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Keywords: Clinical Programs Director (Remote - US), Location: USA

Page: 13

Medical Director - Medical Claims Review - Remote

for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff... and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates...

Company: CPS Solutions
Location: Minneapolis, MN
Posted Date: 26 Sep 2025

Senior Director AI/ML Engineering - Remote

We are seeking a dynamic and visionary Sr Director of AI/ML Engineering to lead the development and execution of a transformative...-on involvement in designing and deploying advanced AI and machine learning solutions that drive clinical and operational excellence...

Company: CPS Solutions
Location: Bellevue, WA
Posted Date: 25 Sep 2025

Medical Director, Utilization Management Physician - WellMed - Remote

Medical Director for Utilization Management will support WellMed Medical Management, Inc. by making utilization management... improvements to WellMed Medical Management's utilization management program. At Optum, you'll have the clinical resources, data...

Company: CPS Solutions
Location: San Antonio, TX
Posted Date: 25 Sep 2025

Senior Director AI/ML Engineering - Remote

We are seeking a dynamic and visionary Sr Director of AI/ML Engineering to lead the development and execution of a transformative...-on involvement in designing and deploying advanced AI and machine learning solutions that drive clinical and operational excellence...

Company: CPS Solutions
Location: Bellevue, WA
Posted Date: 25 Sep 2025

Medical Director, Utilization Management Physician - WellMed - Remote

Medical Director for Utilization Management will support WellMed Medical Management, Inc. by making utilization management... improvements to WellMed Medical Management's utilization management program. At Optum, you'll have the clinical resources, data...

Location: San Antonio, TX
Posted Date: 24 Sep 2025

Medical Director - Prior Authorization - Remote

our national network Ensure the right service is provided at the right time for each member Work with medical director teams... focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review...

Company: CPS Solutions
Location: Las Vegas, NV
Posted Date: 19 Sep 2025

Medical Director - Prior Authorization - Remote

our national network Ensure the right service is provided at the right time for each member Work with medical director teams... focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review...

Company: CPS Solutions
Location: Las Vegas, NV
Posted Date: 19 Sep 2025

Executive Director, ExpMED Oncology Targeted Therapy (Remote)

and has overall medical strategic responsibility for Experimental Medicine Oncology / Early Clinical Development Immunotherapy... work, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer...

Posted Date: 19 Sep 2025

Executive Director, ExpMED Oncology Immunotherapy (Remote)

and has overall medical strategic responsibility for Experimental Medicine Oncology / Early Clinical Development Immunotherapy... work, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer...

Posted Date: 19 Sep 2025

Plan Pharmacy Director - Remote in KS Only

. Growing together. The Plan Pharmacy Director serves as the primary point of contact and is accountable to the Kansas... Plan Pharmacy Director is a dedicated resource and key staff of the Kansas Health Plan; that is accountable for setting the...

Company: CPS Solutions
Location: Overland Park, KS
Posted Date: 16 Sep 2025
Salary: $110200 - 188800 per year

Plan Pharmacy Director - Remote in KS Only

. Growing together. The Plan Pharmacy Director serves as the primary point of contact and is accountable to the Kansas... Plan Pharmacy Director is a dedicated resource and key staff of the Kansas Health Plan; that is accountable for setting the...

Company: CPS Solutions
Location: Overland Park, KS
Posted Date: 15 Sep 2025
Salary: $110200 - 188800 per year

Sr. Executive Director, West Region (Behavioral Health) - Remote in CA

, including state/regulatory agencies, providers, advocacy organizations and other key stakeholders. The Executive Director... must coordinate with all functional areas of shared services partners, including but not limited to clinical operations, quality...

Company: CPS Solutions
Location: San Francisco, CA
Posted Date: 13 Sep 2025
Salary: $132200 - 226600 per year

Sr. Executive Director, West Region (Behavioral Health) - Remote in CA

, including state/regulatory agencies, providers, advocacy organizations and other key stakeholders. The Executive Director... must coordinate with all functional areas of shared services partners, including but not limited to clinical operations, quality...

Company: CPS Solutions
Location: San Francisco, CA
Posted Date: 13 Sep 2025
Salary: $132200 - 226600 per year

Associate Director, PDL Strategy - Remote

. Growing together. The Associate Director, PDL Strategy will drive development of the Prescription Drug Lists (PDLs... in conjunction with clinical, operations and medical teams to align and implement strategies. Develop and obtain discounts...

Company: CPS Solutions
Location: Minnetonka, MN
Posted Date: 12 Sep 2025
Salary: $110200 - 188800 per year

Medical Director - Multiple Openings/REMOTE

Summary of Position Manage the daily clinical operation and administration of a Medical Management Department... or function to support improved utilization results across the spectrum of medical specialties. Provide clinical leadership...

Company: EmblemHealth
Location: New York City, NY
Posted Date: 07 Sep 2025

Associate Director, PDL Strategy - Remote

. Growing together. The Associate Director, PDL Strategy will drive development of the Prescription Drug Lists (PDLs... in conjunction with clinical, operations and medical teams to align and implement strategies. Develop and obtain discounts...

Company: CPS Solutions
Location: Minnetonka, MN
Posted Date: 04 Sep 2025
Salary: $110200 - 188800 per year

Appeals and Grievances Medical Director - PM&R Physician - Virtual - Remote

challenges. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review... to benefit design and coverage and the application of clinical criteria of medical policies Perform Department of Insurance...

Company: CPS Solutions
Location: Cypress, CA
Posted Date: 30 Aug 2025

Medical Director - Otolaryngology - Remote

of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services... as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Clinical Advocacy...

Company: CPS Solutions
Location: Tuscaloosa, AL
Posted Date: 29 Aug 2025

Appeals and Grievances Medical Director - PM&R Physician - Virtual - Remote

challenges. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review... to benefit design and coverage and the application of clinical criteria of medical policies Perform Department of Insurance...

Company: CPS Solutions
Location: Cypress, CA
Posted Date: 29 Aug 2025

Medical Director (Texas Remote)

: Position Objective: The Medical Director is a strategic role and is responsible for leading and supporting provider teams... ensuring the delivery of high-quality healthcare services and driving the clinical direction of Better Health Group. The...

Location: Dallas, TX
Posted Date: 29 Aug 2025