Find your dream job now!

Click on Location links to filter by Job Title & Location.
Click on Company links to filter by Company & Location.
For exact match, enclose search terms in "double quotes".

Keywords: Managed Medical Review Organization, Location: USA

Page: 5

Supervisor - Medical Lab - Colony Park North Lab

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.... Please review the following instructions prior to submitting your job application: Provide all of your employment history...

Posted Date: 15 Oct 2025

Chief Medical Officer

, budgeting, reimbursement and managed care, healthcare economics, medical practice management, human resources management... community. As a member of the Healthcare team, and lead by the Chief Executive Officer, the Chief Medical Officer is vital...

Posted Date: 05 Sep 2025

Chief Medical Officer

review and credentialing process, ensuring quality, safety, service and behavioral issues on the part of the medical staff... between administration, entity medical staff and CJMC. Participates in professional organizations and represents the medical center...

Posted Date: 04 Sep 2025

Medical Staff Services Analyst - Lead

, implementation of corrective actions, and continuous monitoring of peer review Manages the medical staff initial and re-appointment...Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center...

Posted Date: 26 Jul 2025

Medical Mgmt Specialist I

Anticipated End Date: 2025-10-27 Position Title: Medical Mgmt Specialist I Job Description: The Elevance Health... Companies, Inc. Medical Management Specialist I Location: This role requires associates to be in-office [1] days per week...

Company: Elevance Health
Location: Lake Success, NY
Posted Date: 22 Oct 2025

Part-time Behavioral Health Medical Director - Ohio

of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities... pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical...

Company: Centene
Location: Ohio
Posted Date: 22 Oct 2025

Medical Assistant - Community Health Worker

, we are Better Together. As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental... above and beyond. If that sounds like an organization you want to be a part of, we would love to have you. ROLE OVERVIEW and PURPOSE...

Posted Date: 21 Oct 2025
Salary: $24.95 - 34.95 per hour

Utilization Management / Medical Management Nurse CA

. Rotating Weekends and holidays. The Medical Management Nurse is responsible for review of the most complex or challenging... experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination...

Company: Elevance Health
Location: Woodland Hills, CA
Posted Date: 21 Oct 2025

Medical Assistant II - Referral Tracking

As a member of the clinical support care team, the Medical Assistant - Referral Tracking obtains authorization.... Ensures that NEVHC receives proper consultative documentation back to Provider to review and to follow up on recommendations...

Posted Date: 21 Oct 2025

Sr Medical Director – Utilization Management (Remote eligible w/ some travel)

, affordability and experience. d. Responsible to perform oversight of independent review organization appeals and ensure... by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization...

Company: Wellmark
Location: Des Moines, IA
Posted Date: 19 Oct 2025

Utilization Management Medical Director - CA Licensed

, concurrent review, and retrospective review requests to determine medical necessity and appropriateness of services. Collaborate...Company Description: Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end...

Location: USA
Posted Date: 19 Oct 2025

Medical Director, Medical Affairs

dissemination of clinical and scientific information aligned with the organization’s strategic objectives. As a Medical Director...Regeneron seeks a dedicated Medical Director, Global Medical Affairs for FOP and Rare Diseases in CVM...

Location: USA
Posted Date: 19 Oct 2025

Medical Director

in medical management in a managed care setting Preferred/Desirable: Certification or Conditions of Employment: Pre... history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Medical...

Posted Date: 18 Oct 2025

Medical Management Nurse (US)

in different states; therefore, Multi-State Licensure will be required. The Medical Management Nurse is responsible for review... experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination...

Company: Elevance Health
Location: Atlanta, GA
Posted Date: 18 Oct 2025
Salary: $82152 - 134964 per year

Senior Director, Medical and Scientific Affairs Lead, mRNA Vaccines, non-MD

will support all aspects related to mRNA Vaccines Serve as a US advocate for the vaccine’s medical organization and champions...ROLE SUMMARY As the US Senior Medical Director, mRNA Vaccines, the incumbent will be responsible for supporting...

Company: Pfizer
Location: USA
Posted Date: 18 Oct 2025

Medical Director Utilization Management

and providers. Serves as medical advisor and manager for all clinically related activities. Ensures that the organization...Role Overview: The Medical Director, Utilization Management, provides organizational leadership in the operational...

Posted Date: 18 Oct 2025

Behavioral Health Medical Director- Psychiatrist- NJ Medicaid (Part-time)

Anticipated End Date: 2025-11-07 Position Title: Behavioral Health Medical Director- Psychiatrist- NJ Medicaid (Part...-time) Job Description: Behavioral Health Medical Director- Psychiatrist- NJ Medicaid Location: The...

Company: Elevance Health
Location: Iselin, NJ
Posted Date: 18 Oct 2025

Senior Director, Medical and Scientific Affairs Lead, mRNA Vaccines, MD

will support all aspects related to mRNA Vaccines Serve as a US advocate for the vaccine’s medical organization and champions...ROLE SUMMARY As the US Senior Medical Director, mRNA Vaccines, the incumbent will be responsible for supporting...

Company: Pfizer
Location: USA
Posted Date: 18 Oct 2025

Chief Medical Officer-St. Elizabeth & Calumet

if you have minor medical issues. Provide the overall clinical vision for the organization and oversee clinical activities and quality... Review Peer Review and Credentialing Growth and Strategic Planning Population Health Managed Care Oversees the...

Company: Ascension
Location: Appleton, WI
Posted Date: 18 Oct 2025

Medical Mgmt Specialist I

Anticipated End Date: 2025-10-22 Position Title: Medical Mgmt Specialist I Job Description: Medical Management... Medical Management Specialist I is responsible for providing non-clinical support to the Medical Management and/or Operations...

Company: Elevance Health
Location: Latham, NY
Posted Date: 17 Oct 2025