Medical Director

• Provide direct leadership for various IT clinical domains.
• Serve as primary IT lead for EMR planning and execution.
• Collaborate closely with implementation partners and QHC leadership.
• Act as key liaison with governance teams ensuring effective EMR implementation.

Director of Ancillary, Clinical Systems

• Provide physician leadership in the development, implementation, and ongoing evaluation of evidence-based clinical guidelines, medical policies, and utilization management protocols to support high-quality, clinically appropriate decision-making.
• Ensure clinical programs, utilization review activities, and medical management processes align with current standards of care, evidence-based medicine, accreditation requirements, and applicable federal and state regulations.
• Serve as the clinical authority for complex, high-risk, or escalated utilization review cases by providing medical expertise, benefit interpretation, and final medical necessity determinations as appropriate.
• Promote consistency, accuracy, and defensibility in medical decision-making by applying sound clinical judgment and established medical necessity criteria across all review activities.
• Collaborate with Clinical Operations, Compliance, Legal, and executive leadership to develop, review, and revise clinical and administrative policies, medical necessity guidelines, and benefit interpretation criteria.
• Monitor changes in clinical practice guidelines, healthcare regulations, payer requirements, and industry best practices, recommending updates to organizational policies and review processes as necessary.
• Provide physician oversight for quality and performance initiatives by reviewing medical management outcomes, analyzing quality metrics, and participating in quarterly Quality Committee meetings and reporting.
• Participate in internal audits, accreditation activities, regulatory reviews, and quality improvement initiatives to ensure compliance with organizational standards and continuous operational excellence.
• Partner with operational leadership to ensure clinical standards are effectively integrated into utilization review workflows, promoting efficient, evidence-based, and member-focused medical management.
• Provide clinical consultation and recommendations regarding post-service medical necessity determinations, appeals, and other medically complex cases requiring physician review.
• Serve as a trusted clinical resource and advisor to physicians, nurses, utilization review staff, and cross-functional business partners by providing education, guidance, and consultation on medical policy and clinical best practices.
• Participate in interdisciplinary committees, physician advisory groups, and organizational meetings to provide clinical insight and support strategic initiatives.
• Foster collaborative relationships with internal and external stakeholders to promote quality outcomes, regulatory compliance, and continuous improvement across medical management programs.
• Perform other duties as assigned.

Medical Director – Part Time

• Provide leadership, strategic direction, and operational management of a 6-person MSL team
• Maintain an active field presence as the primary MSL for a small, dedicated territory
• Ensure the team is adequately staffed, trained, and clear on expectations
• Accountable for MSL stakeholder engagement plans focusing on scientific needs
• Execute MSL activities and ensure high-quality engagements with external experts
• Establish a productive work environment with trust and respect within the team
• Conduct co-rides, 1:1s for coaching and feedback to direct reports
• Manage performance of the MSL team aligning activities with Brand and Medical strategies

Director, Medical Science Liaison – Plastics & Regenerative Medicine

• Develop and own the clinical roadmap
• Define the end-to-end evidence generation strategy from early feasibility studies through to successful reimbursement decisions
• Integrate regulatory and reimbursement requirements into study design to ensure clinical data supports both approval and coverage
• Partner with leadership to align the clinical roadmap with company strategy, financing milestones, and product development timelines
• Oversee clinical development projects and grants
• Provide oversight of active clinical studies, ensuring programs are delivered on time, on budget, and to protocol
• Identify, secure, and manage non-dilutive funding sources, including federal grants and foundation support for evidence development (clinical and preclinical) programs
• Oversee grant-funded programs end-to-end, including reporting, milestone tracking, and renewals
• Represent the company externally and build the scientific community
• Represent the company at scientific and medical meetings, presenting data and shaping the clinical narrative for our platform
• Build and maintain peer-level relationships with key opinion leaders in psychiatry, neuromodulation, and related fields
• Establish and manage external research partnerships with academic investigators and clinical collaborators

Director of Clinical Science – Applied Research

• Lead a goal-oriented hospital housekeeping department to create a team environment that is effective, productive, and rewarding
• Provide leadership that supports a team environment that fosters morale, passion, quality, and respect
• Demonstrate continuous ability to maintain and/or improve customer and patient satisfaction
• Lead and manage team member recruiting, training, development, and assignments
• Perform daily inspections and assessments and coach and counsel team members
• Collaborate with department, facility, and company leadership to achieve goals
• Analyze data and make adjustments to meet facility, budget, and compliance goals
• Execute, maintain, and monitor quality control systems and budgets
• Drive compliance with health, safety, and industry regulatory agencies

Healthcare Housekeeping Executive Director

• Lead execution of prioritized account strategies through coaching, inspection, and development of a team of Associate Directors, ensuring focused action against implementation barriers and measurable customer outcomes.
• Partner with key customer stakeholders to accelerate implementation readiness, optimize operational processes, and support sustainable adoption of long-acting injectable therapies.
• Prioritize and customize regional investments/resources (People and Implementation Solutions) in a manner which optimizes post prescribing growth of the local market based upon identified opportunities as a result of evolving business environment.
• Establish and lead cohesive and comprehensive Patient Access and Affordability Strategy based on key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in assigned geography and provide leadership support for case escalations to deliver an exceptional implementation experience.

Field Reimbursement Director, Central Region

• Serve as a senior clinical leader and addiction medicine subject matter expert across the organization.
• Partner with Clinical Services leadership to strengthen clinical quality, consistency, and patient safety across Boulder’s care delivery model.
• Lead routine review and refinement of clinical protocols, formulary standards, and evidence-based practice guidelines.
• Support quality assurance activities, chart review processes, and clinical audits to identify opportunities for improvement.
• Provide consultation and guidance on complex clinical cases and emerging clinical issues.
• Ensure Boulder’s clinical standards remain aligned with current evidence, regulatory requirements, and payer expectations.
• Partner with Clinical Services leadership to strengthen clinical leadership capabilities across the organization.
• Provide mentorship, coaching, and support to clinical leaders and clinicians navigating complex clinical and operational challenges.
• Help establish and reinforce standards of clinical excellence, professional growth, and evidence-based practice.
• Contribute physician leadership and oversight to clinician education, onboarding standards, and ongoing clinical development programs.
• Support the development of systems that promote accountability, consistency, and continuous improvement across the clinical organization.
• Translate quality findings, operational priorities, and emerging evidence into scalable clinical workflows and care delivery standards.
• Identify gaps in clinical processes, policies, and infrastructure and partner across teams to implement solutions.
• Support implementation of new clinical initiatives and ensure clinical best practices are operationally viable and consistently applied.
• Drive adoption of new clinical workflows, protocols, and care models across a distributed clinical workforce.
• Partner with Medical Affairs and Clinical Services leadership to evaluate and support expansion into new service lines and care models.
• Assess clinical readiness, staffing considerations, protocol requirements, and quality implications for new programs.
• Ensure new services are designed with appropriate clinical governance, quality standards, and outcome measurement strategies.
• Contribute clinical expertise to Boulder’s long-term vision of comprehensive substance use disorder care.
• Serve as a clinical liaison to Product, Operations, Analytics, and other cross-functional teams.
• Translate clinical priorities into product requirements, workflows, and operational processes.
• Provide clinical input on care delivery technology, clinical decision support tools, AI-enabled workflows, and platform enhancements.
• Ensure operational and product changes are evaluated through the lens of patient safety, clinician experience, clinical effectiveness, and quality.

Medical Director – Addiction Medicine, Telehealth

• Oversee the performance and growth of Customer Service, Prescription Processing, Client-specific teams, managing both internal staff and external vendors
• Lead operational excellence across central fill pharmacy networks and courier delivery operations
• Lead your team with Key Performance Indicators (KPIs) to drive business success and increase efficiency while lowering the cost-to-fill on an annual basis
• Manage quality, turnaround time (TAT), and customer satisfaction metrics to ensure FuzeRx remains the preferred infrastructure partner for telehealth and pharma partners
• Establish requirements for capabilities and reporting, collaborating cross-functionally to deliver data-driven insights
• Analyze data to forecast staffing needs based on program performance, optimizing resource allocation across multiple roles
• Lead a large team of managers, supervisors and team members, establishing an environment of positive employee engagement and experience

Director, Rx Clinical Operations

• Define and execute Medicaid risk adjustment strategy across markets and plans
• Lead and deliver high-impact strategic initiatives that improve revenue accuracy, compliance, and overall performance
• Align risk adjustment programs with state Medicaid models (e.g., CDPS, CRG, or state-specific methodologies)
• Represent risk adjustment Medicaid informatics in executive forums
• Oversee health plan performance using advanced analytics and use proactive data insights to drive strategies and evidence-based decision-making
• Lead development of scalable data pipelines and reporting frameworks using claims, encounters, pharmacy, and clinical data
• Ensure accuracy, integrity and completeness of Medicaid encounter submissions and data
• Establish and oversee processes to ensure accuracy, completeness, and integrity of risk capture
• Direct suspecting logic development, gap identification, and prioritization strategies for operational programs and interventions
• Lead and develop a high-performing, multidisciplinary team spanning informatics, risk analytics, reporting, and operational program support

Lead Director, Healthcare Medicaid Risk Adjustment Analytics

• support care management, quality, utilization management, credentialing, pharmacy, health policy implementation, technology assessment and risk management activities
• Completes care management case review for cases involving medical necessity review
• Completes appeal case review for cases involving medical necessity review
• Partners to establish priorities as appropriate for improving service at the point of care
• Completes quality of care complaint reviews for cases involving clinical aspects or clinical/service aspects
• Participates in rotation to above Committee Participation

Medical Director – Clinical Ops Case Review

• support the development and implementation of strategic engagement plans to establish and maintain relationships with KOLs, surgeons, operating room staff, and relevant medical societies in the cardiac ablation field
• act as a scientific authority in cardiac electrophysiology, providing medical and scientific education to internal and external stakeholders
• collaborate with cross-functional teams, including Product Management, Clinical Affairs, Marketing, Scientific Affairs, and Research & Development, to provide scientific input and insights
• communicate & streamline complex scientific information effectively to healthcare professionals, ensuring a clear understanding of the benefits and clinical utility of our cardiac ablation and diagnostic platforms
• stay up to date with the latest scientific research, medical publications, and emerging trends in cardiac electrophysiology and appendage closure to provide up-to-date insights and guidance to internal and external stakeholders
• lead the preparation of materials needed to deliver presentations on the science supporting the portfolio and participate in scientific symposia, conferences, and educational programs to enhance awareness and understanding of the platforms
• support clinical studies and research initiatives by providing scientific and technical expertise and maintaining open lines of communication to the external KOLs and authors
• provide training and education to internal teams, including Sales and Marketing, to ensure a deep understanding of scientific message
• organize, analyze, and review/report on customer, scientific, and market information on pre-launch and marketed products
• develop educational materials and support programs for personnel
• discuss Investigator Initiated and Collaborative study concepts with clinicians

Associate Director, Medical Science Liaison, Cardiac Electrophysiology

• Elevating Patient Care: Monitoring doctor interactions and medicine protocols to ensure the highest standards of care.
• Developing Our Teams: Mentoring and coaching staff, fostering a positive and collaborative work environment.
• Resolving Challenges: Assisting in the resolution of staff and/or client conflicts, promoting effective communication and problem-solving.
• Driving Operational Excellence: Collaborating with the leadership team (Regional Directors, Practice Managers, Veterinarians, etc.) to support staff and optimize business operations.
• Ensuring Compliance: Maintaining operational and medical execution consistent with company policies and procedures, including tracking package utilization, responding to client and staff concerns, monitoring discounts, and ensuring compliance.
• Growth & Performance: Taking ownership of preserving transaction rates and pet count, contributing to the overall success of the region.
• Mentorship & Support: Providing guidance and support to new graduate veterinarians, helping them thrive in their careers.

Regional Medical Director

• Set strategic direction and lead large clinical trials/data collection efforts
• Manage clinical research and operations including design and initiation of clinical trials to optimize tactical and clinical value through global site selection and data portability
• Manage clinical research team to accomplish set goals
• Responsible for defining clinical research strategy including the management, oversight and dissemination of clinical studies and research data collection efforts across Hanger Clinic
• Develop and aid in submission of federal grants to support continued research efforts
• Aid in the development and implementation of Clinical Practice Guidelines
• Author and/or work with others to develop publications based on the results of the clinical trials
• Provide updates and status reports to senior management on a regular basis
• Manage the operational, analytical, fiscal and logistical tasks associated with our clinical research activities in alignment with our business strategy
• Develop and maintain professional relationships with academic and community-based physicians, clinicians and payers to assure alignment of strategy and outputs
• Manage staff and outside partners/service providers
• Represent the company at major annual conferences

Director of Clinical Research

• Work within the Medical Affairs organization to identify, establish, and manage collaborative professional relationships with community-based scientific leaders (SLs) and healthcare providers.
• Conduct peer-level scientific discussions and maintain a reliable presence to ensure SLs have a Medical Affairs contact within our company.
• Engage in proactive non-product discussions regarding scientific issues to understand real-world prevention gaps, persistent disparities, and barriers to uptake across care settings
• Facilitate appropriate scientific exchange of information with SLs, including integration of scientific knowledge with actionable insights to inform our Company's research, development and strategies.
• Communicate external stakeholder opinions, insights, and feedback on new data, clinical trends, and the evolving HIV treatment and prevention landscape to Medical Affairs HQ teams.
• Represent R&D at scientific meetings and congresses to understand the sentiment of the consumer and contribute to R&D debriefs, insight discussions, and post-congress reports.
• Develop and execute territory plans in alignment with global Virology strategy.
• Support data generation activities when requested by R&D leadership, including our company's Investigator Study Program (MISP).
• Identify potential investigators for participation in phase II-IV clinical development programs and provide scientific support for R&D sponsored trials as needed.
• Demonstrate and maintain in-depth knowledge of the assigned disease and therapeutic area(s) through educational efforts.
• Fully comply with all company policies and applicable laws, regulations, and ethical standards.

Regional Medical Scientific Associate Director – Virology, HIV

• Provides medical oversight of assigned clinical studies in the duty as a medical monitor
• Often serves as primary medical contact for customers for assigned clinical studies
• Provides medical input and oversight in support of the Drug Safety and Pharmacovigilance department
• Responsible for protocol design and development, upon request
• Provides input into protocol amendments
• Develops and delivers project-specific and therapeutic training to project team members and clinical site staff; provides training to customer staff as needed
• Provides oversight to assigned Medical Scientist staff and Medical Director colleagues to review clinical data
• Presents identified trends and issues, and mitigation strategies, to customers and project team members to minimize risks to subject safety or integrity of study data
• Represents the Company at scientific and industry meetings
• Mentors staff to ensure an appropriate level of understanding regarding sound treatment and research principles of specific therapeutic area

Senior Director – Medical Monitor, Immunology/Rheumatology

• Provide leadership, strategic direction, and management of an MSL team to support the company’s mission of advancing precision medicine
• Ensure the team is adequately staffed, trained and clear on the expectations of their role in the execution of their medical plan
• Develop and execute strategies to engage with key opinion leaders (KOLs), healthcare professionals, and other stakeholders within their area
• Lead, mentor, and manage a team of MSLs to ensure effective communication and collaboration with healthcare professionals and KOLs
• Develop and implement strategic plans to support the dissemination of scientific information and data related to Tempus’ products and services
• Establish and maintain relationships with KOLs, healthcare professionals, and other stakeholders to support clinical and scientific objectives
• Oversee the development and delivery of scientific presentations, publications, and other educational materials
• Collaborate with cross-functional teams, including clinical development, marketing, and sales, to support product launches and other initiatives
• Monitor and analyze industry trends, competitive intelligence, and scientific advancements to inform strategic planning
• Ensure compliance with all regulatory and legal requirements in the dissemination of scientific information
• Represent Tempus at scientific conferences, meetings, and other events

Associate Director, Medical Science Liaison

• Expand Assured Imaging Capital’s market presence through new business acquisition.
• Maintain a strong in-market presence through regular in-person meetings and site visits.
• Build long-term relationships with executive, clinical, and operational stakeholders.
• Manage the full sales cycle from prospecting through contract execution.
• Collaborate with cross-functional teams to design and present tailored imaging solutions.
• Track all sales and business development activity in Salesforce and report on pipeline progress.

Director of Sales – Mobile Medical Coaches, Imaging Equipment

• Manages the day-to-day healthcare operations of the community to ensure resident’s healthcare needs are met
• Ensures residents are treated with respect and dignity and ensures quality care as resident’s healthcare needs change
• Supervises licensed nurses and other direct care staff within the community
• Strengthens clinical processes within community until a replacement is identified, then supports newly assigned Health and Wellness Director
• Travels within the division as assigned to support management vacancy, start up, vacations, etc.

Director of Clinical Services

• participate in the development, implementation, and evaluation of clinical / medical programs
• expand Aetna's medical management programs to address member needs across the continuum of care
• support the Medical Management staff ensuring timely and consistent responses to members and providers
• provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities
• act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams

Medical Director – Commercial

• Provides leadership of medical management activities in Aetna’s Northeast region (Maryland, New Jersey, New York, Pennsylvania, and Virginia)
• Lead a team of Medical Directors
• Collaborate with health plan chief medical officers
• Implement medical management programs/policies
• Direct the utilization review process and oversee the quality of utilization determinations

Medical Director jobs in Texas

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