health, is responsible for hiring the psychiatric Provider staff (including physicians, advanced practice nurses and physician assistants) and ensuring that each Provider is working to meet the Health Department's mission.
* Provides clinical and administrative supervision of staff under the Director's direction, including completion of evaluations.
Scheduled Hours: 40 hours a week
* Monday - Friday (8:30am - 5:00pm)
* 40% clinical and 60% administrative time, though distribution may change based on changing needs
* Requires completion of a residency program.
* Must be Board Certified in Psychiatry, within (2) years of hire.
* Requires Illinois license to practice as a physician.
* Three years of senior-level/director-level management experience preferred.
* Demonstrated experience as a strategist. Be able to set priorities, establish clear (and high) expectations and execute identified strategies.
As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. We are looking for passionate, qualified team members who can help make a difference in our agency and, most importantly, in our community.
Additional information about the Lake County Health Department, our culture, and why you should join our team can be found at **********************************************************
Currently, you must reside in Illinois or Wisconsin to work for the Lake County Health Department. Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.
The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.
Director of Health and Wellness
Medical director job in Burlington, WI
Job Description
About LakeHouse Senior Living:
LakeHouse Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in Indiana, Illinois, Wisconsin, Pennsylvania, Ohio and Michigan. Our company, which was built on our “Pillars of Excellence,” employs thousands of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent care for our residents.
Position Summary:
Responsible for providing overall leadership and management of the health and well being of the residents within the community.
Essential Duties and Responsibilities:
The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.
Ensures that community follows all federal, state, local laws and regulations as it pertains to clinical care.
Responsible for collecting, analyzing, and reporting occurrence trends, and if necessary, develop/implement improvement plans.
Partners with Administrator and other team members to analyze and maintain all resident and team member health safety.
Partners with pharmacy consultant to provide optimal pharmaceutical services to residents.
Responsible for clinical expertise of licensed nurses.
Assists with educational presentations as assigned by administrator.
Identifies ongoing needs and services of residents through the assessment/ Service Plan process including documentation for residents with a change in health care status.
Responsible for overseeing the completion of the monthly updates and reporting any pertinent changes to the responsible party.
Partners with other department coordinators to identify, review, and discuss potential change in service/medication levels if applicable.
Ensures the resident's service plan is updated as indicated by state regulations.
Participates in community awareness activities and community relations.
Maintains communications with resident's family and/or responsible party regarding changes in care or health concerns.
Informs the Business Office of fee changes related to care needs, if applicable.
Schedules clinical staff on a monthly basis.
Ensures adequate clinical supplies are available.
Participates in a rotating on-call schedule.
Other duties as assigned.
Supervisory Responsibilities:
Provides supervision to LPNs and Certified Nursing Assistants and others as assigned to assure delivery of consistently high quality care to residents. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Educational Requirements and Experience:
Registered Nurse or Licensed Practical Nurse in good standing; Registered Nurse preferred
One (1) year in a nursing leadership role; Senior Living experience preferred.
BSL Certification
Knowledge, Skills, and Abilities:
Language Ability:
Mathematical Skills:
Cognitive Demands:
Computer Skills:
Proficiency in computer skills, Microsoft Office and ability to learn new applications.
Competencies:
Must demonstrate an interest in working with a senior population.
Ability to communicate effectively speaking the primary language of the residents.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Interacts with guests, residents and staff in a courteous and friendly manner.
Responds promptly to resident needs.
Environmental Adaptability:
Works primarily indoors in a climate controlled setting.
Team Members may be exposed to blood and/or body fluids with potential exposure to hazardous materials and infectious diseases.
Possible exposure to unpleasant odors.
Possible exposure to chemicals as identified in the MSDS Manual.
Physical Requirements:
The physical demands described below are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the Team Member is regularly required to stand and walk. The Team Member is frequently required to use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The Team Member is occasionally required to stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 50 pounds independently and up to 100 pounds with assistance of a second employee and/or mechanical devices. Must be able to push up to 350 lb. (wheelchair). Specific vision abilities required by this job include close vision and distance vision.
Thank you for your interest in Discovery Senior Living careers. If you have any questions about the position you are applying for, please contact the community directly.
No agencies, please. We do not accept any unsolicited resumes from agencies under any circumstances. We receive inquiries from agencies daily. Agencies should not direct any inquiries or emails to hiring managers. Thank you.
EOE D/V
Clinic Director - Occupational Therapist - Sign on Bonus
Medical director job in Mount Pleasant, WI
Full-time Description
CLINIC DIRECTOR
Mission Statement: Tender Touch Therapy provides high quality pediatric physical, occupational, and speech language therapy services. As a comprehensive team, we implement creative and effective treatment strategies in order to maximize functional independence and achieve patient-specific goals. We will advocate on behalf of each child and their family to enhance well-being and improve lifelong wellness.
Purpose: Empowering children to change their world one ability at a time.
Licensed: Must be licensed in Physical Therapy, Occupational Therapy or Speech Language Pathology
Hours: 30+ hours a week, Full Time
Sign on bonus available!
Sub-products:
· Manage onsite Clinic Aide
· Training & Onboarding
· Physical building needs, appearance and maintenance communicated to COO
· Hiring and Staff oversight
· Clinic finances
· Facilitating Effective Communication
· Monitor clinic stats
· Oversight of Leads by location
· Marketing
· Assessing performance of onsite staff (admin, clinical, rehab aid)
· Compliance Oversight
· Team Building
REQUIREMENTS:
· 60% treatment time, 40% admin time
· Attend Manager meetings
· Lead weekly Lead meeting
· Attend weekly RD meeting
· Doc time based on treatment hours
SKILLS, RESPONSIBILITIES, DUTIES:
· Effective and efficient problem solver, investigating further when needed
· Ability to start and foster relationships
· Good organizational skills
· Demonstrates appropriate behavioral management techniques
· Good communication skills - oral, written, interpersonal - to meet the needs of others
· Seek and offer mentorship opportunities
· Maintains up to date knowledge of clinic announcements
· Mutual respect for coworkers and clients
· Exhibits responsibility and professionalism at all times
· Desire to learn and advance skill set
· Ability to empower others
· Supportive to therapy team and company vision
Physician Medical Director
Medical director job in Waukesha, WI
Bonus Potential! Monthly and Quarterly Bonus Incentives!
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! Concentra is seeking a Physician Medical Director to join our team in Waukesha, WI!
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.
Hours: Mon-Fri 8am-5pm
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
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
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, including disability/veteran
#LI-MG1
Auto-ApplyMedical Director-Dermatology Appeals
Medical director job in Waukesha, WI
**Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
**How you will make an impact:**
+ Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers.
+ Provide guidance for clinical operational aspects of a program.
+ May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
+ Serve as a resource and consultant to other areas of the company.
+ May be required to represent the company to external entities and/or serve on internal and/or external committees.
+ May chair company committees.
+ Interpret medical policies and clinical guidelines.
+ May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
+ Identify and develop opportunities for innovation to increase effectiveness and quality.
+ Work independently with oversight from immediate manager.
+ May be responsible for an entire clinical program and/or independently perform clinical reviews.
**Minimum Qualifications**
+ Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
+ Board certification in Dermatology.
+ Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
+ Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
+ Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency.
+ For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Medical Director Job Near Milwaukee, WI
Medical director job in Milwaukee, WI
Job DescriptionWell-established managed care clinic seeks an experienced physician to serve as Medical Director. Group will consider either an FP or IM trained physician. Practice is committed to helping seniors lead healthier, happier lives through superior medical care. This role blends clinical care with leadership responsibilities including setting a strong example for delivering high-quality primary care, mentoring & leading the primary care team. Position may also involve maintaining a small clinical practice to stay closely connected to patient care. Compensation includes generous salary, stipend, incentives, benefits, CME/vaca/relo, retirement, malpractice & much more. Enjoy easy access to Milwaukee WI and nearby cities.
For more details on this position & others we have, email us at ************************** or call ************.
Easy ApplyMedical Director-Cardiology Appeals
Medical director job in Waukesha, WI
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.
Auto-ApplyMedical Director-Dermatology Appeals
Medical director job in Waukesha, WI
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Medical Director-Dermatology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
How you will make an impact:
* Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers.
* Provide guidance for clinical operational aspects of a program.
* May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
* Serve as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees.
* May chair company committees.
* Interpret medical policies and clinical guidelines.
* May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identify and develop opportunities for innovation to increase effectiveness and quality.
* Work independently with oversight from immediate manager.
* May be responsible for an entire clinical program and/or independently perform clinical reviews.
Minimum Qualifications
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Board certification in Dermatology.
* Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
* Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency.
* For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
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.
Medical Director-Dermatology Appeals
Medical director job in Waukesha, WI
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Medical Director-Dermatology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
How you will make an impact:
* Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers.
* Provide guidance for clinical operational aspects of a program.
* May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
* Serve as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees.
* May chair company committees.
* Interpret medical policies and clinical guidelines.
* May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identify and develop opportunities for innovation to increase effectiveness and quality.
* Work independently with oversight from immediate manager.
* May be responsible for an entire clinical program and/or independently perform clinical reviews.
Minimum Qualifications
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Board certification in Dermatology.
* Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
* Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency.
* For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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