Medical Director Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the medical director job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

  • Craft your perfect resume by picking job responsibilities written by professional recruiters

  • Pick from the thousands of curated job responsibilities used by the leading companies

  • Tailor your resume by selecting wording that best fits for each job you apply

FW
F Walter
Floy
Walter
159 Leopoldo Plain
New York
NY
+1 (555) 278 2426
159 Leopoldo Plain
New York
NY
Phone
p +1 (555) 278 2426
Experience Experience
11/2015 present
Philadelphia, PA
Associate Medical Director
Philadelphia, PA
Associate Medical Director
11/2015 present
Philadelphia, PA
Associate Medical Director
11/2015 present
  • Work with the Medical Director, conduct ongoing medical research, leading to next generation underwriting practices
  • Assist the Medical Directors in answering medical questions from management and work with Corporate Underwriting to create underwriting standards
  • Engage effectively cross-functionally, maximizing functional reporting relationships, and ensuring successful implementation of Alexion strategy
  • Provides medical monitoring support, including evaluation of safety, pharmacology and efficacy of ongoing and completed studies
  • To provide business development support by meeting with sponsors and assisting in feasibility activities
  • Responsibility for Medical aspects of assigned studies including medical monitoring
  • Participates in development of Medical and Scientific Services portion of client proposals including the budgeting process
03/2011 10/2015
Boston, MA
Medical Director
Boston, MA
Medical Director
03/2011 10/2015
Boston, MA
Medical Director
03/2011 10/2015
  • To assist in promoting the AHS Integrative Medicine center as a national model for the promotion of wellness and personal well-being through the delivery of holistic, integrative and lifestyle practices. Create a vibrant community, incorporating a wide range of therapies, philosophies and practices, provide unique healing and learning opportunities for healthcare consumers, re-orient and train care providers about wellness, establish new avenues for health research and improve the health of our population
  • The Medical Affairs Director will also work closely with the internal medical team, including Genetics medical directors, home office functions, and the field-based professional Medical Science Liaison (MSL) team. He/she will assist the MSL team with training, tactics and strategies. Additionally, he/she will review the material used by the medical team as part of the Medical Review Board (MRB)
  • Remains informed of current developments within pertinent medical and scientific communities through familiarity with current literature, attendance at meetings, conventions, professional associations, etc
  • Provides expert advice and recommendations to other CDPH programs, City agencies as well as to outside organizations, including delegate agencies, and providers regarding HIV and STI diagnosis, treatment and prevention; healthcare standards; healthcare service delivery models; clinical quality indicators; and healthcare financing. Makes presentations to healthcare providers working in medical centers, universities, and community-based organizations and assists in training activities for healthcare providers and the general public
  • Support and work with staff and Business Development to provide expertise and support in the development of new business with potential clients and in building and retaining relationships with current clients. Support will consist of but not be limited to participation in bid defences and capabilities meetings, establishing a relationship with client medical and scientific experts, identifying new areas of research and providing internal training of ICON personnel on emergent developments in clinical research
  • Offer real time consultations internally and externally; internal consulting for technical and scientific questions includes providing training to other team members; external consulting includes study protocol development, site support, radiology case review for equivocal efficacy evaluation, imaging analysis guidance, contrast usage, study read design and read criteria application
  • Provide medical review and support for case management and care coordination staff to ensure optimal care is rendered to our members according to the terms of the benefit members receive
04/2004 12/2010
Philadelphia, PA
Medical Director
Philadelphia, PA
Medical Director
04/2004 12/2010
Philadelphia, PA
Medical Director
04/2004 12/2010
  • Provides medical leadership 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 services. Supports effective implementation of performance improvement initiatives for capitated providers
  • Perform daily review of individual cases from concurrent review and prior authorization processes, including denial decisions for cases that do not meet established criteria
  • Developing guidelines for medical case management and repatriation
  • Providing intervention and expertise on medical case management
  • Identifies, develops and maintains close professional relationships with influential members/opinion leaders (physicians and researchers) within pertinent medical community. Fosters the establishment and maintenance of external scientific advisors and assists in advocacy development
  • Working with managed healthcare staff to develop/maintain measurement indicators
  • Acts to engage providers and facilities in improving the cost and quality of care delivered to our members and assures that our shared business relationships are maintained and improved
Education Education
Bachelor’s Degree in Medicine
Bachelor’s Degree in Medicine
The University of Texas at Austin
Bachelor’s Degree in Medicine
Skills Skills
  • Knowledge of applicable federal and local regulations and guidelines pertaining to clinical research including knowledge
  • Strong leadership skills with demonstrable ability to influence at all levels of the organisation as well as with external customers
  • Highly knowledgeable about the concepts and implementations of clinical redesign, physician practice behavior, and outcomes analysis
  • Strong understanding of clinical quality programs and FTC-sanctioned Clinical Integration
  • Professional comportment and appearance, with excellent interpersonal skills and a positive, friendly attitude
  • Strong leadership skills; able to create a dynamic environment that fosters transparency, collaboration and innovative thinking
  • Strong problem solving and negotiation skills; ability to influence and make recommendations at multiple levels of the company
  • Benefits Management: Interacting with Medical Professionals and Maximizing Healthcare Quality
  • Professional with ability to properly handle confidential information
  • Able to quickly analyze, comprehend and create written/verbal clinical and business communication and documentation
Create a Resume
1

Medical Director Resume Examples & Samples

  • Works with Branch President and Operations Manager in a multi-market region to set targets and standards for revenues, productivity, safety, costs, regulatory compliance, inventory control and purchasing
  • Keeps abreast of variances to budget and works to develop strategies to effectively address gaps
  • Monitors local emerging business opportunities and works with sales team to exploit and maximize them
  • Interacts with clients and participates in business development activities with sales staff
  • Learns about and develops an informed perspective on each department through a mixture of active involvement, routine meeting management and daily engagement
  • Provides ongoing coaching and feedback to employees while appropriately recognizing and rewarding high performers at all levels
  • Collaborates and complies with enterprise initiatives, ensuring the effective implementation of new or changing policies, practices, methods, applications, tools and other standardization initiatives in the local market
  • Maintains safe work practices in compliance with all applicable OSHA, EPA and other regulatory requirements
  • Creates an environment that ensures the highest standards in safety, quality, efficiency and other criteria essential to effective operations
  • Works with the branch leadership team to prepare annual branch budget
  • Performs other duties as required, under the direction of the Branch President
  • 5+ years of business experience in finance, operations, real estate & public affairs and/or sales & marketing
  • 2+ years in general management roles with P&L responsibility preferred
  • Ability to motivate teams to produce results in line with and ideally better than stated goals and objectives
  • Skilled at building high performance organizational cultures that continuously improve, embrace change and achieve/exceed performance standards
  • Ability to develop and deliver effective written and verbal communications
  • Knowledge of media and advertising industry, business cycles, key revenue and expense drivers
  • Ability to apply critical thinking, demonstrate managerial courage and effectively take unpopular positions, when necessary, to ensure business success
  • Ability to effectively hire, onboard, retain and develop talent in all levels of the organization
  • Bachelor’s degree in a relevant discipline
  • Reports to Branch President
  • Business Acumen:Knowledge of general business practices as well as knowledge of the organization’s functioning. An understanding of organizational culture and the ability to function effectively within its social structure
  • Decision Making:Making high quality decisions in a timely manner, usually with less data and analysis than might be desired
  • Developmental Leadership:Actively encouraging others to reach their highest level of effectiveness as individuals and as teams. Seeking out developmental opportunities for self and for others
  • Leading Change:Acting in a leadership position to envision the future of the organization and work towards achieving the desired future by setting goals, taking action, and effectively communicating with stakeholders. Holding self and others accountable for achieving the envisioned results despite challenge and adversity
  • Leading Others:Acting in a leadership position to achieve desired results by inspiring trust in others, providing clear direction, and effectively attracting and deploying talent
  • Results Focus:Taking a dynamic approach to work characterized by initiating decisions and actions. Concentrating on achieving the outcomes of a process or project while adhering to the overall strategy of the organization. Creating a culture of accountability and performance
2

Medical Director Resume Examples & Samples

  • Medical degree, either MD or DO
  • Proficiency in the design of medical education content
  • Familiarity with medical/legal/regulatory systems and processes
  • Highly organized, intrinsically motivated and a great team player
  • Working knowledge of PowerPoint
  • An effective oral and written communication skills
3

Medical Director Resume Examples & Samples

  • M.D. Degree and completion of a recognized residency program
  • Board Certification in specialty
  • Licensed and currently registered to practice medicine in New York State
  • Three years' progressive management experience in a managed health system
  • Master’s Degree in Public Health, Health Administration, or Business Administration, OR equivalent management experience
  • Able to develop provider education programs
  • Experience negotiating contracts
  • Proficiency in Microsoft Applications (Word, Excel, Outlook, PowerPoint)
  • Excellent oral and written communication skills $
  • Internal Medicine, Family Practice or Gerontology experience
  • Experience with Medicaid/Medicare managed care
4

Associate Medical Director Resume Examples & Samples

  • MD or DO, Board Certified in NY
  • 8+ years medical experience, including 5+ years of clinical experience
  • Managed care experience in UM/UR
5

Associate Medical Director Resume Examples & Samples

  • Work with the other members of the Medical Communications business unit management team to drive business to meet/exceed client expectations by providing scientific leadership in specific therapeutic categories
  • Support Scientific Services leadership in developing methods and offerings to best provide strategic consultancy to clients
  • Business Planning/commercial
  • Apply knowledge of the therapeutic use and strategic marketing of pharmaceuticals to account plans, strategic publication plans, strategic communication programs, proposals and pitches
  • Participate fully in briefing and brainstorming meetings
  • Provide scientific expertise to Business Development in the development of new business pitches and proposals
  • Project work
  • To write and manage delivery of scientific content for a range of medical communications that meet client needs, internal quality standards and timelines
  • Coordinate at an appropriate level with external parties such as clients and key opinion leaders (e.g. liaising with speakers in the preparation of briefing notes and slide presentations)
  • Organizational
  • In conjunction with the Scientific Services Director, to help develop writers within an account team to achieve their full potential
  • Assist in delivering editorial training in relevant therapy area/discipline
  • Contribute to or conduct (as appropriate) performance and learning & development reviews and develop and monitor progress of objectives with direct reports
  • To support team working principles within Medical Communications, account team and other departments and collaboration between business units by attending team and editorial meetings/tutorials
  • Any other duties as required by manager
6

Associate Medical Director Resume Examples & Samples

  • Assessment of notices of hearing to determine which cases should be selected for participation or party status
  • Interaction with the Centers for Medicare and Medicaid Services (CMS) on the determination of party status
  • Development of Medicare position papers and case files
  • Collaboration with other contractors on the manner of participation and coordination on position papers
  • Participation or party status at the Administrative Law Judge (ALJ) hearings to present facts of each claim under appeal, the relevant coverage policies and payment requirements, including any clarification required on decisions made earlier in the appeals process
  • Support of other Medical Policy activities unrelated to ALJ hearings as needed
7

Medical Director Resume Examples & Samples

  • BC MD/DO with an active unrestricted Florida license
  • Demonstrated clinical leadership with a Health Plan/Medical Group
  • Knowledge of Medicaid and Medicare programs
8

Medical Director Resume Examples & Samples

  • Board Certified MD/DO with a specialty in Family Medicine, Internal Medicine or Geriatric Medicine, with an active unrestricted license and the willingness to obtain additional licenses as requested
  • Knowledge of the managed care industry including Medicare and Medicaid
  • Experience leading medical groups
  • Experience in change management
  • Recent experience in a patient facing role in an environment of population health management and accountable care
  • Travel is 25%
9

Medical Director Resume Examples & Samples

  • Physician with board certification in internal medicine or subspecialty
  • 3 or more years of relevant clinical experience in the pharmaceutical industry
  • Experience with development and submission of Investigational New Drug Applications (INDs)
  • Medical/scientific writing experience
10

Medical Director Resume Examples & Samples

  • Attend standing meetings (board, committee, etc.)
  • Develop and manage a budget, including presenting monthly financial reports to practice staff with the support of administration
  • Monitor quality and appropriateness of medical care
  • Provide guidance and leadership for performance guidelines
  • Develop policies and procedures
  • Manage strategic development
  • Oversee clinical peer review, documentation, and care planning
  • Manage physician relations and/or representation
  • Handle clinical patient complaints
  • Address emergency issues
  • Support physician education
  • Manage community relations
  • Handle physician behavior and impairment issues
  • 5+ years of experience or specialized training in the Medical Care of people with Developmental Disabilities
  • 5+ years of Medical Management experience in a Nonprofit or Hospital setting
11

Medical Director Resume Examples & Samples

  • Work with the other members of the team to drive business to meet/exceed client expectations by providing scientific leadership in specific therapeutic categories
  • Write and manage delivery of scientific content for a range of medical communications that meet client needs, internal quality standards and timelines
  • Liaise with Scientific Services leadership on writers’ training needs and provide coaching as required
  • Attend conferences, scientific symposia, and advisory boards
  • Travel up to 20% of total work time
12

Medical Director Resume Examples & Samples

  • Board Certified MD/DO
  • Active, Unrestricted License
  • Proven success leading teams
  • Ability to manage multiple projects and priorities effectively
  • Role Desirables
13

Associate Medical Director Resume Examples & Samples

  • Work closely with physician Medical Directors to provide consultative services to life underwriters and management
  • Provide ongoing training to life underwriters through one-on-one discussions, electronic communications and live presentations
  • Assist the medical directors in updating the internal underwriting manual based on medical advances and competitive review
  • Research rare medical conditions and provide analysis of their effect on mortality
  • Assist the Medical Directors in answering medical questions from management and work with Corporate Underwriting to create underwriting standards
  • Maintain a comprehensive knowledge of medical literature though web searches, journal review and insurance industry meetings such as AAIM, MMDA, AHOU and ALU
  • Create and deliver medical presentations to insurance brokers and agents
  • Interpret normal and abnormal ECGs on as needed basis and as part of a medical review
  • RN (BSN or higher preferred) or Physician Assistant Degree
  • Minimum of 4 years clinical experience in patient contact (CCU, ICU, Recovery Room, Nurse Practitioner)
  • Strong knowledge of Cardiology, Oncology or Geriatrics as well as common medical conditions
  • A professional with leadership and critical thinking skills
  • Teaching and presentations skills
  • Ability to assess and summarize significant findings from a review of medical records
  • Ability to interpret EKG's
14

Medical Director Resume Examples & Samples

  • Claims experience
  • Certified Coder
  • Genetics background desirable
  • Previous experience in utilization management, claims review and Genetic Testing
  • Medical management experience, working in a health insurance organization
15

Medical Director Resume Examples & Samples

  • Assume primary responsibility for medical and specialty clinics and ancillary services and assure provision of high quality medical care through leadership and direct supervision of medical staff
  • Provide active and strategic leadership of clinical staff to ensure care is of the highest quality and students receive the services, programs, and intervention that serve the goals of University and ESHC, and which meet the needs of the campus community
  • Provide direct patient care, oversee primary and critical care delivery to ensure policies, protocols and procedures reflect best practices, and set a standard for clinical excellence
  • Work with the Executive Director in strategic planning and development of policies, programs, and services that further establish ESHC as a leader in student health
  • Interface with university constituents, department heads, medical providers, and support staff, as a member of the executive team
  • Develop an environment of teamwork, mentoring, and support, and encourage collaboration among clinical team/staff and other administrative and health specialties
  • Organize workflow, assign priorities for staff, oversee administrative and personnel functions, utilize technology, effectively manage departmental budget and finances to achieve desired outcomes in accord with mission and goals
  • Liaise with other university department and allied health and academic entities (medical school, city and county public health departments, Division of Student Affairs, etc.) on issues related to student, college, and community health
16

Associate Medical Director Resume Examples & Samples

  • Life sciences PhD, PharmD, MD degree
  • Writing experience in a communications agency for 5+ years
  • Reviewing/coaching experience in a communications agency for 2+ years
  • Experience of client liaison and interaction for 5+ years or equivalent, including client visits and on-site experience
  • Proven ability in all aspects of medical communication deliverables
17

Medical Director Resume Examples & Samples

  • Providing high-quality, comprehensive evaluations
  • Patient consultations, including to homeless outreach teams
  • Medication management, including determination of detoxification protocols
  • Treatment of patients, and on-call by telephone only
  • Building positive relationships with hospital Emergency Departments and the organization's Medical Partners
18

Medical Director Resume Examples & Samples

  • Our Department of Defense contract requires U.S. Citizenship for this role
  • Active unrestricted MD or DO license in the state in which the position is headquartered
  • Current board certification in an ABMS approved specialty (Preventive Medicine desired)
  • 3 years of clinical practice experience in a direct patient care setting
  • Previous physician administrative experience as a medical director/executive with a managed care, health care or military organization/health system
  • Minimum of 3 years previous experience in utilization management, quality management, professional credentialing, disease management or case management activities in a health care organization
  • Capable and successful negotiator
  • Moderate computer literacy
  • Advanced degree in a discipline which would enhance the role is desirable,e.g. MBA, MPH, MHA, MPA, Medical Informatics, Biostatistics, etc
19

Medical Director Resume Examples & Samples

  • 5+ years of Clinical experience
  • Board certification from American Osteopathic Association (AOA) or American Board of Medical Specialties (ABMS)
  • Active NYS license or ability to obtain a NY license to practice medicine without restriction
  • Previous Case Management, Managed Care and Utilization Review experience
  • Previous Management / Supervisory experience
  • Administrative experience on a Hospital committee
20

Medical Director Resume Examples & Samples

  • Develop, maintain and assure compliance with physician review policies and procedures (including timeliness) for utilization management and support case management
  • Examine clinical programs information to identify members for specific case management and/or disease management activities or interventions by utilizing established screening criteria
  • Onsite rounding with clinical staff to support utilization and case management
21

Medical Director Resume Examples & Samples

  • To provide clinical leadership in cross-functional projects and product/project teams
  • Verifies scientific accuracy of safety and efficacy summaries for regulatory/commercial purposes and assists with the clinical sections of regulatory dossiers and or product specific scientific discussion, depending on pre or post-marketing activities
  • Working with the Quality Assurance, Regulatory Affairs and Pharmacovigilance teams to establish and maintain strong risk assessment and management processes for decision making
  • Input into Risk Management reviews as it relates to patient safety, the performance of risk assessment in the design of new products, and the interpretation of patient safety and risk in the post-market environment
  • Medical Degree or equivalent knowledge and experience
  • Substantial experience in Pharmaceutical, Biotech, Contract Research Organization or Medical Device industry
  • Some experience in GCP Clinical trials
  • Excellent interpersonal, organization, communication, influencing skills
  • Must be willing to travel as required
  • Post graduate training / specialization in one of the following areas is desirable: Neurology, Cardiology, Radiology, Nuclear Medicine or Oncology, with industry experience or equivalent knowledge and experience
  • Experience in managing KOLs, external experts. Brings his/her own network of KOLs, external experts
  • Experience in scientific publications/communication
22

Associate Medical Director Resume Examples & Samples

  • To be responsible that project activities and milestones are planned, agreed and achieved according to the overall clinical development plan, to include pre and post marketing activities
  • To be responsible for the timely and accurate completion of project documentation such as protocols, amendments, case report forms and study reports
  • Responsibility for developing and maintaining the overall medical strategy of the assigned product(s), for validating this strategy with appropriate internal or external experts and for agreeing the strategy with the appropriate internal business stakeholders
  • To provide clinical leadership in cross+functional project and product teams
  • Working with the Quality Assurance and Regulatory Affairs teams to establish and maintain strong risk assessment and management processes for decision-making
  • Collaborating with multiple functions to ensure patient safety, minimize risk, select products for development with the greatest clinical unmet needs, work with teams and outside experts to design robust products and to support clinical research strategies for regulatory approval, reimbursement and adoption
  • Drive compliance/closure of Regulatory and Quality requirements before approving Design Control Functional Design Reviews and New Product Introduction program milestones
  • Medical Degree or equivalent with relevant Clinical experience
  • Experience in GCP Clinical trials
  • Post –Graduate training or Medical experience in Radiology is desirable
  • Good written and oral communication skills,
  • Ability to work independently and systematically
  • Good interpersonal skills to build good working relationships both internally and externally
  • A minimum of 5 years Medical Diagnostic (Cardiology) or Pharmaceutical industry experience
  • Excellent team player with global mindset
  • Excellent skills in written and verbal presentation
  • Board-certification in Cardiology or Nuclear Medicine, with industry experience
23

Associate Medical Director Resume Examples & Samples

  • Ability to assimilate and distill large amounts of complex clinical information and data into translatable tools that can be used to help patient outcome
  • Recent clinical experience necessary, as a practicing physician to bring that perspective to this role
  • Requires an MD or MD/PhD with significant clinical experience ideally in Emergency Medicine
  • Formal training in Emergency Medicine or an allied field is desirable
  • Deep knowledge of thrombosis or diabetes is also desirable
  • Two years of prior industry experience is required or extensive clinical experience in place of prior industry experience
  • Exceptional communication and presentation capabilities are essential
  • Ability to travel approximately 30% of the time (domestic and international), including some weekend travel is requiredMedical Affairs
24

Medical Director Resume Examples & Samples

  • Provide guidance to the FIHC Decision Support Lead (DSL) in preparing the FIHC meeting schedule
  • Collaborate with the Clinical Development Lead to ensure presentation materials for the FIHC are complete and are distributed in a timely manner
  • Organize a pre-meeting with the presenting team to provide guidance regarding meeting materials and presentation
  • Prepare accurate and concise meeting minutes in a timely manner
  • Ensure that the clinical teams complete the FIHC required actions
  • Oversee the maintenance of a FIHC SharePoint to ensure adequate archiving of relevant materials
  • Collaboration with SMT
  • Provide to the Safety Management Chairs of the FIHC endorsed compounds important and relevant information regarding the compounds
  • Support the SMT chairs in the appropriate monitoring of the clinical trial safety data and implementation of appropriate risk assessment and minimization activities
  • Physician (MD or equivalent), is required
  • At least 3 years of experience in clinical practice in either a hospital or academic setting is required
  • Specialization in internal medicine, clinical pharmacology, or related disciplines preferred
  • At least one year of experience in early clinical development gained either through being an investigator in an academic institution or hospital, or by managing clinical trials in Pharma or a clinical research organization is required
  • Experience and expertise in pharmacovigilance is preferred
  • Knowledge of the regulatory guidance pertaining to first in human studies and early clinical development is preferred
25

Medical Director Resume Examples & Samples

  • Evaluates existing educational programs as well as design, develop, implement and evaluate new educational initiatives and course curriculum (including goals, objectives, content materials and assessment tools) in collaboration with content experts and other educational leaders at CHCO
  • Responsible for developing and implementing key Center policies and procedures, and for integrating Simulation program components with key organizational partners and stakeholders (IT, InfoSec, Legal, QPS, Compliance, etc.)
  • Serves as the chair of the Simulation Oversight Committee
  • Responsible for short- and long-range comprehensive strategic and operational planning in support of the center and to refine priorities and implement policies, procedures and practice standards consistent with the mission and educational objectives of the center
  • Oversees and provides development courses for faculty in simulation, support and coaching of teaching and program implementation
  • Oversees equipment procurement and budgeting for center in partnership with Program Coordinator
  • Promote excellence in teaching through respectful behavior, role modeling and serving as a simulation mentor to clinicians, staff and management team
  • Teach team training, faculty development and serve as a faculty facilitator and debriefer using simulation technology
  • Maintains professional growth and development through educational/developmental activities and professional affiliations to keep abreast of latest trends in field of expertise
  • Supports research in simulation education as well as collaboration with interdisciplinary faculty and other leaders to develop innovative research in simulation education including design of study protocol, identification of funding sources, assistance with collection and analysis of data and reporting results of research projects
  • Maintains proficiency in existing and emerging simulation education technologies, including basic theory, design and implementation
  • Develops working relationships with administrators, faculty, staff and students within CHCO and CU School of Medicine, as well as with other simulation centers and educational organizations
  • Promotes simulation in healthcare education through collaboration with regional, national, and international users; participation in public relations events; development of new markets for simulation use; community outreaches; and serving on professional/civic service organizations and committee meetings as the Center representative
  • Prepares reports related to simulation education and research operation of the Center as requested
  • Demonstrated leadership abilities and exceptional analytical and problem solving skills
  • Excellent communication, organizational and interpersonal skills
  • Ability to establish and maintain effective working relationships at all levels of the organization
  • Ability to interact with learners and healthcare community
  • Ability to effectively lead and empower teams
  • Knowledge of educational and research theory, instructional technology and simulation services and technologies
26

Medical Director Resume Examples & Samples

  • Case level support in complex medical situations, older age and higher policy face amount cases
  • Medical review accountability on cases of $2 mil and above
  • Research and monitoring of changes in medical field impacting life risk selection
  • Underwriter training, development and skills assessment
  • MD or DO with medical training obtained from an accredited medical institution
  • Active and unrestricted license to practice medicine in Illinois, Nebraska or licensed in the state in which they reside
  • Current certification by the American Board of Medical Specialties in a primary care or medical subspecialty
  • Certification by the American Board of Insurance Medicine preferable
  • 5+ years of clinical medical experience
  • 3+ years or insurance medicine experience
  • Training and education skills and experience
  • Research and analytical skills and experience
  • Effective communication skills, verbal and written
  • Able to eliminate barriers in order to achieve results
  • Anticipates financial consequences of business decisions
  • Able to create learning opportunities for employees
  • Holds self accountable for commitments and results
  • Seeks innovative ways to create exceptional work product
  • Effectively works across boundaries
  • Able to resolve differences by negotiating mutually acceptable solutions
  • Willingly shares resources, information, and expertise with others
  • Works effectively with people of diverse backgrounds
  • Ability to handle shifting priorities; flexible
  • Energetic, self-assured, self-motivated, enthusiastic and achievement-oriented
  • Ability to present complex medical risk information to varied audiences in such a way that the information can be used as a basis for sound decision making
  • Working MS Outlook, Word, PowerPoint and Excel skills
27

Medical Director Resume Examples & Samples

  • The Medical Director is responsible, in conjunction with the Program Director and Nurse manager, for planning, implementing and evaluating the care provided on the rehab unit; must ensure the highest quality of care is provided for the patients on the unit
  • Must coordinate with management on the structure of the policies, procedures, and objectives for the unit in accordance to hospital standards
  • Provides continuous improvement of the quality of the program and develops new programs in conjunction with nursing and program leadership
  • Provide on the unit conflict resolution when misunderstandings, differences, or concerns arise between staff members, including physicians that cannot be resolved by direct communication as appropriate
  • Works with leadership to ensure unit is CARF and JCAHO prepared and following guidelines set by both governing bodies
  • Works with medical staff to ensure requirements are being met on an ongoing basis
  • Decides criteria for gaining privileges for the unit for medical providers in conjunction with hospital and clinical service line leadership
  • Shadows, reviews, and audits provider staff to ensure professional performance is being met
  • On an annual basis, will perform review of charts to ensure accuracy and timeliness
  • Enforces clinical admission and continued stay criteria
  • Responsible for performance improvement and outcome management
  • Serve as a role model by conducting his/her own practice within the hospital with utmost professionalism
  • Responsible for ensuring compliance with medical director responsibilities as outlined by CMS
28

Medical Director Resume Examples & Samples

  • Board certification approved by the American Board of Medical Specialties required
  • Must possess an active unrestricted medical license to practice medicine in a US state
  • 1 yr working in a managed care/health plan setting strongly preferred
29

Medical Director Resume Examples & Samples

  • Current board certification approved by the American Board of Medical Specialties required
  • Active,unrestricted medical license to practice medicine in the State of New Jersey required
  • 5 years of post-residency clinical experience or any combination of education and experience, which would provide an equivalent background required
30

Medical Director Resume Examples & Samples

  • Provides medical leadership 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 services. Supports effective implementation of performance improvement initiatives for capitated providers
  • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements
  • Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies
  • Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment
  • Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees
31

Medical Director Resume Examples & Samples

  • Performs case reviews and appeals for all health plans
  • Facilitates Grand Rounds and case reviews with other clinicians and external treating providers
  • Participates as an active member of the Integrated Care team (ICT)
  • In collaboration with the VP of Clinical Programs, develops clinical programs and approaches targeted to improve health outcomes for complex care and high acuity populations
  • Assists VP of Clinical Programs in planning, establishing goals and policies to improve quality and cost-effectiveness of care and service for members
  • Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements
  • Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components
  • Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care
  • Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment
32

Medical Director Resume Examples & Samples

  • To ensure that the services provided are in adherence with the standards as adopted by the New Jersey Department of Health and the Joint Commission on the Accreditation of Healthcare Organizations (the “Joint Commission”)
  • To assist in the development and implementation of patient care policies and coordination of medical care and resolve medical and clinical issues that affect patient care and/or communication between Attending Physicians and other staff
  • To provide medical oversight of Integrative Medicine practices
  • To assist in promoting the AHS Integrative Medicine center as a national model for the promotion of wellness and personal well-being through the delivery of holistic, integrative and lifestyle practices. Create a vibrant community, incorporating a wide range of therapies, philosophies and practices, provide unique healing and learning opportunities for healthcare consumers, re-orient and train care providers about wellness, establish new avenues for health research and improve the health of our population
  • Assist administration to ensure adequate medical staffing to meet the demands for integrative medical services for Atlantic Health Integrative Medicine
  • Participate in and cooperate with all relevant Hospital performance improvement and quality assurance programs in conformance with directed targets
  • Provide administrative and teaching services within the Center for Well Being. In addition, the Medical Director shall have teaching responsibilities pertinent to medical students, the medical house staff, the nursing staff, and allied health staff
  • Assume responsibility for the clinical supervision and continuing education, as appropriate, of medical providers for Atlantic Health Integrative Medicine
  • The successful candidate for this position will be responsible for program and volume growth as well as the quality of programs and services. The candidate will also be responsible for program profitability, marketing and promotion
  • As the delivery of healthcare moves to outcomes and value, the leader of the Chambers Center will need to understand the significant changes needed to provide wellness, prevention and healing services
  • Current board certification in family or internal medicine or related specialty is required; with board certification in integrative or functional medicine preferred. While an experienced physician is preferred, other qualified candidates may be considered if they bring significant or unique qualifications and experience
33

Medical Director Resume Examples & Samples

  • Manages day-to-day quality improvement and medical management activities
  • Ensures adherence to assigned budget accountabilities
  • As requested and needed, provides expert medical education, consultation, and supervision for the clinical staff
  • Provides medical leadership for development and attainment of the organization’s goals
  • Support provider relations and risk contracting through education, provider visits and problem resolution
  • Collaborates with corporate care management to establish and implement clinical programs to support and meet care management goals
  • Required A Doctor in Medicine (MD) or D.O. from an accredited school of medicine recognized by national medical regulatory bodies in the United States
  • Required 5+ years of experience in direct patient care
  • Required Other Substantial experience and expertise in the development of medical policies, procedures and programs
  • Required Other Demonstrated success implementing utilization and quality improvement strategies /techniques and experience with physician behavior modification
  • Preferred Other Qualifications to perform clinical oversight for the services provided by the health plan to include but not limited to: Education, training or professional experience in medical or clinical practice
  • Preferred Other Past participation in a managed care UM committee
  • Advanced Ability to communicate and make recommendations to upper management
  • Advanced Ability to create, review and interpret treatment plans
  • Advanced Demonstrated leadership skills
  • Advanced Ability to work in a fast paced environment with changing priorities
  • Advanced Demonstrated organizational skills
  • Advanced Demonstrated ability to deal with confidential information
  • Advanced Ability to represent the company with external constituents
  • Advanced Demonstrated negotiation skills
  • Advanced Other Ability to remain calm under pressure
  • Advanced Other Must be able to apply medical knowledge and principles to business challenges in order to achieve significant member, business, and quality outcomes
  • Advanced Other Must be detail-oriented and have a “hands-on” approach
  • Advanced Other Clear understanding of the managed care field and managed care operating components, with emphasis on clinical management of health services, particularly within an integrated managed care model
  • Advanced Other Clear understanding of regulatory systems and processes that affect managed care health system
34

Medical Director Resume Examples & Samples

  • Creates and / or updates content
  • Reviews content drafts
  • Participates in development meetings
  • Signs off on content as final
  • Minimum recent 3-5 years psychiatry and substance use experience
  • Proven history of collaborative, team-focused approach
  • Managed care/Payer industry knowledge and experience preferred
  • Knowledge of InterQual criteria preferred
  • Strong clinical background and skills
  • Strong evidence based medicine process knowledge
  • Excellent teaching, communication and relationship skills to forge strong relationships with clinical team, stakeholders, senior management and external customers
  • Solid organizational skills and the ability to manage multiple competing priorities
  • Ability to meet deadlines
  • Strong ability to problem-solve and develop recommendations
  • Knowledge of Microsoft Office products
  • Strong critical thinking and analytic skills
35

Medical Director Resume Examples & Samples

  • Report to the Chief Medical Officer and SVP for Clinical Translation, and serve as part of the Optum Labs senior leadership team
  • Partner with the CMO and the VP for Constellations and Clinical Translation, and other Translation team members from partner organizations to refine Optum Lab’s dissemination and implementation strategy
  • Develop existing projects and new thematic, multi-project programs designed around large opportunity areas in health (constellations) and foster their efficient and rapid translation into meaningful practice improvement
  • Promote collaboration across Optum Labs staff and partner organizations including other organizations within United Health Group, focused on translation of Optum Labs research, discovery and innovation efforts
  • Lead and/or support creation and review of translation oriented content (e.g. translation project plans/ proposals, white papers, presentations, etc.)
  • Write and review research summaries aimed at supporting translation efforts & sharing results with broad set of audiences
  • Serve as a clinical advisor to the Optum Labs research team assisting VP/director and analysts in supporting partners with research design of robust studies that have high impact translation potential
  • MD, DO or equivalent with current professional license
  • Board Certification or ability to obtain within agreed upon timeframe
  • At least 5 years of clinical practice experience
  • History of successful Population Health Program Development and Implementation
  • Minimum of 3 years’ experience in supporting population health oriented change in clinical practice
  • Success in creating impact in complex organizations and settings with a track record of collaboration with and facilitation of multiple health and health care constituencies and perspectives
  • Training and experience with evidence driven discovery including Quality Improvement, Performance Measurement and/or Health Services Research
  • Experience with EMR systems, clinical decision support and care management models
  • Strong presentation and engagement skills
  • Family practice or internal medicine background
  • Leadership roles involving health system, medical group, and or other health care delivery organization
  • Northeast US location, preferably Boston area
  • Consulting experience with health delivery organizations and constituencies
36

Medical Director Resume Examples & Samples

  • Ensure quality standards are obtained based on contractual requirements
  • Oversee day to day operations of Physician Reviewers
  • Lend medical expertise to create technical proposals for a variety of business opportunities
  • Actively participate in credentialing reviews and clinical qualification approval
  • Guide regional training for LHI's contracted provider networks as well internal clinical professional development
  • Medical consultations including review of physical and behavioral health exams, lab results, EKGs, practitioner documentation, and specialty exams
  • Travel to event locations to oversee operations and build relationships
  • Primary point of contact for emergent referrals
  • Accredited Board Certified MD or DO
  • 4+ years of medical experience with an emphasis on primary care
  • 2+ years of leadership experience
  • Active clinical practice within the past 5 years
  • Current and unrestricted licensure, with the potential to obtain licensure in all 50 states
  • Equivalent combination of education, experience and/or applicable military experience will be considered
  • Intermediate Computer Skills
  • Military Experience
  • Corporate structure awareness
  • WI state licensure
  • National Career Readiness Certificate
37

Medical Director Resume Examples & Samples

  • Licensed physician; ideally Board Certified in an ABMS or AOBMS specialty
  • 5+ years clinical practice experience; strong knowledge of managed care industry and the Medicaid line of business
  • Strong leadership skills, as demonstrated by continuously improved results, team building, and effectiveness in a highly matrixed organization
  • Creative problem solving skills
  • Working knowledge of the Arizona Health Care Cost Containment System (AHCCCS), Department of Economic Security (DES), Arizona department of Health Services (ADHS) and other related state agencies
  • Experience and/or direct working knowledge of the AHCCCS health plan types (Acute; CRS; DDD; LTC)
  • Understanding of dual Special Needs health plans (dSNP) and Medicare/Medicaid integration
  • Clinical, professional interest in special needs populations and fully integrated healthcare models
  • A willingness to travel locally, in Arizona, to communities where clinical partnerships require face to face interactions (range of 2-4 days per month with occasional overnight)
38

Medical Director Resume Examples & Samples

  • Supports a fully integrated clinical model of care, in collaboration with Behavioral Health and other clinical management
  • Responsible for appropriate utilization management including managing/monitoring the results of Care Management/ Health services interventions to ensure that utilization goals are achieved; collaborating with Care Management/ health services/behavioral health and members/caregivers as necessary to maintain focus on achieving targets
  • Will work with care coordination staff to clarify requests and documentation as needed
  • Supports all clinical quality initiatives and peer review processes
  • Participates in healthcare affordability initiatives and meetings at the local market
  • Conducts provider telephonic review and discussion, schedules on-site visits and shares tools, information and guidelines related to cost-effective health care delivery and quality of care as necessary
  • Effectively engages and brings understanding to our external constituents such as physicians, medical and specialty societies, hospitals and hospital associations, and state regulators
  • Participates in the HEDIS data collection process, CAHPS (Consumer Assessment of Healthcare Providers and Systems) improvement, and drive Health Plan accreditation activities
  • Provides support for all external audits by state and other regulatory agencies
  • Responsible for identifying opportunities through participation in local medical expense committees or market reviews
  • Collaborates with the health plan Health Services Director and other clinical staff as a clinical resource and coach to establish and implement programs to support and meet the UM and member goals
  • Collaborates with the Health Services Director, clinical operations staff and other market staff to implement programs to support and meet market and national clinical operations goals
  • Accountable for providing clinical leadership primarily focusing on home and community based services review and external communication with network physicians
  • May assist in the development and implementation of local plan clinical policies and procedures, quality improvement activities and performance improvement projects
  • MD or DO with an active, unrestricted Virginia license
39

Medical Director Resume Examples & Samples

  • Ensuring delivery of cost effective quality care that incorporates recovery, resiliency and person-centered services
  • Responsible for oversight and management with the Clinical Director and Clinical Program Director all utilization review, management and care coordination activities
  • Responsible for maintaining the clinical integrity of the program, including concurrent reviews of outpatient services; providing oversight to utilization management and quality staff; providing consultation to providers and other community based clinicians, including general practitioners
  • Provide timely psychiatric services for the behavioral health operation including communication with the Health Plan Medical Director, clinical and quality staff, medical necessity review and recommendations, service denial reviews, grievance issues, medication reviews, and clinical best practices guideline development
  • Iowa Licensed Physician or willing to obtain
  • Minimum of 5 years of experience as a practicing psychiatrist and 3+ years of supervisory experience a plus
  • Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery
  • Experience working with community based programs and resources designed to aid the Iowa Medicaid population
  • Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management
  • Minimal local travel required; the office for this position is in West Des Moines, Iowa
  • PC proficiency, data analysis and strong organizational skills necessary
  • Board Certified in Psychiatry, sub specialty in child & adolescent or addictions
  • Experience in public sector delivery systems and experience in Iowa public sector services
40

Medical Director Resume Examples & Samples

  • Requires M.D. or D.O. with Board Certification
  • Must possess an active unrestricted medical license to practice medicine in New York
  • Requires 7-10 years clinical experience or any combination of education and experience which would provide an equivalent background
  • Experience with utilization management and/or managed care preferred
  • Must be comfortable building and launching new programs and health plan
  • Must have strong presentation and leadership skills
  • Must have excellent communication skills (written and verbal) and interpersonal skills
  • Must have strong PC skills (Word, PowerPoint, Outlook)
  • Medicaid experience is preferred
41

Medical Director Resume Examples & Samples

  • Manages subject safety and the scientific integrity of clinical trials
  • Participates in bids, bid-defenses & feasibility assessments when requested
  • Works with the Drug Safety Department by providing medical input and oversight
  • Works with Medical Writing/Regulatory in the preparation of a variety of document as required
42

Medical Director Resume Examples & Samples

  • Providing supervision and some direct care at residential and outpatient programs
  • Overseeing withdrawal, stabilization, and general services in Article 28 licensed clinics
  • Developing services / programs and training / supervising staff
  • Ensuring medical services are compliant with licensed diagnostic, treatment and detoxification centers’ regulations
  • Consulting with staff and providing services in the Article 28 clinics, as needed
  • Board Eligible / Certified in Addiction Medicine or Psychology
43

Associate Medical Director Resume Examples & Samples

  • Performs causality assessment of individual case safety report (ICSR) postmarketing adverse events and medical review of clinical serious adverse events utilizing extensive medical expertise, clinical judgment and logic
  • Develops Company Analyses for Suspected, Unexpected Serious Adverse Reactions (SUSARs)
  • Serves as leadership backup for therapeutic area
  • Understands safety profile of assigned AbbVie products and development molecules as well as safety aspects of relevant therapeutic area drugs and patient populations
  • Understands disease state(s) for each indication within assigned AbbVie products and development compounds and applies knowledge in daily work
  • Responsible for understanding the regulatory requirements related to pharmacovigilance and accountable for complying with those requirements
  • Contributes as requested to PPS initiatives
  • Aligns functional and personal goals with corporate and department initiatives; demonstrates corporate values and leadership attributes
44

Associate Medical Director Resume Examples & Samples

  • Manages the design and implementation of one or more clinical development programs in support of an overall Product Development Plan, based on strong medical and scientific principles, knowledge of compliance and regulatory requirements, AbbVie’s customers, markets, business operations and emerging issues. Oversees project-related education of investigators, study site personnel and AbbVie study staff. Responsibility may extend from early translational development activities to mature product lifecycle management strategies for internal and/or partnered programs
  • Has overall responsibility for oversight of clinical studies, monitoring overall study integrity and review, interpretation and communication of accumulating data pertaining to safety and efficacy of the molecule. Along with Clinical Operations, is responsible for oversight of study enrollment and overall timelines for key deliverables. Responsible for assessment and reporting of serious adverse events per corporate policy and regulations for those protocols on which assigned
  • May oversee the work of Associate Medical and/or Scientific Directors and of Clinical Scientists working on the same or related programs
  • Provides in-house clinical expertise for the molecule and disease, coordinating appropriate scientific and medical activities with internal stakeholders as they relate to ongoing clinical projects. May participate in due diligence or other business development activity. As required by program needs, contributes in partnership with Discovery colleagues to design and implementation of translational strategies
  • May serve on or chair a Clinical Strategy Team (CST), with responsibility for development of a rigorous, cross-functionally-aligned, vetted Clinical Development Plan with full consideration of contingencies and alternative approaches. In the role of CST Chair, responsibilities may include supervision of matrix team members and serving as Clinical Research representative to lend clinical development and medical expertise to an Asset Development Team (ADT), ADT Leadership Board (ALB) and/or other cross-functional teams and internal stakeholders
  • Acts as a clinical interface and actively solicits opinion leader interactions related to the molecule and disease area; partners with Medical Affairs, Commercial and other functions in these activities as required, consistent with corporate policies, to ensure that broad cross-functional perspectives are incorporated into Clinical Development Plans and protocols as appropriate
  • Stays abreast of professional information and technology through conferences, medical literature and other available training, to augment expertise in the therapeutic area
  • Serves as a clinical representative for key regulatory discussions
45

Medical Director Resume Examples & Samples

  • Serves as medical team leader
  • Acts as a team leader for study design, implementation and timely completion of assigned clinical studies and helps address post-marketing research needs for Phase II-IV studies
  • Provides direction, training and follow-up to ensure compliance with department and corporate policies and procedures
  • Manages aggressive timelines; integrate scientific rigor, medical need and commercial value into clinical plans culminating in successful registration and marketing
  • Participates in strategic oversight and leadership for clinical development from proof of concept to NDA filing
  • Attends scientific meetings and fosters and develops strong relationships with investigators
  • Contributes to the development of new indications for existing products
  • Assists with the development and implementation of publication strategies for products in development
  • Identifies and implements high value strategies for product life cycle development
  • Participates in multidisciplinary teams including alliance partners for strategic and tactical planning of in-line and products in development
  • Strong neuroscience background is required
  • A minimum of three to five years progressive experience in pharmaceutical, biopharmaceutical or biotechnology drug development is required
  • Board certification/Board eligible in Neurology or Internal Medicine is preferred
  • Prior development experience leading to an NDA or BLA submission is preferred
  • The Medical Director leads assigned cross-functional teams
  • A proven ability to build productive relationships and teams both internally and externally and the ability to develop high potential subordinates into leadership roles required
  • Prior experience in managing clinical trial conduct for neurological disorders is preferred
  • Strong working knowledge of Good Clinical Practice, scientific and clinical methodology, protocol design, project management and regulatory requirements for clinical studies designated for review by regulatory authorities is preferred
  • Ability to facilitate and merge science into commercially viable products
  • Energetic, flexible, enthusiastic and highly motivated
  • Able to work effectively with outside service providers
  • Ability to maintain high level of ethical and compliancy standards
  • Highly effective teamwork and interpersonal skills and the ability to work across numerous scientific disciplines
  • This position requires travel (including overnight stays); average travel for this position is 25-30% with some variation based upon the demands of business imperatives. Travel is both domestic and international for internal and external business meetings
46

Medical Director Resume Examples & Samples

  • MD required; preferably with residency in Neurology
  • At least two years of clinical experience post-registration/certification
  • Three to five years of progressive experience in pharmaceutical or biotech industry or academia
  • Expert knowledge of risk management and experience supporting risk management
  • Direct experience in drug safety desirable
  • Must possess knowledge of pre and post marketing Global regulations
  • A proven ability to build productive relationships and teams both internally and externally
  • Excellent oral and written communication skills and presentation skills
  • Problem solver with high degree of initiative and independence
  • Excellent project and time management as well as strategic planning skills
  • Ability to analyze complex scientific concepts and to translate into a business language
  • This position requires minimal travel; average travel for this position is 5-10% with some variation based upon the demands of the business imperatives
47

Associate Medical Director Resume Examples & Samples

  • Conduct ongoing medical monitoring of clinical trials
  • Assist with the strategic planning and execution (including study design, method selection, etc.) of Phase I through IV global clinical trials
  • Contribute to and review clinical documents (slide presentations, protocols, clinical study reports, regulatory submission sections, investigator’s brochures, etc.)
  • Work collaboratively with other Medical Directors, and colleagues in Biostatistics, Medical Writing, Drug Safety, Clinical Operations, Translational Medicine, and Regulatory Affairs
  • MD -- additional pharmaceutical drug development experience and/or academic research experience is a plus
  • Expertise in Addiction Disorders
  • Excellent verbal, interpersonal and written communication skills, a strong scientific background, creativity, flexibility
  • Familiarity with thought leaders in the field of addiction
  • Domestic and international travel (approximately 20%) is required
48

Associate Medical Director Resume Examples & Samples

  • Support the development and execution of Americas’ Medical Affairs Plans in support of best clinical practices and overall corporate objectives aligned with Global Medical Affairs plans and commercial Brand strategy
  • Work closely with in-country medical teams to regionalize the goals and support local publications ans scientific communications
  • Provide medical leadership, insight and strategy to all Alexion activities, collaborating across functions to ensure the highest level of medical education for all Alexion employees that maximize patient outcomes
  • Provide medical input to the development of impactful scientific and medical education, review and approve promotional materials to ensure information is accurate and in accordance with regulatory requirements
  • Support cross-functional teams to ensure patient-focused activities at all times, including rapid responses to internal and external requests for support to all stakeholders
  • Engage effectively cross-functionally, maximizing functional reporting relationships, and ensuring successful implementation of Alexion strategy
  • Initiate and support medical education activities, such as advisory boards, congress symposia, hospital meetings, speaker development programs and other professional organizations
  • Support reimbursement applications, ensuring knowledge of processes, development of appropriate medical materials and supportive documents and provision of medical expertise as required
  • Develop and manage regional Medical Affairs budget
  • Directing Americas Medical Affairs vision, strategy and plans within the therapeutic areas in alignment with Global Medical Affairs. Developing and continuously maintaining the highest scientific and medical expertise of all Medical Affairs employees ensuring employees are acknowledged internally and externally as experts
  • Experience in Medical Affairs function
  • Regulatory and compliance experience in a Medical Affairs organization
  • Excellent interpersonal skills with demonstrated track record and ability to drive results as an effective a team member and project leader
  • Ability to build partnerships cross-functionally
  • Excellent problem solving, organizational, and negotiating skills
  • Fluency in Spanish or Portugese a plus
49

Medical Director Resume Examples & Samples

  • Lead and direct vision, strategy and plans within the therapeutic areas in alignment with Global Medical Affairs. Developing and continuously maintaining the highest scientific and medical expertise of all Medical Affairs employees ensuring employees are acknowledged internally and externally as experts
  • Systematically assess medical education needs cross functionally and implement appropriate medical education programs for commercial teams and other functions
  • Strong people management and leadership skills acquired in a multicultural environment
  • Extensive regulatory and compliance experience leading a Medical Affairs organization
  • Must demonstrate an energy and enthusiasm which brings a positive approach to all challenges Sense of ethics and responsibility
50

Medical Director Resume Examples & Samples

  • Fulfills the role of Global Medical Lead (GML) and is a member of the APGD Core Team
  • Responsible for design and recommendations in clinical development plan for their drug, after soliciting appropriate input and review from Medical and Clinical Operations colleagues as well as other contributing line functions (Regulatory Affairs, Statistics. Clinical Operations, Commercial)
  • Leads the medical team for assigned clinical trials to design, implement, conduct and interpret clinical studies to support decisions to advance or halt development of a new drug or to successful filing regulatory submissions
  • Responsible for execution and delivery of the clinical development plan
  • Acquires publically available knowledge of competitor products and clinical plans
  • Negotiates milestones and ensures clinical development objectives are met
  • Motivates global clinical team towards the common goal of submissions of approvable regulatory filings or next clinical milestone
  • Attends important meetings with the FDA and, as needed, with regulatory agencies worldwide
  • Contributes to Global Project Team meetings
  • Responsible for keeping GDPL, other project physicians and VP Global Medical Science TA Head informed of clinical progress and any critical clinical issues and especially the emerging safety profile
  • Contributes to clinical documents: protocols, IBs, study reports, statistical analysis plans, publications, CSR and clinical sections of regulatory submissions
  • Responsible for clinical expert panel meetings and advisory boards to give input on clinical plans
  • Presents to senior management and external audiences on clinical aspects of compound development: including milestones, strategies, recent data
  • At least 5 years relevant experience in drug development at a biotech/pharmaceutical company or the equivalent experience at an academic clinical research (NCI, NIH, Academic Research groups etc
  • Significant and demonstrable working-knowledge of regulatory procedures and guidelines in all regions (global scope)
  • Proven track record in clinical study design, monitoring and execution and results analysis
  • Has demonstrated knowledge of designing, implementing and conducting clinical studies, to produce both timely and good quality data
  • Proven record of working on teams and in a matrix environment
  • Proven ability to get results in a matrix management environment
51

Associate Medical Director Resume Examples & Samples

  • Provide strategic leadership for programs that integrate the individual’s extensive knowledge in the disease area, knowledge from the medical community around the world and the commercial, research, regulatory, and medical research goals in the disease area
  • Develop approaches to demonstrate early biologic activity through the use of proximal and distal biomarkers
  • Contribute to the development of strategic initiatives, specific Business Development activities and various organizational initiatives in Clinical Development
  • Industry experience, particularly in development within the disease area, is desirable
  • Needs someone to understand and be able to put together and present analyses of data
  • Strong organizational skills; both written and verbal
  • Ability to represent the department on project teams, committees and external meetings
  • Effective cross functionally with an ability to work in a multi-disciplinary team setting and employ a team approach to decision making
52

Medical Director Resume Examples & Samples

  • Perform interpretation and sign out of diagnostic cases, including Immunohistochemical and Molecular studies
  • Contribute as part of a cross-functional team to the clinical development strategy, including the clinical development plans and operational plans for various malignancies
  • Provide consultations about medical significance of clinical laboratory data. Interpret, correlate, and communicate laboratory data to clinical requestors
  • Assume active role in development of Immunohistochemical assays. Activities include budget planning, proposal writing, liaison building with vendors, comparing informatics platforms, acquiring appropriate clinical specimens, planning workflows
  • Ensures facility is following and/or implementing the most recent guidelines from regulatory agencies such as CAP, FDA, and CLIA (from multiple states)
  • Works with Scientific Development to examine new methodologies in tests procedures
53

Medical Director Resume Examples & Samples

  • Drive clinical trial protocol development and execution through regulatory filings
  • Prepare, present and manage materials for external advisory boards to guide protocol and product development
  • Provide medical guidance to investigators on managing patients on clinical protocols
  • Interact seamlessly with biomarker translational scientists to inform and refine clinical product development and strategy
  • Build and own investigator relationships across Europe for multiple indications and protocols
  • Provide clinical leadership to allow for initiation of trials in EU in collaboration with regulatory and clinical operations team members
  • Provide input into clinical sections of IND’s, Investigator Brochures, CTA’s , ISS’, ISE’s and clinical expert reports
  • Work with Therapeutic Area Head and other team members to prepare abstract, manuscripts and presentation for external meetings as well as author clinical sections of regulatory documents (IB, IND sections)
  • Clinical expertise in the treatment and management of patients with hematologic malignancies and/or patients undergoing allogeneic stem cell transplant
  • Working knowledge of Good Clinical Practice and clinical research
  • Excellent written and spoken communication skills
  • Keen ability to analyze clinical efficacy, safety, and biomarker data
  • Interest/ability to evaluate early stage assets and participate in Business Development Due Diligence
54

Medical Director Resume Examples & Samples

  • Candidates must demonstrate sound knowledge of Pharmaceutical Industry experience, ideally in a comparable role with experience of managing teams
  • Good understanding of Canadian healthcare systems. Knowledge of the Canadian market, Canada pharmaceutical codes and Health Canada regulations a distinct advantage
  • Fluent knowledge of English and French (spoken and written)
  • Excellent communication skills, including strong presentation skills
  • Excellent work ethic
  • Strong preference for a Medical Doctor
55

Medical Director Resume Examples & Samples

  • The Medical Director will occupy a leadership role in supporting the Mylan Medical Affairs department. Responsibilities will include supporting the development and execution of the department’s annual product medical strategy. The Medical Director will work within a cross-functional team of medical professionals (health outcomes, biostatistics, clinical operations, medical information, publications, safety, regulatory, field medical science liaisons, and the applicable Marketing and Sales organizations) in planning and executing of all aspects of medical strategy support
  • Supports the development and execution of the medical strategy for assigned product; provides overall scientific and medical oversight within this therapeutic area
  • Works with the commercial team to help build awareness of the company’s products in the medical community as well better understand unmet medical needs by participating in medical symposia, publication, media events, and other activities
  • Responsible for supporting the review and approval of product promotional material and regulatory documents, in compliance with corporate standards government/industry regulations, ensuring that information is scientifically accurate and medically appropriate
  • Provides medical support to product planning and line extensions, new indications, formula changes, opinion leader development and publication strategies for therapeutic area products
  • Medical Degree (MD) or another advanced degree, e.g., Pharm D or PhD and 4+ years pharmaceutical or related industry experience (in country) with proven track record of contribution to commercial, medical and/or clinical development strategies is preferred. However, a combination of experience and/or education will be taken into consideration
  • Proven ability to translate complex science into clinically relevant information
  • Board eligible or certification in therapeutic area related to the position
56

Medical Director Resume Examples & Samples

  • Review all individual adverse experience reports for accuracy and clinical importance, and characterize their relationship to the study drug, severity and seriousness
  • Provide reports to FDA or other regulatory agencies and the sponsor on a periodic and regular basis, summarizing adverse experiences as required by FDA or the sponsor, depending on the contract
  • Review data listings of safety data, including adverse experiences, laboratory data, and vital signs data, to establish the presence or absence of abnormal trends, and if noted, follow up as appropriate with the project team, sponsor, investigator, and FDA
  • Review documents written by various PAREXEL divisions for safety issues
  • Review coding of adverse events and concomitant medications for accuracy and consistency
  • Provide support for the preparation of clinical protocols, integrated clinical and statistical summary reports, journal articles, and other documents for clients/sponsors or in conjunction with clients/sponsors and in conjunction with other PAREXEL divisions
  • Attend and present material, as requested, at meetings within PAREXEL as well as extra-company meetings (such as investigator meetings)
  • Maintain up-to-date knowledge of projects by attending Professional Society Meetings
  • Provide support for Marketing activities as requested
  • Assume the role of Senior Technical Lead in selected circumstances
  • Provide medical consultation as required or requested to client/sponsor or to other PAREXEL divisions
57

Associate Medical Director Resume Examples & Samples

  • To deputize for the Medical Director, as and when necessary
  • To ensure that the medical activities of the unit conform to industry standards and regulatory requirements
  • To perform the duties of Principal Investigator during clinical trials according to International Conference on Harmonization Good Clinical Practice (ICH GCP) and to the highest standards to ensure that welfare of the subjects and the quality and credibility of study data is maintained
  • To liaise proactively with hospital specialists, GPs, consultants and others to recruit suitable volunteers and patients for clinical trials
  • To provide business development support by meeting with sponsors and assisting in feasibility activities
  • To assist Physicians in the clinical studies performed in the Unit. 
  • To liaise with Sponsors during protocol development, regarding aspects of protocols such as design and safety and provide input into dose escalation discussions
  • To represent the unit and PAREXEL at national and international meetings, seminars, workshops and congresses
  • Appropriate experience in clinical pharmacology in early phase I/II studies
  • Leadership and team work skills
  • Excellent personnel manager with strong negotiation skills
  • Outstanding communicator
  • Suitable knowledge of drug development including preclinical toxicology, pharmacology, pharmacokinetics and Regulatory requirements
  • Competent IT skills
  • Previous experience as an Associate Medical Director in an EP unit or comparable role
  • Strong understanding of Pharmacokinetics and preclinical toxicology
  • Postgraduate Business qualification
58

Medical Director Resume Examples & Samples

  • Post graduate training / specialization in Rheumatology & Immunology with extensive Clinical experience is required
  • Experience as a Physician in Industry or as a Clinical Trial Investigator is advantageous
  • Ability to work as part of a cross functional team
59

Medical Director Resume Examples & Samples

  • Set up the strategic direction for Synvisc in conjunction and coordination with the Vice President, Global Medical Affairs and two other Regional Medical Directors
  • Oversee management of Investigator Sponsored Studies to ensure that the strategy is clearly defined and consistent with the clinical development and strategic objectives for Synvisc, and that appropriate processes are in place for review, approval, management and support of studies while maintaining investigator independence
  • Oversee management of funding for CME, grants, and sponsorships to ensure that funds are allocated appropriately to activities consistent with the clinical development and commercial objectives of the business, and that review and approval processes are in place to maintain strict compliance with all federal regulations
  • Responsibility and accountability for the financial management and compliance reporting requirements for Medical Affairs at the regional level including supporting the Finance and Compliance reporting processes with accurate and timely data and assumptions as needed to support budgeting, forecasting and long range planning for the business units
  • Board Certified MD, ideally with orthopedic surgery, sports medicine or rheumatology background
  • Experience in clinical development and post-marketing medical affairs
  • Significant leadership and management experience in medical affairs or other aspects of the life sciences sector with concentration in devices
  • Demonstrated ability to work effectively in a matrixed environment
  • Experience in both clinical research and patient care
  • Proficient in public speaking
  • 5+ years of experience in the device or pharmaceutical industry
  • Outstanding track record of providing exceptional levels of leadership
  • Strong interpersonal skills with the ability to influence others
  • A team player; able to collaborate successfully with both internal and external colleagues
  • Decisive and organized with an ability to prioritize; demonstrated ability to see the big picture while not losing focus on project specifics
  • Excellent communication skills both written and oral
60

Medical Director Resume Examples & Samples

  • M.D/D.O. from an accredited US or foreign medical school with three or more years of postgraduate medical training including clinical practice/residency specialty
  • Board Certified Dermatologist preferred; dermatology industry experience required
  • Prefer at least 3 years progressive experience in Pharmaceutical or Biotech Industry, working in Medical Affairs and/or clinical research and development or related fields
  • Minimum 3 years job-related experience for Director, 7 years experience for Senior Director
  • Industry/academic experience in planning, executing and reporting clinical trials is essential
  • Extensive clinical knowledge in Immunology and experience in biological therapies preferred
  • Strong leadership skills with a personal style that includes a sense of urgency, as well as flexibility and ability to respond to rapidly changing environments and circumstances
  • Excellent communication and presentation skills with the ability to present scientific data in a credible manner. Able to interface professionally with a wide spectrum of internal and external academicians, agencies, and industry executives in the scientific/medical arena. Strong interpersonal skills with a collaborative and proactive style and hands-on, roll-up-the sleeves attitude
  • Strong understanding of Clinical Trials process with demonstrated ability to have designed and implemented programs and initiatives directed towards defined strategic objectives
  • Strong understanding of GCP/ICH and FDA approval processes
61

Medical Director Resume Examples & Samples

  • Expertise in the clinical and science practices of hematology, preferably at an academic level
  • Experience in developing, conducting and publishing peer-reviewed scientific or clinical research
  • Additional training or experience in epidemiology, health economics, or health policy and outcomes-based research and practice
  • Proven success as a strategic thinker and planner
  • Strong communication skills; oral and written, including presentation skills
  • Strong interpersonal skills, including the ability to build strong working relationships, and managing and resolving conflict
  • Well-organized, with demonstrated ability to work effectively in a highly matrixed and cross-functional environment; strong team-orientation
  • Driven, energetic and passionate
  • Committed to upholding the highest ethical, legal, regulatory and scientific standards
62

Medical Director Resume Examples & Samples

  • Medical Degree with detailed understanding of patients with endocrine diseases and of the diagnosis and care of patients with thyroid disease
  • Board Certified preferred
  • Prior medical affairs or experience in the biotech or pharmaceutical industry, with experience working with cross-functional in-house and field-based teams preferred
  • Disease specialist area (such as Endocrinology, Pediatric Endocrinology) preferred
63

Associate Medical Director Resume Examples & Samples

  • Contribute to the strategic development of early and late stage clinical programs
  • Lead clinical study teams and provide appropriate medical monitoring for ongoing clinical studies
  • Prepare manuscripts, abstracts and presentations for scientific meetings
64

Associate Medical Director Resume Examples & Samples

  • Responsibility for Medical aspects of assigned studies including medical monitoring
  • Provide medical and scientific expertise in the assigned therapeutic area
  • Drug Safety Assessments in Clinical Programs
65

Medical Director Resume Examples & Samples

  • To develop and deliver differentiated solutions, inspired by customer insights, for patients with axSpA
  • Ensure that patients benefit from treatment options based on compelling evidence and unique medical insights
  • Ensure development and delivery of medical strategies which translate in evidence impacting clinical practice decisions
  • Ensure the medical/scientific coherence and quality of clinical development conducted in the assigned disease area
  • Promote scientific innovation, in collaboration with New Medicines and Global Exploratory Development
  • Being the medical contact person with the investigators, the Med. Dir. is the frontline representative of UCB towards the medical community
  • Interaction with an independent Data Safety Monitoring Board may be needed.Ongoing review of selected data relevant for the safety of subjects, beyond reviewing of SAE information
66

Medical Director Resume Examples & Samples

  • Medical qualification (MD)
  • Specialty training in neurology (clinical experience in epilepsy preferred)
  • Experience in the pharmaceutical industry, CRO or equivalent with significant clinical development experience in Phase 2 and 3 in neurology indications (clinical development experience in epilepsy preferred)
  • High performer,ability to work independently to solve complex problems and ability to support multiple projects as medical expert, if appropriate
67

Associate Medical Director Resume Examples & Samples

  • Good understanding of statistical methods
  • Lead medical education activities
  • Knowledge of key Marketing and Market Research terms and modes of analysis
  • Track record in effectively managing risk and compliance
68

Medical Director Resume Examples & Samples

  • Strategic alignment of the Cystic Fibrosis program working cross functionally and partnering with other key functions at Vertex such as Commercial, Regulatory, and Corporate Communications
  • Participates in the development of Study Protocols, Investigator's Brochures, Clinical Development Plans and other key study documents in conjunction with other line functions and with minimal guidance
  • Serves on cross-functional Study Execution Teams (SET) for assigned trials, working with other team members to achieve efficient, high-quality study execution , function as medical monitor for assigned Vertex clinical trials
  • Partner with KOLs to gather information on current focused therapeutic area issues and questions
  • Assist the Commercial team with the development of education material for providers and patients that is medically accurate and appropriate
  • Integration of Global Medical Affairs objectives with those of Clinical Development and Commercial operations to ensure programs meet the needs of all constituents
  • Possesses strong knowledge of pulmonary medicine, and in particular, strong depth of knowledge in cystic fibrosis (Pulmonary and/or Pediatrics experience preferred)
  • Medical Degree (MD or DO) with board certification in relevant specialty
  • At least 2-5 years of basic or clinical research experience in an academic or industrial setting, with experience in analysis of research data and publications; working knowledge of biostatistics and pharmacokinetics; working knowledge of GCP, scientific and clinical research methods and clinical study design, regulatory requirements for clinical studies
  • Excellent written and oral communication skills; high-level negotiation skills
  • Ability to work in a fast-pace and ever-changing environment, as well as the proven track record of working effectively in diverse teams involving multi-functional disciplines
  • Proven ability to develop internal relationships in a highly matrix environment, as well as external relationships with Key Opinion Leaders and industry experts
  • Possess the ability to engage in positive dialogues, influence outcomes and resolve conflicts in a constructive manner
69

Associate Medical Director Resume Examples & Samples

  • Perform assessments of life insurance underwriting applications. Typically involves a review of complex medical conditions and the individual or combined mortality risk. May include interpretation of resting EKGs, treadmills and MIB coding
  • Maintain a high degree of proficiency in mortality, including knowledge of new diseases, medical technologies and treatments, with specific emphasis on the impact of business success
  • Assist in research and development of medical underwriting guidelines
  • Maintain effective working relationships with underwriting and medical staff
  • Conduct formal and informal medical training
  • May manage relationships with para-med exam and medical information vendors
  • May develop mortality studies in conjunction with actuaries
  • Medical degree
  • Minimum 2-5 years of clinical experience
  • Board certified in insurance medicine
  • This position is employee referral bonus eligible.*
70

Associate Medical Director Resume Examples & Samples

  • Lead clinical programs
  • Play a strategic and clinical leadership role within the development organization by developing and implementing clinical program strategy
  • Significantly contribute to a clinical program team and support the eventual worldwide commercialization of these agents
  • Oversee development of clinical activities for one key immunology and/or fibrosis asset and possibly other drug development studies within a therapeutic area in collaboration with the clinical development teams
  • Lead strategic initiatives and clinical program team(s), including Medical Directors, Clinical Program Leaders (CPLs) and / or Clinical Scientists and Clinical Trial Managers (CTMs)
  • Develop and maintain relationships with program counterparts in Commercial, Research, Safety, Medical Regulatory, and Medical Affairs
  • Contribute to the development of strategic initiatives, specific Business Development activities and overall lead various organizational initiatives in Clinical Development
  • Five (5) years of experience in clinical or laboratory research
  • Industry experience, particularly in development within the disease area (immunology and/or fibrosis), is desirable
  • Five (5) years of progressive responsibilities in drug development, and a proven track record for clinical and scientific leadership in drug development are ideal
  • Demonstrated leadership and team building skills as well as the ability to perform effectively in a dynamic environment
71

Medical Director Resume Examples & Samples

  • Develop strategic vision for Bureau’s Healthcare Services Division
  • Create and implement business development plan to expand access to clinical HIV and STI services in healthcare delivery systems
  • Develop public / private partnerships between public health and healthcare systems and providers to promote population-health goals, reduce healthcare costs and increase patient satisfaction
  • Cultivate and maintain positive relationships with a wide-range of healthcare partners, including, but not limited to, federally qualified healthcare centers, hospitals, the State Medicaid Program and managed care organizations
  • Lead policy and structure change efforts to expand reimbursement for HIV/STI services across Chicago’s healthcare system, including third party reimbursement for Bureau-funded HIV and STI services
  • Serve as the primary medical spokesperson for the HIV/STI Bureau
  • Serve as primary advisor to the Commissioner and all deputy commissioners regarding HIV and STI treatment and prevention standards
  • Represent the Commissioner of Health and the Deputy Commissioner for HIV/STI at local, state, and national and international meetings and conferences on matters related to HIV/STI prevention and care
  • Advises Deputy Commissioner for HIV/STI on collaboration with other CDPH programs to maximize the effectiveness of disease prevention efforts and assure appropriate integration of services (e.g., TB, substance abuse) with HIV and STI prevention and care
  • Conducts or oversees studies related to HIV and STI prevention and care
  • Assures and informs the HIV/STI Bureau’s administrative and budgetary operations
  • Directs and guides grant development activities, as needed
  • Provides expert advice and recommendations to other CDPH programs, City agencies as well as to outside organizations, including delegate agencies, and providers regarding HIV and STI diagnosis, treatment and prevention; healthcare standards; healthcare service delivery models; clinical quality indicators; and healthcare financing. Makes presentations to healthcare providers working in medical centers, universities, and community-based organizations and assists in training activities for healthcare providers and the general public
  • Provides guidance to the STI Supervising Physician who coordinates and assures proper STI medical care, including the development of policies, protocols and standards to assure high quality STI medical care and care that is consistent with national standards
  • Provides guidance to STI Supervising Physician who assures adequate training and supervision of clinical and laboratory staff
  • Provides guidance to STI Supervising Physician who assures that the quality of services is monitored and maintained
72

Medical Director Resume Examples & Samples

  • Develops or assists in the development and updating of occupational health policies and procedures consistent with applicable legal mandates, best community medical practices and guidelines, as well as organizational missions and goals
  • Plans and directs the medical programs/activities of the OHP including the establishment, improvement, or revision of medical examination protocols, questionnaires, and examination review and procedures and directly participates as a clinic physician in these duties
  • Directs the establishment, improvement or revision of medical standards for employment, pre-placement and fitness for duty examinations
  • Performs the more difficult evaluations and reviews the work and recommendations of OHP physicians, contracted clinic medical staff and related work performed for the organization in accordance with best medical practice and applicable laws
  • Performs some specialized services for OHP
  • Confers with medical staff, medical consultants, primary care providers, and others to determine the physical limitations and work restrictions of County employees and applicants
  • Provides technical and administrative supervision and support of Senior Physicians and other medical staff of the OHP Medical Services Unit
  • Performs the duties of a Senior Physician as needed
  • Assists in other administrative activities such as data management and analysis, and issuance of Requests for Proposals
  • Curriculum Vitae**
  • Statement of Career Goals***
  • Certification by the American Specialty Board in Occupational Medicine****
  • California State Physician and Surgeon's Certificate authorized by the Board of Medical Examiners of the State of California****
  • A Curriculum Vitae (CV) provides a summary of one's experience and skills. It includes information regarding academic background, including teaching experience, degrees, research, awards, publications, presentations, and other achievements
  • *The Statement of Career Goal is a narrative that serves as an effective way of assessing current career achievements and the means one should take for accomplishing such career objectives. The career statement is a short and crisp essay that clearly presents the career vision of a professional for making an effective career plan
  • **The required license/certificate MUST be current and unrestricted; conditional, provisional, probationary or restricted license/certificate will NOT be accepted
  • Completion of a two-year Occupational Medicine residency program
  • Recognized achievements and contributions in the area of Occupational Medicine
  • Thorough knowledge of current medical practice and experience in clinical medicine
  • Certification as a Medical Review Officer
  • Outstanding interpersonal skills and management acumen
  • Experience working with public officials, supervisors, employees, and their representatives, and the general public
  • Experience communicating orally, in writing, and listening in promoting clear and effective interactions with individuals both internal and external to the organization
  • Experience supervising licensed physicians and other medical staff
  • Experience in the development of medical work-fitness standards or guidelines
  • Knowledge of Department of Transportation and Department of Motor Vehicle rules as they apply to medical evaluations and drug test issues
  • Working knowledge of ADA, FEHA and Cal/OSHA requirements as they apply to preplacement and periodic medical exams
  • Experience in the application of POST and NFPA standards to preplacement and periodic medical exams
73

Medical Director Resume Examples & Samples

  • Engages collaboratively with the Executive Leadership Team, participating in monthly Executive Committee meetings and more frequently as needed
  • Develops and implements innovative new programs in clinical departments
  • Drives collaborative relationship with MLK Community Hospital
  • Chairs the Quality Improvement Committee and participates in planning and development meetings in support of this critical program as needed
  • Provides key Executive Leadership to the Care Improvement Team Program as well as oversight to Root Cause Analyses for sentinel events as needed and supervises the Infection Control, Patient Safety, and Risk Prevention Programs
  • Chairs the Medical Executive Committee, which communicates key leadership initiatives out to mid-level clinical leadership and to the rest of the clinical team
  • Develops clinical templates and provides oversight to patient scheduling; works collaboratively with finance and operational teams to develop workflow that engenders best patient experience and most efficient processes
  • Oversees all hiring of clinicians, distribution of clinical efforts across the program, Policy and Procedure Program at MLK OPC, Member Service Program, as well as Credentialing and Privileging
  • Manages budgets for contract clinicians
  • Engages with electronic resources, including but not limited to ORCHID EMR to improve team communication and to participate in meaningful population management
  • Engages in supervision of physicians, nurse practitioners, and physician assistants including allocation of duties, determining scope of practice, and driving innovation
  • Represents MLK OPC on DHS Enterprise work groups, including the Clinical Operations Committee, the Monthly Medical Directors Meeting, and the Monthly Empanelment Meeting
  • Oversees eConsult reviewers at the facility level and intercedes as needed when issues arise; interfaces with the eConsult team and centralized Appointment Scheduling Center to ensure consistent patient volume
  • Participates in EMR and ORCHID development as appropriate, both at a local and at a DHS enterprise level
  • Supervises a minimum of 8 clinical leaders, including Associate Medical Director, Nursing Director, Director of Continuity Care, Director of Surgical Specialties, Director of Ophthalmology, Director of HIV Care, Director of Quality and Risk Management, provides oversight for the Director of the Ambulatory Surgery Center
  • Completes time and attendance monitoring for all direct reports
  • Ensures compliance with DHR goals for direct reports and DHR training requirements for entire clinical programs, including contract clinicians, are achieved
  • Provides direct patient care to patients receiving specialty services in the Patient-Centered Medical Home for a minimum of 4 hours per week; completes patient care activities such as communication with patients and/or nursing staff to achieve treatment goals, interprets outstanding labs, engages in necessary written communication and completes other required patient care documentation or forms
  • Experience in directing and overseeing the clinical program of a very large Outpatient Center with at least 25 multiple clinics
  • Experience working with other healthcare organizations and agencies in coordinating patient care
  • Experience in personnel such as recruitment, hiring, resource allocation, and employee discipline
74

Associate Medical Director Resume Examples & Samples

  • MD Education and Experience: degree specialized in CNS preferred and at least 5 years of clinical practice experience, including residency. MUST hold an active Texas medical license
  • Previous experience in conducting pharmaceutical research is preferred (not required)
  • Must maintain current ACLS education
  • Ability to work with an attitude of care and concern for patients and subjects
75

Medical Director Resume Examples & Samples

  • Responsible for leadership and execution of the Tennessee Medicaid (TennCare) Long Term Care program (Choices ). This encompasses both key affordability and clinical quality activities associated with the Choices membership
  • Collaborates with the market lead Medical Director/Chief Medical Officer and LTC Choices Executive Director, clinical operations staff, and other market staff to implement programs to support and meet market and national clinical operations goals
  • Provides support and guidance to the Choices care coordinators and clinical staff
  • Works toward fully integrated clinical model working with Behavioral Health and non-Choices clinical management
  • Liaison to network management for network development related to long term care/ Home and Community Based services
  • Reports to Healthplan Medical Director with accountability to the local Choices Executive Director
  • Leadership role in local clinical operations initiatives related to LTC Choices
  • Manages external physician relationships, acts as community ambassador, and works with LTC Choices Executive Director in developing new business opportunities as required
  • Responsible for Medicare- Medicaid coordination activities include: HBCS data sharing, Skilled nursing facilities data sharing, movement of eligible member back into the community from Skilled nursing facilities, and disease management to ensure cost-effectiveness
  • Responsible for managing/monitoring the results of Care Management/ Health services interventions to ensure that utilization goals are achieved; collaborating with Care Management/ health services/behavioral health as necessary to maintain focus on achieving targets
  • Develops new ideas for affordability initiatives in the population and drive their implementation when selected
  • Supports local market data sharing activities include reviewing completed data analysis and establishing a process for sharing data with Skilled nursing facilities, HCBS providers and physicians
  • Is responsible for complex case review with clinical staff and Choices care coordinators
  • Support all Clinical Quality initiatives and peer review processes including QOC and QOS issues
  • Act as liaison for network development of home and community service providers; potential vendor changes; gather market data; act as an improvement catalyst
  • Communicate to providers on new focus and measure/process changes
  • Deliver the clinical value proposition in support of the sales and growth activities of the Health Plan
  • Promote positive relations with State/local regulatory authorities and Medical Societies
  • Active participation in support of Joint Operating, QM, and PAS Committees
  • Coordinates care with the local integrated behavioral health teams Management
  • MD or DO with an active, unrestricted license
  • 5+ years clinical practice experience -Intermediate or higher level of proficiency with managed care
  • 2+ years Population Health or Quality Management experience
76

Associate Medical Director Resume Examples & Samples

  • Support the lead Global Medical lead for interactions with key functions (e.g. Clinical Development, Commercial and Market Access)
  • Lead advisory board meetings including content development for these and other Global Medical initiatives
  • Present data at Global Medical advisory board meetings and medical trainings
  • Represent Global Medical Neurology at internal cross-functional meetings and with External stakeholders as needed
77

Medical Director Resume Examples & Samples

  • Primary care physician preferred
  • 10+ of practice preferred
  • Previous practice and/or committee leadership positions
  • Previous Quality Improvement and/or Peer Review positions
  • Entrepreneurial spirit and comfort in developing a new network/business
  • Familiarity with Evidence-based best practices and clinical standards of work development
  • Strong people and project management capabilities. Must understand the landscape, as well as areas of opportunity and strength within the network of physicians
  • Strong understanding of value-based care and population health foundational elements
  • Leadership or participation in quality improvement projects in outpatient and/or inpatient setting
  • Excellent communication skills, both oral and written. Must be able to negotiate and/or communicate with a wide variety of people
  • Performance metrics management; including threshold and benchmark design
  • Development of performance improvement plans; including expectations and remedial solutions
  • Capability to build relationships with a variety of personalities; including community physicians, hospital leadership and the Board of Trustees
  • Strong understanding of clinical quality programs and FTC-sanctioned Clinical Integration
  • Experience with direct facilitation of clinical and non-clinical stakeholders
  • Acknowledged clinical leadership within specialty and system overall
  • Desire and experience in communicating effectively with colleagues and building consensus; including change management
  • Familiarity with performance informatics preferred
78

Medical Director Resume Examples & Samples

  • Assists Senior Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements
  • Assists the Senior Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies
  • New York State medical license without restrictions
  • Medical Doctor or Doctor of Osteopathy, board certified in Psychiatry
  • The candidate must be an actively practicing physician. Minimum of 7 years experience as a physician
  • Previous experience within a managed care organization is preferred
  • Experience treating or managing care for a culturally diverse population preferred
79

Medical Director Resume Examples & Samples

  • Medical management education or certification preferred
  • Board certified physician with current Virginia state license or unencumbered eligibility for license issued by the Commonwealth
  • Prior experience as a Medical Director for a critical service line, with emphasis on patient safety and quality for a large hospital
  • Hospital medical staff leadership; graduate medical education, risk management, and line management experience in a similar
  • Strong analytical skills and experience in budgetary management related to core services
  • Demonstrated ability to gain medical staff support when developing, implementing, and promoting projects, ventures, and
  • A relationship builder and effective communicator across the organization to include medical staff, senior management, clinical
  • Experience with The Joint Commission
  • Knowledge of all aspects of medical staff credentialing and privileging
80

Medical Director Resume Examples & Samples

  • Lead, develop and execute the Medical Affairs strategy for VYXEOS, working in close collaboration with the brand team and other cross functional members of the VYXEOS launch team
  • Build peer-to-peer relationships with Regional Thought Leaders in AML through science, in order to develop experience and advocacy for VYXEOS
  • Develop a data generation and publication plan to address the needs of the clinical community
  • Gain deep insights and understanding of the AML area, to shape the organization’s strategy
  • Ensure organizational readiness for launch
  • Strong leadership skills with ability to influence at all levels of the organisation as well as with external customers
  • Strategic thinker with ability to develop and implement plans at regional and country level
  • Excellent presentation skills, strong interpersonal skills
  • Able to demonstrate clear understanding and experience of competitive study design and execution
  • Strong preference for a Medical Doctor with Hematology/Oncology experience gained (clinical and/or pharmaceutical)
  • Medical degree, PhD or higher science degree required
  • Significant and proven track record of excellence in the pharmaceutical industry
  • Experience of working in a regional medical affairs role is highly desirable
  • Good understanding of healthcare systems in Europe and the needs of payors
  • Must have experience in running Phase IV studies and lifecycle management
  • Experience in establishing scientific relationships/interactions with academic societies
81

Medical Director Resume Examples & Samples

  • Active,unrestricted medical license to practice medicine in a US state required. Missouri preferred
  • Also will be responsible to support all state specific requirements that apply for each state where there is MHA business
  • ABMS recognized Board certification is required, preferably in a Primary Health Specialty, Family or Internal medicine
  • Knowledge and experience with population or segment health management is a plus
  • Knowledge of health insurance industry and the National Accounts segment is also a plus
  • Must be a team player, collaborative and capable of independent work
82

Medical Director Resume Examples & Samples

  • Current Board certification approved by the American Board of Medical Specialties required
  • Must possess an active unrestricted medical license to practice medicine in a US State
  • At least 5 years of clinical experience or any combination of education and experience, which would provide an equivalent background
  • 2 years of experience with utilization review preferred
83

Medical Director Resume Examples & Samples

  • Promote the clinical and financial value propositions to new business and current partner stakeholders to achieve growth goals
  • Develop and sustain strong relationships with other medical directors and health care system leaders in market territory
  • Actively engage NP / PA clinical staff with didactic, written and 1:1 education on geriatric syndromes, chronic illness, SNF regulations, and end of life / palliative care
  • Leadership role for achievement of targets for market or contract specific STAR; HEDIS measures; and Quality Improvement Programs
  • Lead market review and develop education and operational plans to address pharmacy , acute hospitalization, skilled SNF services, DME, and physician medical expense
  • Educate NP / PA staff in use of coding tools and documentation requirements
  • 20-30% day travel within Upstate NY
  • CMS, Medicare Advantage, SNP Rules and Regulations
  • Inpatient / SNF utilization metrics and bed day management
84

Medical Director Resume Examples & Samples

  • Managing and leading the psychiatric operations of the Outpatient Services sites
  • Works in collaboration with the leadership team to establish and enforce sound clinical policies, procedures and practices as they pertain to patient care
  • Clinically collaborates with the Nurse Coordinator
  • Works with leadership in collaboration to ensure that there iis adequate staffing
  • Assists in the recruitment and selection of physicians Handles physician behavior and impairment issues
  • Provides a full range of psychiatric services to patients that include direct care of patients in the clinical setting including: assessment, screening, diagnosis, and treatment of patients and determining the degree of disabilities in patients
85

Medical Director Resume Examples & Samples

  • Contribute to initiatives that drive innovation, quality, and efficiency across TM
  • Leadership -Models the Research and TM culture - Able to work independently on studies; developing independent approach to program strat-egy. - Impact within a Unit, a Disease Area, geography or other divisions - Makes connections and drives solutions for research programs - Leads and delivers within the matrix - Executes on strategic direction - Operational responsibility for quality and compliance within the organization - Internal TM expert for project teams
  • Recognized Expert in field, drives project team clinicalstrategy. Works globally across various Novartis Institutes and Divisions
  • At least 5 years’ experience in a pharmaceutical/biotech company, CRO, or academic medical center, or related experience
  • Recognized internally for medical expertise
  • Significant contributions to a field over time, creates new concepts
  • Recognized publications record
  • Excellent written and oral communication/presentation skills
  • Independence: Able to work independently on study planning and execution, and with supervision on project planning,
  • Innovation: Seeks out new clinical discovery opportunities and PoC approaches
  • Demonstrated passion for science
  • Ability to distil key messages to support their recommendation
86

Medical Director Resume Examples & Samples

  • Provide in-house medical leadership for sponsor studies, including document development (imaging manual, charter/read methodology, SRS (system requirement spec), training manuals and others as needed), imaging and clinical outcomes protocol design and setup, quality control, independent reviewer methods and methodology and reviewer training and re-training
  • Support and work with staff and Business Development to provide expertise and support in the development of new business with potential clients and in building and retaining relationships with current clients. Support will consist of but not be limited to participation in bid defences and capabilities meetings, establishing a relationship with client medical and scientific experts, identifying new areas of research and providing internal training of ICON personnel on emergent developments in clinical research
  • Make independent decisions that represent the core business, medical and scientific positions within ICON and the ICON Technology Group
  • Support ICON responses to Request for Proposals (RFPs) and RFIs (Information), providing input that showcases IMI expertise in the scientific, medical, and technical aspects of imaging in clinical trials
  • Offer real time consultations internally and externally; internal consulting for technical and scientific questions includes providing training to other team members; external consulting includes study protocol development, site support, radiology case review for equivocal efficacy evaluation, imaging analysis guidance, contrast usage, study read design and read criteria application
  • Build relationships with clients by working/meeting/consulting with clients on study protocol development, providing insights on the imaging and protocol development component (related to point 3); help answer relevant queries from regulatory authorities by justifying study design
  • Conduct Independent Reader training for various read criteria, offer IRR Q&A, perform inter-reader variability analysis and re-train independent readers
  • Attend scientific and industry conventions, give talks/presentations, participate in imaging standardization groups
  • Maintain academic affiliation and foster IMI growth as a credible scientific leader
  • In-depth expertise in imaging clinical trial endpoints with comprehensive experience in all phases of drug development
  • Excellent and demonstrated interpersonal skills that includes negotiation through difficult situations and leadership in large-scale projects and programs
  • Thorough knowledge of US and ICH-GCP
  • Excellent communicator that can effectively speak in public forums
  • An advanced academic background in the medical sciences that includes the pharmaceutical sciences. Extensive experience (>20 years) in a drug development culminating in a position of Sr. Director or above is an acceptable to substitute for an academic degree
87

Medical Director Resume Examples & Samples

  • Demonstrate solid competencies as a Medical Leader within the US Clinical Development & Medical Affairs organization. Build positive, effective partnerships with Medical and Commercial as well as US and Global colleagues
  • Lead a cross-functional Medical launch team that will drive strategic and Medical tactical development, as well as excellence in execution
  • Co-develop strategically aligned study programs in collaboration with relevant Clinical and/or Heath Economics & Outcomes Research colleagues
  • Drive secondary data analytics team
  • Support Investigator-Initiated Trial (IIT) program
  • Actively explore, plan, and implement innovative communications solutions – including through digital channels – in order to address strategic and scientific gaps
  • Develop a strong medical engagement plan, incorporating diverse Medical functions and capabilities. Foster strong relationships with not only National, but also key Regional and Local Medical Experts, including Investigators. Support Field Medical colleagues in doing the same
  • Lead insight-gathering initiatives
  • Develop positive and effective relationships with Global colleagues
  • Solid competencies as a Medical Leader
  • Proactive, hands-on approach to Medical Direction
  • Possessing a spirit of confidence and self-reliance, able to express relevant perspectives in a way that is succinct and compelling to others
  • Firm working knowledge of GCP, scientific and clinical methodology, protocol design, project management and regulatory requirements for Phase II-IV clinical studies
  • Excellent understanding of the principles underlying real-world evidence generation. Ability to develop study concepts, design studies, and support protocols in collaboration with Health Economics & Outcomes Research colleagues
  • Having the ability to think “beyond the data,” incorporating a larger set of considerations, including not only HCP but also payer and patient needs
  • Effectiveness in problem-solving within a large, multi-faceted corporate environment. Able to drive solutions that not only bear upon Medical, but also Commercial and Market Access concerns
  • Solid negotiation skills, able to achieve alignment among a wide variety of stakeholders with differing priorities
  • Active and enthusiastic participation in Medical-Legal-Regulatory review of promotional as well as non-promotional communications
  • Able to nurture strong, positive relationships with internal and external stakeholders
88

Medical Director Resume Examples & Samples

  • Company thought leader
  • Functional SME
  • Lead Clinical advisor
  • Broad business approach
  • Resource to senior leadership
  • Develops pioneering approaches to emerging industry trends
  • MD or DO degre
  • Active unrestricted physician state license
  • Current board certification in ABMS or AOA specialty
  • 5+ years of clinical practice experience post residency
  • Strong understanding of and concurrence with evidence-based medicine (EBM) and managed care principles, as well as familiarity with current medical issues and practices
  • 3+ years of experience with Fraud, Waste and Abuse recovery
  • Working knowledge of professional and facility claim reimbursement
  • 3+ years of experience interpreting and developing medical or reimbursement policies and an understanding of certificate of coverage language
  • Excellent business writing skills for provider communications and leadership summarization
  • Excellent presentation skills with the ability to clearly articulate information
  • Exceptional customer service skills with the ability to interpret customer needs
  • Exceptional innovative thinking skills
  • Ability to identify business technical solutions for reimbursements needs
  • Exceptional leadership, negotiation and influencing skills
89

Associate Medical Director Resume Examples & Samples

  • Provide Leadership, line management and development of the affiliate’s medical staff. Ensure appropriate affiliate resourcing, skills and capabilities are in place to support affiliate, regional and global medical affairs activities, global research and development activities, and business support. Ensure clarity of roles, responsibilities & accountabilities for the affiliate medical staff
  • Plan and manage budget and headcount resources for the affiliate medical department, in full collaboration and transparency with the affiliate commercial/finance and HR teams, and in consultation with the Regional Medical Director. Set and execute Medical Affairs strategies for the affiliate in consultation with the Regional Medical Director to ensure alignment with region and global strategic plans. Provide strategic input to the affiliate’s commercial plans
  • Act as the primary contact for medical governance requirements within the affiliate. Be accountable for understanding compliance requirements, risk identification and assessment, mitigation planning as well as implementation and monitoring of appropriate internal controls
  • Serve as the company’s key medical spokesperson and primary medical representative with governmental agencies, professional associations, special interest groups and the healthcare community at large
  • Ensure that local medical affairs implementation plans are executed efficiently, and that resourcing, skills and capabilities are appropriate to meet needs
  • Provide leadership, line management and development for the affiliate medical department staff
  • Ensure adherence to company standards, policies and procedures: Accountable for enhancing affiliate medical personnel understanding of compliance requirements, risk identification and assessment, mitigation planning as well as implementation and monitoring of appropriate internal controls
  • Plan and manage budget and headcount resources for the affiliate medical department
  • Medical Degree; Strong background in clinical practice. Suitably qualified individuals from a scientific background and relevant experience will also be considered in exceptional circumstances. Previous medical affairs pharmaceutical or biopharmaceutical industry experience is essential, and management experience of medical teams & significant numbers of medical/scientific staff for 5 years (minimum) is expected
  • He/she must have a reputation for leading with high integrity, strong work ethics and compliant behaviour
  • Fluency in written and oral English is highly desirable in order to facilitate communications between the affiliate medical department, Area Medical Affairs and other AbbVie functional staff
90

Associate Medical Director Resume Examples & Samples

  • Clinical Pharmacology
  • Pharmaceutical Development
  • Pharmacovigilance and Patient Safety
91

Medical Director Resume Examples & Samples

  • Render coverage and payment determinations for precertification, concurrent utilization review retrospective review cases, and appeals
  • Apply evidence-based guidelines, nationally recognized utilization review criteria and guidelines and IBC FOC Medical and Pharmacy Policy to determine whether a given health care service, procedure or item is a covered benefit under the terms of the applicable health plan for which IBC FOC serves as claims administrator
  • Effectively communicate the determination and rationale for the determination, considering the relevant facts and circumstances of the case, to the physician or other health care professional requesting coverage for the service, procedure or item
  • Record such determinations in the relevant system satisfying all applicable regulatory and accreditation requirements and IBC FOC policy
  • Provide counsel and advice to IBC FOC nursing staff for cases requiring a level of knowledge and understanding of clinical medicine appropriate to a physician
  • Solicit additional information from treating and attending physicians and other health care professionals as indicated
  • M.D. degree from a medical school or osteopathic medical school recognized by the American Association of Medical Colleges, the American Osteopathic Association or the World Health Organization
  • Completion of an accredited residency program in a program accredited by the Liaison Committee of Graduate Medical Education or the American Osteopathic Association
  • Unrestricted and unencumbered license to practice clinical medicine or osteopathic medicine in the state in which the IBC FOC office where the Medical Director is employed is located
  • Current, active Board Certification by a member Board of the American Board of Medical Specialties or a recognized Board of the Osteopathic Medical Association or equivalent certification as established by IBC FOC’s Chief Medical Officer
  • Operational knowledge of the application of utilization review criteria and guidelines; CPT/HCPCS, ICD-9/10 and DRG coding; health insurance benefits administration and physician and hospital managed care contracting
  • Good standing with federal and state health care benefits programs, including Medicare, Medicaid and Federal Employee Health Benefits Program. No unresolved disciplinary actions precluding participation in such programs
  • No history of conviction for insurance fraud or related offense in any state
  • Ability to use standard computing tools including email, Microsoft Office and IBC FOC business applications necessary to complete assigned tasks
92

Medical Director Resume Examples & Samples

  • Provide medical support and work closely with a multidisciplinary team at Neurocrine involving both Commercial and R & D project team members including clinical operations, business development, regulatory affairs, and sales and marketing
  • Supports medical affairs activities by working with external vendors as needed for various projects
  • Longer term, may require management of up to 4 direct reports
93

Medical Director Resume Examples & Samples

  • Interacts with senior management, project management, and other departments as appropriate
  • Represents Company at scientific meetings as required
  • Primary senior-level contact for customers
  • Assumes line-management duties as needed
94

Medical Director Resume Examples & Samples

  • Current board certification approved by the American Board of Medical Specialties or American Osteopathic Association required
  • Must possess an active unrestricted medical license to practice medicine issued by the State of IN
  • At least 5 years of clinical experience or any combination of education and experience, which would provide an equivalent background required
  • Master’s Degree (MBA, MPH, MPP) is valued
  • Quality management experience is a plus
95

Associate Medical Director Resume Examples & Samples

  • LI-DR1
  • MD degree or equivalent & active US license (boarded in Neurology and/or Ophthalmology)
  • Strong medical knowledge
  • Excellent interpersonal and team building skills
  • Ability to exercise creativity and judgment
  • Understanding of regulatory guidelines for adverse event reporting for serious/unexpected events
  • Working knowledge of Federal Guidelines and GCPs
  • Familiar with guidelines for IND and NDA submissions and international guidelines for conduct of clinical studies
  • Working knowledge of biostatistics, data management, and clinical operations' procedures
  • Overall knowledge of the drug development process
96

Executive Medical Director, Biosimilars Resume Examples & Samples

  • MD plus accredited residency
  • Five (5) + years of either industry or academic research experience
  • Accredited fellowship in relevant specialty or sub-specialty (eg, internal medicine, Rheumatology, gastroenterology), board certified
  • Eight (8) + years of industry research experience
  • Clinical research experience in the biopharmaceutical industry (biotech, pharmaceutical or CRO Company)
97

Medical Director, Taiwan Resume Examples & Samples

  • Provide Leadership, line management and development of the affiliate’s medical staff
  • Responsible for recruiting, retaining, and mentoring high potential employees
  • Plan and manage budget and headcount resources for the affiliate medical department, in full collaboration and transparency with the affiliate commercial/finance and HR teams, and in consultation with the Regional Medical Affairs Head
  • Set and execute Medical Affairs strategies for the affiliate in consultation with the Regional Medical Affairs Head to ensure alignment with region and global strategic plans. Provide strategic input to the affiliate’s commercial plans
  • Ensure that the affiliate operates an effective promotional material review & approval process, and act as final medical signatory (may be delegated) for all promotional and scientific materials / activities within the affiliate. Act as final medical signatory (may be delegated) on all other relevant documents such as label changes, ensuring compatibility of materials with the local label
  • Establish medical and scientific information service for AbbVie products and products in development, and ensure that medical information is of high quality and communicated in an accurate, balanced, timely and compliant way
  • Be a strategic collaborator in, and contributor to, the affiliate FutureFit and Brand Teams, and ensure medical alignment with local objectives where possible
  • Medical Degree; Strong background in clinical practice
  • Previous medical affairs pharmaceutical or biopharmaceutical industry experience is essential, and management experience of medical teams & significant numbers of medical/scientific staff for 5 years (minimum) is expected
  • Demonstrated ability to build and lead a medical/scientific organization of significant complexity including interdisciplinary scientific teams (For large business units)
  • Demonstrated ability to build and lead a medical/scientific organization of a size similar to that in the affiliate (For small and medium business units)
  • A broad and demonstrated understanding of drug development and commercialization processes, have sound and current knowledge of the regulatory environment, significant experience in overseeing or conducting clinical trials, a solid understanding of trial design and methodology and an understanding of the need to balance safety and efficacy concerns
  • Must understand and be able to plan, manage and execute budgets effectively
  • Collaborative, team oriented approach, and will be adept at developing and supporting relationships across an organization as well as with key external stakeholders and the healthcare community at large
  • Experience being an active contributor to cross-functional teams and/or working in matrix organizations will be essential
  • He/she will possess strong communication and presentation skills. Works independently: limited guidance/oversight. Works broadly across functions to facilitate and support the affiliate’s medical and clinical activities as necessary
  • A strong business orientation and acumen is desirable. He/she will have the demonstrated ability to participate within an executive team and contribute to the development and implementation of winning strategies for the company overall. A results oriented entrepreneurial spirit with excellent judgment and the ability to operate independently
  • He/she should possess the presence and credibility to establish and maintain productive relationships with a variety of audiences with an interest in the company including government regulators, the scientific community in both academic and private sector environment and other key stakeholders
  • Excellent written and spoken communication skills. Fluency in written and oral English is highly desirable in order to facilitate communications between the affiliate medical department, Regional and International Medical Affairs and other AbbVie functional staff
98

Medical Director Resume Examples & Samples

  • Live and exemplify the Five Principles of Mars, Inc. within self and team
  • Participate in the recruitment, hiring, coaching and supervision of doctors in their hospitals
  • Develop, implement and oversee on-boarding plans for all new doctors in their hospitals
  • Work side by side with doctors in hospitals (typically four days per week) in order to
  • Ensuring Medical Quality - Partner with field staff to ensure outstanding business practices and a high degree of professionalism in each hospital
  • Teach and Coach - Ability to successfully train, coach and mentor a team of veterinarians, and to present education and training materials successfully and gain commitment from doctors
  • Hiring and Staffing (25) - Has a nose for talent; hires the best people available from inside or outside
  • Performance Management - Understands and utilizes a coaching/counseling philosophy for performance management
  • Managing Diversity (21) - Manages all kinds and classes of people equitably
  • Ability to multi-task- Manages multiple tasks at one time; quickly and accurately shifts attention among multiple tasks under distracting conditions without loss of accuracy or appearance of frustration
  • Communication skills - Reads, writes and speaks fluent English, using appropriate grammar, style and vocabulary. Correctly spells commonly used English words and job specific terms. Demonstrates exceptionally strong written and verbal communication skills. Fluent in Spanish in markets where local population is predominantly Spanish speaking
  • Organizational ability – Demonstrates a systematic approach in carrying out assignments. Is highly orderly and excels at cutting through confusion and turning chaos into order
  • Problem solving skills - Demonstrates a strong ability to identify, analyze and solve problems. Unusually decisive in handling difficult problems. Translates problems into practical solutions
  • Client service skills - Consistently ensures the team provides the client with attentive, courteous and informative service. Gains and shows personal satisfaction from delivering great service, seeing pets’ health improve and satisfying clients. Ensures the team utilizes a recovery plan for resolution of client complaints
  • Intellectual ability - Accurately and consistently follows instructions delivered in an oral, written or diagram format. Can provide directions
  • Mathematical ability - Ability to add, subtract, multiply and divide, and to compute rate, ratio and percent; ability to convert units of measurement
  • Computer skills - Comfortably and confidently uses a computer and specialized software
  • Management skills – Ability to manage team members effectively, setting goals and direction, and holding individuals accountable to meet job expectations. Ability to successfully supervise, coach and mentor others
  • Compassionate commitment to pet care – Ensures hospital teams confidently present pet treatment recommendations and associated fees, gaining the client’s agreement to proceed with the treatment most appropriate to the pet’s current condition and long term health
  • Medical and surgical skills – Consistently practice veterinary medicine above commonly accepted practice standards. Ability to perform common general practice surgical, diagnostic and therapeutic procedures. Demonstrate these skills confidently and with the intent to teach them. Sales and marketing skills - Help doctors to gain client compliance in delivering treatment plans to pets
  • Doctor of Veterinary Medicine (DVM/VMD), or equivalent foreign degree is required
  • A minimum of five (5) years of relevant professional experience, including at least three (3) years clinical, with proven ability to perform all basic surgeries, including use of all standard medical instruments and equipment, and two (2) years leadership experience (such as a practice manager, chief of staff, partner doctor or equivalent role)
  • An active veterinary license in good standing is required for the states in which the majority of the MD’s hospitals exist
  • Federal DEA license required; and, if necessary, DEA license for primary state, as well
  • For any additional states where the MD has hospitals at the time of hire, or if a new territory is acquired, necessary licenses must be obtained at the next available licensing date
  • All licenses must remain active for each state in which the Medical Director has hospital responsibility
99

Medical Director Picu Resume Examples & Samples

  • Possesses board certification/board eligibility in pediatric intensive care medicine or related field that evidences the training and skills needed to perform the Department’s services
  • Must be PALS certified no later than six months after hire
  • Excellent communication skills, both written and oral
100

Franchise Medical Director Resume Examples & Samples

  • Shape the industry by building strong relationships externally with key stakeholders (Key Opinion Leaders, Surgeons, Regulatory Agencies, Professional Societies, etc.) to anticipate industry trends, understand clinical/medical insights, unmet medical needs and global standards of care in order to deliver quality products/solutions
  • Work with the Medical Business Partner; R&D, Clinical Affairs, Regulatory Affairs, Quality & Regulatory Compliance, Pre-Clinical, Health Economics & Market Access and Professional Medical Education
  • Ensure the execution of all phases of products’ development, establish evidence generation and dissemination strategies for the company’s sponsored and investigator initiated studies
  • Chair the Clinical Research Committee to ensure medical scientific alignment between Clinical Research and the company’s strategic needs
  • Participate in Key Governance Forums, including Global Management Boards, Cross Functional Leadership Teams, Portfolio Management Teams, Protocol Review Committee, Safety and Quality Review Boards
  • A minimum of a MD is required
  • A minimum of 10 years relevant experience in post graduate medical education (beyond initial licensure), fellowship, subspecialty training, clinical practice, or dedicated research, is required
  • At least 3 years of experience as a clinical Cardiac Electrophysiologist is preferred
  • Additional advanced degrees are preferred
  • A current license to practice medicine is preferred
  • Board Certification or an equivalent is preferred
  • Previous industry experience leading Medical/Clinical/R&D teams in a highly regulated, commercial medical device business is preferred
  • A minimum of 2 years’ experience in clinical practice as an attending level physician is preferred
  • Significant experience with clinical research is preferred
  • Demonstrated expertise and success in building Medical Affairs, Clinical Research or Research & Development teams to meet the needs of a global set of businesses serving different clinical specialties or therapeutic areas is preferred
  • Demonstrated success in medical data generation, interpretation and publication is preferred
  • Strong leadership skills and demonstrated ability to build successful relationships with internal and external partners globally is required
  • Strong communication and negotiation skills to successfully influence and implement policy with key customers and partners is preferred
  • Collaborating with multiple partners and working effectively in a matrix environment is required
  • This position is based in Irwindale, CA and may require up to 50% travel, national and international.Medical Affairs
101

Associate Medical Director Resume Examples & Samples

  • MD, MB/BS or equivalent degree and strong medical knowledge, proven clinical experience managing patients in hospital practice and Specialist in General Medicine/Internal Diseases
  • Is fluent in spoken and written English
  • Solid understanding of regulatory guidelines for adverse event reporting
102

International Medical Director Resume Examples & Samples

  • Act as a global contact to Affiliate/Regional Medical Affairs and other internal functions in matters related to the development of the medical strategy
  • Represent PDMA on the Life Cycle Team (LCT), Global Development team (GDT) and Safety team
  • Have medical/scientific responsibility for assigned clinical studies and other sources of evidence generation (e.g. RWD ), including but not limited to defining study concepts/synopses, protocol development, medical monitoring, final study reports and preparation of data for publication of study results
  • Be in charge of establishing the Independent Data Monitoring Committees (IDMCs) and data safety monitoring boards, leads trial Steering Committees and Investigator Meetings
  • Ensure compliance of global medical activities, communications and information
103

Group Medical Director, Gantenerumab Resume Examples & Samples

  • Broadly represent the interests of Product Development Neuroscience within Roche and Genentech, through interactions with Research, Biomarkers, Early Development, Medical Affairs, Commercial, Regulatory and Business Development senior leaders
  • Accountable for the strategic clinical development of Gantenerumab – including the clinical development plan, design, implementation of studies and leadership of all health authority interactions
  • Closely interface with early development groups to define opportunities to explore new areas of scientific discovery
  • Strategic support for Late Stage partnering for all opportunities in neuroscience
  • Evaluate approved and late stage PDN molecules for new indication opportunities
  • Noted disease expert with credibility to interface with key external health organizations (i.e. FDA, Advisory Committees, Key Opinion Leaders, reporters, analysts, WHO etc.)
  • Coach, manage and support employees to achieve business goals. Actively manage talent and career development
104

Executive Medical Director Marketed Products Resume Examples & Samples

  • MD or internationally recognized equivalent plus 10 years of clinical research experience within the pharmaceutical industry, CRO health-related consulting company, or biomedical/clinical experience within academia (or a combination of afore mentioned)
  • Significant NDA/MAA/Submission experience required, e.g., being a functional leader in the submission team
  • Experience with and demonstrated ability to lead and manage highly trained medical, scientific and technical professionals
  • Diplomacy and positive influencing abilities across multinational business cultures
  • Emerging research in Translational Medicine
105

Medical Director Resume Examples & Samples

  • Serve as Qualis Health’s primary physician liaison and medical subject matter expert
  • Perform clinical peer reviews and appeals
  • Recruit and/or oversee the activities of specialty peer consultants
  • Participate in appeals and hearings
  • Manage quality assurance and process improvement programs, client and provider relations activities, and strategic planning, in collaboration with our Senior Medical Director
106

Associate Medical Director Resume Examples & Samples

  • Should have a broad medical education
  • Fluent in written and spoken Japanese and English is essential
  • Good communication and interpersonal skills are essential. The role involves extensive contact with people throughout the company, investigators and clients. The nature of the personal interaction involves informal meetings, formal team meetings, oral presentation, written communication, face-to-face meetings, teleconferences and videoconferences
  • To continuously act as a diplomat for PPD during contact with client companies, regulatory agencies, ethics committees and other external agencies. To represent both PPD and the department at internal and external meetings, seminars and conferences, as considered appropriate by business need or line management
  • Good organisational skills are required, with the ability to continuously prioritise workload, and work efficiently to tight timelines
  • Proven ability to work productively in a team
  • A high degree of analytical skill is required
  • Good Information Technology and computer skills are required
  • There is out-of hours commitment associated with specific projects
  • Timelines are often demanding and require dedicated and conscientious input from the clinical research physician
  • The position requires frequent travel within the Asia Pacific region, and occasionally outside the region, sometimes at short notice
  • Specialist/Generalist post-registration clinical practice experience required, preferably with some experience in either clinical research, clinical pharmacology, drug safety or other relevant branch of Pharmaceutical Medicine, gained in either a commercial, clinical or academic environment
  • The ability to handle complex issues and situations is needed, together with a proven ability to interact effectively and positively with colleagues and clients alike
  • Very sensitive and confidential issues are handled daily, and the consequences of an error of judgment can be both costly and drastic
107

Associate Medical Director Resume Examples & Samples

  • Serves as Regional Medical Advisor on assigned projects
  • Provides medical support to investigative sites and project staff for protocol-related issues including protocol clarifications, inclusion/exclusion determinations, and issues of patient safety and/or eligibility
  • Performs review and clarification of trial-related Adverse Events (AEs)
  • Performs medical case review of Serious Adverse Events (SAEs), including review of case documentation and patient narrative
  • Provides medical support for the Analysis Of Similar Events (AOSE)
  • Performs medical review of Adverse Event coding
  • Performs medical review of the protocol, Investigative Drug Brochure (IDB), and/or Case Report Forms (CRFs)
  • Performs review of the Clinical Study Report (CSR) and patient narratives
  • Available 24 hours per day, 7 days per week to respond to urgent protocol-related issues at the investigative sites
  • Attends and presents at Investigator Meetings
  • Serves as Scientific Advisor and provides guidance to Project Managers on the medical and scientific aspects of assigned projects
  • Participates in development of Medical and Scientific Services portion of client proposals including the budgeting process
  • Serves as a resource, and may participate in strategic business development activities including presentations to prospective clients, professional meetings, and other business development activities for Medical & Scientific Services
  • A medical degree from an accredited and internationally recognized medical school with a curriculum relevant to general medical education, along with a medical license, or equivalent, from the country or region in which he/she resides and works is required, plus a minimum of 5 years' experience in clinical medicine, in addition to 2 years' clinical trials experience as an investigator or in the Pharma, CRO, or Biotech industry. Specialty Board certification desirable; or equivalent combination of education, training and experience
108

Associate Medical Director Resume Examples & Samples

  • Robust and current knowledge of scientific, clinical, regulatory, commercial and competitive landscape in applicable therapeutic area
  • Strong communication, presentation and interpersonal skills, including good command of English language (both written and spoken)
  • Business Acumen
109

Medical Director, Rare Disease Resume Examples & Samples

  • Hands-on participation in the clinical trial development process - drives and executes clinical strategy and provides clinical expertise for the research and development project
  • Serve as the Medical Monitor for clinical trials
  • Lead preparation of clinical sections of relevant regulatory documents (IND, study reports, NDA, etc)
  • Interacts with key opinion leaders to assure implementation of latest clinical thinking and guidelines into clinical study and program design
  • Serves as medical and technical resource for clinical issues raised by internal and external collaborators, investigators, consultants and contract resources
  • Represent the company at scientific meetings
  • Leads protocol development and contributes to clinical development plan
  • Participates in study start-up activities (e.g. CRF design based on protocol specifications)
  • Attend and provide science support for investigator and consultant meetings and other study implementation workshops
  • Participates in management of studies and serves as expert on clinical and medical issues to other colleagues and study site staff
  • Leads review of study data
  • Participates data interpretation and presentation to review committees and Sr Management
  • Participate in the SAE report process
  • Drives Clinical Science components in the writing of final study reports
  • Contributes to preparation for regulatory submission activities as appropriate
  • Leads development of publications, abstracts, and presentations
  • Support business development activities, including due diligence activities as needed
  • 5+ years experience in clinical functions in pharmaceutical or biotech industries is desirable
  • Be well connected within the medical and scientific community and have a proven track record of working with external scientific expers
  • Collaborative and flexible in personal interactions at all levels of the company
  • Excellent strategic planning, organizational and communication skills
110

Associate Medical Director Resume Examples & Samples

  • Supporting GSL role for compound(s) both in development and marketed in close association with the TAL
  • Review and oversight of safety data, both non-clinical and clinical
  • Interactions with external experts and regulatory agencies and partner/co-development companies
  • Medical Degree required or internationally recognized equivalent
  • Minimum of 2-3 years experience in pharmacovigilance, clinical research or clinical development
  • 1 year clinical experience with patients following post-graduate training with significant knowledge of general medicine
111

Medical Director Resume Examples & Samples

  • Feasibility Assessment: Lead the creation of the product development clinical plan, including the design of all the clinical studies. Establishes, through the development plan, the conditions essential for determining the safety, efficacy, medical usefulness, and marketability of candidate compound. Participate in recruiting and communicating with opinion leaders during the plan development process
  • Project Progress: Anticipates or identifies project needs and maintains a state-of-the-art development plan that is competitive and consistent with the latest regulatory requirements, especially from a regional perspective
  • High Impact Global Decisions: Monitors and interprets data from ongoing internal and external studies and makes decisions that impacts development such as "go/no go" decisions or modification of development plan or study design that may have a significant impact on timeline or product labeling
  • Competitive and Scientific information: TGRD Scientific Content Matter Expert on all scientific and clinical aspects on therapeutic area to both internal and external audiences. Establishes and maintains strong relationships with global and regional key opinion leaders in assigned therapy areas, to optimize the development of Takeda compounds and promote the company's reputation and expertise in the designated area
  • Leads negotiations with local regulatory authorities impacting the review and approval process
  • Represents Clinical Science in cross-functional teams or committees that have therapeutic area or organizational impact
  • Contributes to life cycle planning for therapeutic area
  • Leverages regional vs global studies to establish development synergies
  • Manages Program Scientists, Senior Program Scientists, Associate Directors, Associate Medical Directors, Directors, or Medical Directors
  • MD or internationally recognized equivalent with minimum 10 years of clinical research experience within the pharmaceutical industry, CRO health-related consulting company, or biomedical/clinical experience within academia (or a combination of afore mentioned)
112

Global Brand Medical Director Specialty GI Resume Examples & Samples

  • Works closely with the Global Brand Medical Directors to develop and implement significant Global Medical Affairs (GMA) activities for assigned strategically global brands
  • Co-leads the Working Group for the brand /disease area (responsible for the GMA activities for the brand and reporting to the GI Specialty Global Medical Affairs Subteam [GMST])
  • Partners with the Global Brand Leader in establishing a medical strategy which is wholly aligned with the brand plan
  • Provides medical leadership to contribute to successful launch and life cycle management of a prioritized global brand
  • Member of the Global Outcomes Research, Global Brand and Global Market Access cross-functional teams, provides medical affairs and value insights. Can represent GMA as needed at Global Brand Team, Global Product Team (GPT) and other cross-functional teams
  • Contributes to the delivery and alignment of GMA medical strategy plan with GPT and all constituents of the regions and relevant LOC’s
  • Co-responsible with the Global Brand Medical Directors to initiate, define and implement key lifecycle clinical components; reviews and approves global and local phase IIIb/IV study proposals and contributes to the definition of the IISR strategy
  • Responsible for assigned brand-related clinical content material development for medical education, medical communication, publications and Key Opinion Leader (KOL) engagement plans
  • Provides medical-scientific training to internal/external stakeholders as required
  • Supports Global Medical Head by providing brand input into the GI Specialty strategy document. As needed, contributes to consultation/evaluation of assets in the therapeutic area in the earlier phases of the product life cycle
  • Supports the Global Medical Head with resource planning for the medical affairs brand deliverables
  • Demonstrated ability to work effectively in complex matrix environments
  • Advanced interpersonal and negotiation skills including clear achievements in positively influencing key stakeholders
  • The position will require approximately 30-40% travel
  • Advanced degree (e.g. PhD, specialty certification, , MBA)
  • Proven experience in and understanding of multiple regional/country markets
  • Deep understanding of the brand(s)/therapeutic area and the stakeholders’ needs
113

Medical Director Resume Examples & Samples

  • Ability to travel locally between multiple locations in Tampa and Orlando
  • Board certified internal medicine or family practice
  • Ability to become credentialed by health plans
  • Florida license or ability to obtain one within 6 months
  • Strong analytical/data analysis skills and comfort developing and implementing medical action plans
  • Strong leadership, communication, written and negotiation skills required. Ability to manage change essential. Must be able to focus on priorities independently. Comfort with conflict management
  • Supervisory skills, including clinical mentoring
  • Ability to influence team members without direct reporting relationships
  • Comfort with basic computer skills
114

Medical Director Resume Examples & Samples

  • Lead regularly scheduled team meetings, including daily care team meetings, joint operating committee meetings, Physician/Provider/QI, Peer Review and Care Management Team Meetings or special committees, as requested
  • Coordinate clinician staffing, including after-hours call and vacation coverage
  • Participates in hiring and terminations of clinicians and nursing staff; completes performance assessments for clinicians
  • Works collaboratively with operational team members to monitor quality of care, clinical outcomes, resource utilization, and patient satisfaction; enact plans and programs to continually enhance services provided
  • Review with each of the clinicians on a no less than quarterly basis, their individual patient satisfaction scores and feedback
  • Meet with clinicians to understand the needs of the clinician and to communicate the organizational needs and expectations; solicit active participation from clinicians in committees and clinician meetings
  • Demonstrates, by action and attitude, the standard of high staff and physician satisfaction, treating staff and physicians with respect; mentor clinicians in leadership skills
  • Provide patient care in a manner consistent with facility bylaws, LOS standards, and evidence-based practices
  • Responsible for timely documentation, dictation of discharge summary and verbal communication back to patents’ PCP at time of discharge; completes all medical records within 24 hours
  • Attends continuing medical education (CME) programs as needed
  • Collaborates with other clinical and administrative staff in a positive, constructive manner
  • Meet all HCP provider credentialing and QI standards
  • Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Performs other duties and responsibilities as assigned
  • 3-5 years hospitalist, inpatient or post-acute experience preferred
  • Prior leadership experience preferred
  • Excellent fund of knowledge with respect to the practice of medicine. Ability to speak clearly and communicate with patients, families, agencies, other physicians and staff regarding patient care
  • Must embrace and exemplify the core vision and values of DaVita Medical Group
  • Must be able to lead teams
  • Must be able to make effective and timely decisions
  • Must possess leadership qualities such as
115

Medical Director, IPA / Chaps / Quality Resume Examples & Samples

  • Serve as a resource and knowledge expert for the region on HCC activities, coding, documentation and accountable for the overall improvement and performance of HCC in the assigned region
  • Develop and drive quality best practices across region in alignment with regulatory and quality standards and guidelines
  • Understand, interpret and process clinical and operational data to aid in development of regional tactics and strategies
  • Performs additional duties as assigned
  • Knowledge of medical billing and office automation software
116

Medical Director National Resume Examples & Samples

  • Requires an MD or DO
  • Requires current unrestricted medical licensure in a US state
  • ABMS recognized board certification required
  • Requires experience with population or segment health management and the education and coaching of members on wellness, prevention, and healthy lifestyles
  • Knowledge of leading competitive product offerings in the healthcare industry and marketplace standards and knowledge of National Accounts expectations required
  • Knowledge of and experience with Medicaid and/or Medicare UM strongly preferred
117

Medical Director Resume Examples & Samples

  • Provide therapeutic and drug development expertise, oversee drug safety associates providing adverse event reporting, follow up on adverse events as necessary and interact with Sponsors and investigative sites on protocol medical issues
  • Contribute to investigator meeting presentations, review study documentation, oversee safety data review and provide medical support to Business Development
  • Senior level candidates will be expected to have prior management experience and serve as product development consultants to Clients
  • Medical degree with board certification in Rheumatology is required
  • Minimum 2 years' experience that includes academic experience coupled with Pharmaceutical, Biotech or CRO experience
  • Ability and willingness to travel on an as needed basis
  • Ability to review and evaluate clinical data
118

Medical Director Resume Examples & Samples

  • Demonstrates significant functional area ownership; contributes above and beyond the level of individual case review by leading multiple projects or initiatives (including complex, high-risk activities)
  • Partners to develop departmental strategy
  • Provides overall leadership to one or more therapeutic areas in primary role; may also serve in secondary role for additional therapeutic areas
  • Performs causality assessment of adverse events in postmarketing individual case safety reports
  • Performs medical review of clinical SAEs
  • Performs Analysis of Similar Events as required
  • Understands safety profile of assigned AbbVie products and development compounds as well as safety aspects of relevant therapeutic area drugs and patient populations
  • Understands disease state for each indication within assigned AbbVie products and development compounds
  • Understands global regulations, processes and practices and can operationalize changes as necessary
  • Leads PPS initiatives, changes to controlled procedures and MSO training activities; supports audits, inspections and CAPA investigations as necessary
  • MD or equivalent
  • 5+ years drug safety experience assessing postmarketing and clinical SAEs; demonstrated leadership of initiatives/projects in a cross functional team
  • 2+ years of people management experience
119

Medical Director Resume Examples & Samples

  • Support case and disease management teams to achieve optimal clinical outcomes as well as for utilization review determinations for oncology populations
  • Proficient in evidence based clinical guidelines and lead grand round clinical education sessions with nursing teams
  • Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations
  • Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers
  • Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting Broker / Client presentations and participating in customer consultations
  • MD or DO with an active, unrestricted medical license
  • Current Board Certification in an ABMS or AOBMS specialty in Oncology
  • 2+ years managed care, Quality Management experience and / or administrative leadership experience
120

Medical Director Resume Examples & Samples

  • Provide medical insight to the development of design specifications; medical expertise to regulatory submissions; participation in meetings with regulators (e.g. FDA); review of marketing and promotional materials
  • Provide medical expertise to device risk analyses, health hazard evaluations (HHE), adverse event review, and risk/benefit reports on behalf of new product development programs and on-going (post-market) surveillance activities
  • Support the sales team in peer-to-peer interactions with actual and potential customers by providing medical and technical information, in accordance with applicable regulations and standards
  • Support the growth of LBS’s Pharmaceutical Partnerships business through cultivation of peer-to-peer relationships within pharmaceutical companies
  • Play an integral role in building LBS’s brand as a thought leader; actively participate in planning and provision of training for external medical/scientific speakers and members of product sales teams
  • Provide medical insight into new product development and innovation opportunities, actively participating in prioritization of opportunities based on clinical value
  • Actively participate in review of cases and results as part of product development and assay validation
  • A deep understanding of/experience with laboratory medicine and anatomic pathology. Must have M.D. degree with American Board of Medical Specialties certification in an appropriate specialty (anatomic and clinical pathology, preferred)
  • Experience in risk management/safety assessments in the medical devices industry is desirable
121

Medical Director Provider Engagement Resume Examples & Samples

  • Supports the HNFS Chief Medical Officer and/or the Sr Medical Director for Medical Policy and Utilization Management through provider interface. Participates in the effective operational management of the federal health program medical management team with an emphasis on execution, outcomes, continual improvement and performance enhancement
  • Works closely with analytics, PNM, and CQM to identify and prioritize provider entities for targeted engagement
  • As a principal representative of HNFS provides clinical liaison to and maintains relationships with network providers, provider groups, facilities, and health systems. Participates in quality improvement programs to assure that federal health program beneficiaries receive timely, appropriate, and accessible health care
  • Provides ongoing compliance with standardized HNFS and Centene systems, policies, programs, procedures, and workflows
  • Participates and supports communication, education, and maintenance of partnerships with contracted providers, provider groups, facilities, and health systems and is the responsible clinical lead for interface between HNFS and providers. Responsible for participation in implementation of changes and enhancements to current managed care, prior authorization, concurrent review, , and clinical criteria based on extensive knowledge of Federal health program policy, health care delivery systems, utilization methods, reimbursement methods and treatment protocols as the representative of the provider perspective
  • May participate in business development, program development, and development of care integration models for increased care delivery efficiency and effectiveness as directed
  • Assures compliance with all regulatory, accreditation, and internal requirements and audits
  • Articulates federal health program policies and procedures to providers and organizations and works to ensure effective implementation of policies and programs
  • Supports initiatives to improve clinical quality, investigate and define variation to ensure continuous improvement conformance with clinical quality standards and targets. May assist PMN and CQM in working involved providers to develop appropriate corrective actions for quality of care issues. Will take a leadership role in shaping organizational interactions with providers to improve health care outcomes, service utilization, and cost
  • Investigates and resolves clinical member or provider grievances and appeals
  • Optimizes utilization of medical resources to maximize benefits for the member while supporting the federal health program, HNFS, and Centene initiatives
  • Collaborates with Provider Network Management on the network strategy and may meet with Provider Network Management to ensure effective execution of the strategy
  • Supports regulatory relationships and may serve as the lead physician for state and federal medical management regulatory audits (i.e., NCQA, HEDIS, URAC)
  • Provides effective and active medical management leadership
  • Unrestricted active MD license in the State of practicing and credentialed by the health plan of employment
  • Minimum five years medical practice after completing residency-training requirements for board eligibility
  • Minimum three years medical management experience in a managed care environment
  • Must be able to work well with all levels in the organization, and participate as a member of a national medical management leadership team
122

Medical Director Case & Disease Management Resume Examples & Samples

  • Supports the HNFS Chief Medical Officer and/or the Medical Director for Medical Policy and Utilization Management in the application of federal health program policy through direction and oversight of case and disease management processes and seamless integration of those processes with related UM and clinical quality processes. Participates in the effective operational management of the federal health program medical management team with emphasis on execution, outcomes, continual improvement and performance enhancement
  • Provides contract oversight to any relevant vendors or subcontractors in the execution of case or disease management programs. Participates in quality improvement programs to assure that federal health program beneficiaries receive timely, appropriate, integrated and accessible health care
  • Participates and supports communication, education, and maintenance of partnerships with contracted providers, provider groups, facilities, and health systems pertaining to case and disease management programs. May represent HNFS in interactions with federal health program representatives and in multi-contractor forums pertaining to case and disease management or care coordination programs as directed
  • Responsible for implementation of changes and enhancements to case and disease management or other care coordination programs. May participate in business development, program development, and development of care integration models for increased care delivery efficiency and effectiveness as directed
  • May serve as a member on quality and/or care management programs and committees as directed
  • Supports initiatives to improve clinical quality through care coordination and patient and caregiver engagement. May be asked to participate in interfaces with providers to improve health care outcomes, service utilization, and cost
  • Works to ensure/support appropriate implementation of policies and procedures to maintain compliance with accreditation and regulatory agencies
  • Actively supports Quality and Compliance to ensure that Health Net meets and exceeds medical management, regulatory, agency, and quality standards
  • Current knowledge of industry standard medical management tools
  • Ability to set priorities and achieve objectives
  • Ability to operate PC-based software programs including proficiency in Word, Excel, PowerPoint, Access and MS Project
  • Must be able to pass Federal Background Investigation
  • Must be willing to participate in clinical practice or in clinical practice-related activities with community and or military clinicians
123

Medical Director Senior Medical Policy & Utilization Management Resume Examples & Samples

  • Supports the HNFS Chief Medical Officer in the translation of federal health program policy into business rules required for referral and authorization and claims adjudication
  • Leads the Medical Policy Unit responsible for the creation and maintenance of medical management and claims adjudication logic as well as written guidance to first and second level reviewers pertaining to exception processing of limited benefits, preauthorization requirements for volume and preference sensitive procedures and services and coverage for evolving medical technology
  • Responsible for changes and enhancements to current managed care, prior authorization, concurrent review, case management, and clinical criteria based on knowledge of federal health program policy, health care delivery systems, utilization methods, reimbursement methods and treatment protocols
  • Analyzes population-based reports to refine management activities, investigate and define variation, and ensure conformance to expected standards and targets
  • Analyzes member/population data to guide and manage program direction, i.e. ensuring that members enroll in clinical programs indicated by their clinical need
  • Participates in the administration of medical management programs to assure that network providers deliver and beneficiaries receive appropriate, high quality, cost effective care
  • Leads the effective operational management of the medical management team with an emphasis on execution, outcomes, continual improvement and performance enhancement
  • Participates in quality improvement programs to assure beneficiaries receive timely, appropriate, and accessible health care
  • Responsible for changes/enhancements to current managed care, prior authorization, concurrent review, case management, and clinical criteria based on knowledge of program policy, health care delivery systems, utilization methods, reimbursement methods and treatment protocols
  • May participate in business development, program development, and development of care integration models for increased care delivery efficiency and effectiveness
  • Articulates TRICARE policies and procedures to providers and organizations and works to ensure effective implementation of policies and programs
  • Serves as a member on quality and/or care management programs and committees as directed
  • Leads/supports resolution of member or provider grievances and appeals
  • Collaborates with Provider Network Management on the network strategy and may meet with PNM to ensure effective execution of the strategy
  • Assists in the analysis of performance data of physicians and hospitals and the development and implementation of performance improvement or corrective action plans and in the implementation of provider tiering and channeling
  • Works to ensure/support appropriate implementation of policies/procedures to maintain compliance with accreditation and regulatory agencies
  • Supports Quality and Compliance to ensure that Health Net meets and exceeds medical management, regulatory, agency, and quality standards
  • Board certification in an ABMS recognized specialty
  • Military Health System experience preferred
  • Demonstrated excellent interpersonal skills
124

Medical Director Resume Examples & Samples

  • > 8 years of clinical development experience, 5 years of which should be from a pharmaceutical or biotechnology company Broad and formal leadership experience
  • Knowledge
  • Pharmaceutical product development, product lifecycle and commercialization process with advanced understanding of other functions; including, but not limited to, Clinical Operations, Commercial, Regulatory, and Medical Affairs Therapeutic area knowledge Network of customer contacts in therapeutic area Knowledge of local pharmaceutical industry and legal/health system environment Finance/budgeting and resource management experience Track record of leadership
125

Executive Medical Director, Biosimilars Resume Examples & Samples

  • Proven success in development and execution of clinical trials
  • Excellent knowledge of disease states in therapeutic area
  • Familiar with investigators or institutions in therapeutic area
  • Knowledge of regulatory affairs and drug safety
  • Proven track record in publications
  • Proven track record in commercialization and business practices
  • Documented success leading, managing and motivating staff in a complex, multi-functional matrix environment
  • Five (5) or more years of either industry or academic research experience
126

Medical Director Resume Examples & Samples

  • Medical Affairs Lead for the RVd data analysis, filing support, and pre-launch Medical activities
  • Medical Lead for Franchise specific priorities within G3M brand MM teams
  • Lead the Treatment Pathway initiative
  • Medical lead for the MRD/surrogate endpoint strategy and workstream
  • Lead Medical Affairs sponsored studies in MM as applicable, ie planning & execution within appropriate standards for compliance, quality, timeliness, and budget
  • Identify and oversee projects of real-world-data collection and registries in MM
  • Partner with Scientific Communications on publication strategy, gap analysis, and key messages
  • Partner very closely with commercial counterparts, CRD, translational as well as regulatory, project leadership and market access
  • Represent GMA on behalf of the Disease Lead as a therapeutic area expert in both internal and external venues incl the DST, clinical sub-teams, and advisory boards / steering committees
  • Lead/support various Medical Affairs cross-functional working groups and collaborate with other GMA disease team members
  • Provide high quality scientific/clinical input and review of: disease strategy plans, abstracts, posters, slides, manuscripts, educational materials, webcasts, IIT protocols, Commercial Brand plans, Scientific educational grant requests and patient advocacy grant requests
  • Lastly, be a key partner to external stakeholders, as a scientific & strategic expert: key opinion leaders, cooperative study groups, Investigators, contribute and conduct global steering committees, scientific & strategic global advisory Boards, partner with advocacy groups
  •  Advanced degree (Doctorate): M.D. preferred, with clinical experience, hemato-oncology preferred; and/or PhD in molecular biology, genomics, cancer biology or other relevant life sciences area
  •  Solid experience in medical affairs and/or clinical /translational research in hematology or oncology with 7 -10 years industry experience or relevant academic leadership experience
  •  Proven Medical strategic acumen identifying opportunities of unmet medical need and develop and conduct research programs accordingly
  •  Proficiency in scientific and clinical data review and interpretation
  •  Experience in the conduct of clinical trials in hematology/oncology preferred incl biostats knowledge
  •  Experience with mining of genomic information from tumor databases and other bioinformatics skills will be a strong plus
  •  Knowledge/application of data sources, reports and tools for the creation of solid plans
  •  Possess experience creating and managing budgets
  •  Matrix leadership skills of cross-functional teams; collaborative mindset; integrator personality
  •  Excellent analytical skills and scientific rigor
  •  Strong organizational and project management skills
  •  Strong communicator
  •  At ease in presentation to large groups & senior management, facilitation of interactive discussions, and 1:1 discussions with thought leaders
  •  Demonstrated customer focus orientation & credibility with physicians, researchers and KOLs; Positive track record in working with cooperative study groups is a plus
  • HQ based position, regular US and overseas travel required (approx 20-30%)
127

Medical Director, Diabetes Program Resume Examples & Samples

  • Leads strategic planning and operational implementation for the Diabetes Program
  • Analyzes population health data to evaluate effectiveness of the Diabetes Program and identify opportunities to improve the effectiveness of the program
  • Demonstrates excellence in the clinical practice of Endocrinology and embodies the spirit of the OCMG provider compact
  • Provides educational guidance to OCMG and Monarch IPA PCPs to promote the goals of the Diabetes Program
  • Provides coaching and mentoring to the Diabetes Team to maximize operational effectiveness
  • Supports the development of a culture of collaboration and excellence both in patient care and provider satisfaction
  • Works to ensure there is adequate endocrinology access for patients and timely communication back to the PCP by the endocrinologist and diabetes team
  • Performs other duties as requested by Monarch CMO
  • A current and unrestricted MD or DO license in California
  • 5 or more years of clinical practice experience in Endocrinology
  • 3 or more years of Population health management experience
  • 3 or more years of medical management or administrative experience in a managed care setting
  • Possess sufficient clinical knowledge to interact with the Endocrinologists and PCP’s
  • A proven track record of quality leadership and exceptional teamwork in order to build and foster stellar working relationships in both Clinical and Operational departments
  • Demonstrated ability to lead teams and propose innovative and practical solutions
  • Public presentation skills
128

Associate Medical Director Resume Examples & Samples

  • Lead content development for advisory board meetings and other Global Medical initiatives
  • Represent Global Medical at other cross-functional meetings as needed
  • Pharmaceutical industry experience required (5 years minimum). Relevant experience in Medical Affairs strongly desired
129

Medical Director Partner Markets Resume Examples & Samples

  • Leadership of the Regional Medical Affairs Activities
  • Lead &develop performing high quality, fully integrated CEE, MENA, Nordics and Turkey Medical Affairs activities in line with the overall Region 4 strategic plans
  • Provide a medical information service on behalf of the affiliate along with adherence to appropriate standards relating to compliance, PV and SOPs
  • Integrate and collaborate with other departments across US, EU and European HQ, including Commercial, Regulatory, Medical, Marketing, Supply Chain and Clinical development to assist day to day management of affiliate
  • Strategic and Tactical Planning
  • Ensure development and delivery of the CEE, MENA, Nordics and Turkey Medical Affairs strategy and country plans
  • Experience in establishing strong influential relationships with academic societies
  • Preference for a Medical Doctor
  • Fluency in French will be a distinct advantage
130

Medical Director Resume Examples & Samples

  • Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles
  • Works to achieve quality outcomes for customers/members with a focus on service and cost
  • Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills
  • Balances customer/member needs with business needs while serving as a customer/member advocate at all times
  • Participates in all levels of the Appeal process as appropriate
  • Participates in coverage guideline development, development, and maintenance of medical management projects, and committees
  • Participates in quality processes such as audits, inter-rater reliability clinical reviews, and quality projects
  • Serves as a mentor or coach to other Medical Directors and other colleagues in quality and performance improvement processes
  • Improves health care professional relations through direct communication, knowledge of appropriate evidence-based clinical information, and the fostering of positive collegial relationships
  • Addresses customer service issues with mentoring and support from leadership staff
  • Investigates and responds to client and/or regulatory questions to assist in resolving issues or clarifying questions with mentoring and support from leadership staff
  • Achieves internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring both timely turn-around of coverage reviews and quality outcomes based on those review decisions
  • Provides clinical insight and management support to other functional areas and matrix partners as needed or directed
  • Current unrestricted medical license in a US state or territory
  • Current board certification (Internal Medicine or General Surgery) in an ABMS or AOA recognized specialty (grandfathered by the board or maintained by the MOC program)
  • Exhibits ethical and professional behavior
  • Minimum of 5 years of clinical practice experience and/or direct patient care beyond residency
  • Computer Competency: Word processing, Spreadsheet, Email, and Personal Information Management programs are used extensively and competency in all must be possessed or rapidly acquired. Must be able to research clinical issues on internet resources
  • Experience in medical management, utilization review and case management in a managed care setting
  • Knowledge of managed care products and strategies
  • Experience with managing multiple projects in a fast-paced matrix environment
  • Successful experience and comfort with change management
  • Demonstration of strong and effective abilities in teamwork, negotiation, conflict management, decision-making, and problem solving skills
  • Successful ability to assess complex issues, to determine and implement solutions, and resolve problems
  • Success in creating and maintaining cooperative, successful relations with diverse internal and external stakeholders
  • Demonstrated sensitivity to culturally diverse situations, participants, and customers/members
  • Service marketing, sales, and business acumen experience a plus
131

National Medical Director Resume Examples & Samples

  • Provide oversight of all internal physician review services provided on Liberty Mutual (LM) claims
  • Practicing Physician (MD or DO) with current U.S. and state license
  • Board certification, should have primary care specialty and/or sub-specialty relevant to occupational medicine (for example occupational medicine, internal medicine, family practice, general surgery, orthopedic surgery or psychiatry) with at least five years of clinical practice experience
  • At least 1 year of medical review experience with workplace issues, short and long-term disability, and workers compensation
  • Knowledge of utilization management process and/or insurance medicine as normally acquired through experience in managing physicians in a managed care and/or disability environment
132

Medical Director Resume Examples & Samples

  • Perform benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines and best practice principles
  • Works to achieve quality outcomes for members on service and cost
  • Improve clinical outcomes through daily interactions with providers using negotiation, education, and excellent communication skills
  • Balance patient needs with business needs while serving as a member/patient advocate at all times
  • Participate in all levels of the Appeal process as appropriate
  • Participate in coverage guideline development
  • Participate in quality processes such as audits, inter rater reliability actions, and quality projects
  • Serve as a mentor or coach to other Medical Directors and other colleagues in ongoing quality and performance improvement processes
  • Improve provider relations through direct communication, knowledge of appropriate evidence-based clinical information, and the fostering of positive collegial relationships
  • Address customer service issues with mentoring and support from leadership staff
  • Investigate and respond to account questions to assist in resolving issues or clarifying questions with mentoring and support from leadership staff
  • Achieve internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring both timely turn-around of coverage reviews and quality outcomes based on those review decisions
  • Provide clinical insight and management support to other functional areas and matrix partners as needed or directed
  • Board-certified physician is required - family medicine, internal medicine, neurologist or spine surgeon
  • Pharmacy skill set is desired, but not required
  • Experience in medical management, utilization review and case management in a managed care setting is desired, but not required
  • Willing to consider candidates who are looking to transition out of clinical practice into an administrative position
  • Minimum of 5 years of clinical practice experience and/or direct patient care beyond internship, residency, or fellowship training
  • Computer Competency: Word processing, Spreadsheet, email and Personal Information Management programs are used extensively and competency in them must be possessed or rapidly acquired
  • Must be able to perform research on internet resources
  • Ability to work within changing business environment and balance patient advocacy with business needs
  • Experience with managing multiple projects in a fast paced matrix environment
  • Successful experience with change management
  • Demonstration of strong and effective teamwork, negotiation, conflict management, decision-making and problem solving skills
  • Successful ability to assess complex issues, to determine and implement their solutions, and to resolve problems
  • Service marketing, sales and business acumen experience a plus
133

Medical Director Resume Examples & Samples

  • Build/Refine RFP/BD best practices
  • Knowledge of applicable federal and local regulations and guidelines pertaining to clinical research including knowledge of regulations and guidelines pertaining to regulatory affairs
  • Ability to establish and meet priorities, deadlines, strategic department goals and objectives
134

Associate Medical Director Resume Examples & Samples

  • Provide medical and strategic leadership for programs that integrate the individual’s extensive knowledge in basic and clinical science, neurology, and input from the medical community around the world
  • Three (3) to five (5) years of experience in clinical and/or translational research with a proven record of achievement on independent research projects. Industry experience is a plus
  • Capacity and willingness to work effectively across disease areas
135

Medical Director Resume Examples & Samples

  • Directs, plans, prioritizes, supervises, and evaluates CDPH’s chronic disease activities
  • Assures and informs chronic disease administrative and budgetary operations
  • Serves as the primary medical spokesperson for chronic disease
  • Coordinates dialogue and activity between care providers and community organizations to develop community-specific programs and interventions
  • Serves as primary advisor to the Commissioner and all deputy commissioners regarding chronic disease issues
  • Represents the Commissioner at local, state, national and international meetings and conferences on matters related to chronic disease
136

Medical Director Resume Examples & Samples

  • Serves as a liaison between the medical staff, IT and senior leadership
  • Participates in the planning, selection, implementation and performance assessment of clinical IT with a lens toward a reliable and consistent patient experience, quality outcomes, and elimination of waste
  • Assists in the development of training programs for clinicians on clinical systems, and continuous improvement of such training programs
  • Participates actively in requirements definition, design, test and implementation tasks; provides ongoing review and development of alerts, care guideline order sets, and protocols
  • Works with the vendor on product development and implementation strategy
  • Develops strategic plans regarding information management and clinical IT
  • Reviews and makes recommendations regarding clinical practice workflows/processes as well as clinician computing devices
  • Serves as a change agent and advocate for best practices and process improvement; able to enlist and engage others; able to present opportunities, issues and recommendations to the support/implementation teams in such a way as to clarify desired outcome
  • Manages the expectations of end-users
  • Assertive but positive advocate for physicians when meeting with other stakeholders; serve as advocate for stakeholders when meeting with physicians/providers
  • Ensures that established operating standards, policies, regulatory requirements (Meaningful Use, PCMH, etc) and protocols are effectively implemented, continually evaluated, and as necessary, modified to ensure the delivery of high-quality patient care while maintaining cost-effective operations
  • Continuously alert for new and innovative approaches that can be developed for clinical interaction with EHR
  • Must have an unrestricted Medical License
  • Able to understand and navigate the organization's culture; able to think both strategically and tactically; be willing to apply lean methodology to clinical EMR workflows; respected by peers; maintains competency and enhances professional growth and development through continuing education, conferences and seminars and attends training with regard to clinical IT as requested/needed; general understanding of disparate systems and integration/information flow
  • Ability to form strong relationships with executive leadership, IT and medical staff
  • Strong communication skills, especially the ability to deliver complex messages between the medical staff and IT
  • Credibility among the medical staff as an active provider. Effective project and change management skills
  • Belief in and enthusiasm for use of IT systems to improve the delivery of care. Strong leadership skills. Effective listening and negotiating skills. Patience
  • Proficient in the use and design of electronic medical records systems and other systems (such as PACS)
  • Seven Years Clinical experience and 3 years leadership experience
137

Medical Director National Resume Examples & Samples

  • Strong business acumen, effective communications, and public speaking skills, with knowledge of health plan operations, provider/practice business operations, and financial management required
  • 10 years of clinical in oncology, quality, and/or research experience or any combination of education and experience, which would provide an equivalent background
  • M.D. or D.O.; and12 years of healthcare experience with extensive managed care knowledge; or any combination of education and experience, which would provide an equivalent background
  • Requires current unrestricted medical licensure in US state of residence
  • Current ABMS recognized board certification in Oncology or related specialty required
  • MBA or related degree preferred
138

Medical Director Resume Examples & Samples

  • Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities
  • Supports effective implementation of performance improvement initiatives for capitation providers
  • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members
  • Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership
  • Oversees the activities of physician advisors
  • Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals
  • Participates in provider network development and new market expansion as appropriate
  • Assists in the development and implementation of physician education with respect to clinical issues and policies
  • Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality
  • Develops alliances with the provider community through the development and implementation of the medical management programs
  • As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues; and represents the business unit at appropriate state committees and other ad hoc committees
  • License/Certifications: Board Certification through American Board Medical Specialties
  • Current state medical license without restrictions
139

Medical Director Resume Examples & Samples

  • Candidate must be an actively practicing physician
  • Board Certification through American Board Medical Specialties
  • Must have current state medical license without restrictions
  • Must see patients in the town/city associated with this position
  • Experience with FQHC preferred
140

Medical Director Resume Examples & Samples

  • The MedicalDirector shall provide medical expertise and leadership to the medical reviewoperations including but not limited to the following
  • Performclinical review of medical records referred by the Medical Review Nurses and documentclinical review findings, actions and outcomes in accordance with Medicare and Medicaid
  • Provideclinical expertise and judgment to effectively focus Medical Review on areas ofpotential fraud and abuse
  • Interactswith Medical Directors at other CMS contractors to share information andcoordinates contractor policy development when appropriate
  • Provideclinical expertise and judgment to develop Local Coverage Determinations (LCDs)and internal Medical Review guidelines
  • Provideexpert testimony and education as needed
  • Recruitsspecialty physicians as needed for the physician panel
  • Overseesthe credentialing process of specialty physicians
  • Collaborateand review the work performed by specialty physicians
  • Provideleadership in the provider community by interacting with medical societies andpeer groups, educating providers, and acting as co-chair of the CarrierAdvisory Committee (CAC)
  • Keepabreast of medical practice and technology changes that may result in improperbilling or program abuse
  • Participatein and contribute to the quality management system including ISO certificationand URAC Accreditation
  • Providethought leadership through whitepapers, webinars, and presentations
  • Working knowledge of HIPAAPrivacy and Security Rules and CMS security requirements
  • Familiarity with codingprinciples to include ICD-9, ICD-10, CPT, HCPCS, RUGS, and DRG
  • Excellent written and verbalcommunication skills including public speaking and human relations
  • Working knowledge of MicrosoftOffice, Internet and e-mail
  • Doctor of Medicine or a Doctor of Osteopathy from an accredited Medical School in the United States
  • Board Certified in Internal Medicine strongly preferred, (will consider other recognized specialties depending on experience)A current license to practice medicine in the United States
  • Notcurrently sanctioned or excluded from any program operated by Federal or State Agencies including Medicareand Medicaid
  • Experience practicing medicine for at least five years as alicensed and board-certified doctor of medicine orOsteopathy
  • Priorworkexperience in the health insurance industry,a utilization review firm, or another healthcare claims processing organization in a role that involved developing orreviewingcoverage or medicalnecessity policies and guidelines
  • MedicalReview experience and understanding as it applies to the Medicare and Medicaidprogram
  • Public relationsexperience such asworking with physician groups, beneficiary organizations, and/or congressional offices ispreferred
141

Medical Director Resume Examples & Samples

  • Provide collaborative oversight for medical and BH/SA policy implementation and utilization management services
  • Provide behavioral health leadership, oversight and consultation for the QI and UM programs including development, implementation, evaluation and compliance
  • Oversee the behavioral health utilization review process and oversee the quality of utilization determinations
  • Develop, implement and interpret BH/SA medical policy including medical necessity criteria, clinical practice guidelines and new technology assessments
  • Promote the Bio-Psycho-Social model for integrated care management
  • Supply expertise to the management and authorization of services for Traumatic Brain Injury (TBI)
  • Under the direction of the Chief Medical Officer (CMO), Review BH/SA prior authorizations for medical necessity
  • Under the direction of the Chief Medical Officer (CMO) recruit, train, supervise and evaluate the quality of medical staff and any physician advisors
  • Participate regularly in the Interdisciplinary Care Management Rounds
  • Serve as a subject matter expert and liaison with State Medicaid and CMS leadership for behavioral health and substance abuse issues
  • 5-8 years of experience involving substantial direct BH and SA patient care at multiple levels of care
  • Experience with Medicaid and Medicare policies and regulations
  • Managed care experience, as provider and manager of care.- Direct patient care in Behavioral Health and Substance Abuse
  • Managed Care Experience as a BH/SA Medical Director preferred
  • Experience with trauma informed care and maximizing the use of peer specialists and community mental health workers preferred
  • Knowledge and experience in providing and or coordinating Mental Health(BH) and (SA) services under Rule 132
  • Experience in interacting with Community Based Mental Health Centers (CMHC)
  • Familiarity with BH and SA Networks in the Virginia area preferred but not required
  • Experience in interacting with various BH and SA and other Aged, Blind and Disabled (ABD) Advocacy Groups is a plus
  • Leadership: Collaborating for Results and Driving a Culture of Compliance
142

Medical Director Resume Examples & Samples

  • Partner with medical management leadership to increase effectiveness of medical management programs and to promote the integration of other Aetna medical programs
  • Participate in quality management activities at regional and market levels including those necessary to achieve NCQA and URAC accreditation
  • Proactively uses data analysis to identify opportunities for quality improvement and to positively influence the cost effective delivery of quality care
  • Work collaboratively with other functional areas that interface with medical management including provider relations, contracting, member services, sales, benefits and claims management, healthcare delivery, national medical services and national accounts to achieve the business goals of the company
  • 3-5 years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. Active and current state medical license without encumbrances is required M.D. or D.O. required Board Certification in a recognized specialty is required. Managed Care Utilization Management experience highly preferred
143

Medical Director Resume Examples & Samples

  • Work collaboratively within the assigned team with other medical director staff and other clinicians
  • Work cross functionally
  • Communicate for impact internal and external to ActiveHealth
  • Use your sound clinical knowledge and general knowledge of the health benefits business, clinical issues, trends, and medical management principles
  • Use your excellent interpersonal skills that bring out the best in medical management staff. Effective presentation skills are important
  • Work in a matrixed and rapidly changing environment
144

Medical Director Resume Examples & Samples

  • A commitment to practicing the highest standard of medicine, upholding the veterinary code of ethics, and to promoting attendance of continuing education events by both the Medical Director and Associate Veterinarians
  • Direct and develop the veterinary, technical and administrative staff towards the goal of quality patient care and excellent client service; assist in the formulation of objectives and policies to ensure efficient and profitable hospital operations
  • Oversee the hiring, reviewing, disciplining and terminating of professional staff, in accordance with and with the approval of the Regional Medical Director or Group Vice President
  • Stay up-to-date with new medical information and changes in veterinary medicine, fulfill VCA requirements for attending local VCA Continuing Education meetings and complete at least 30 hours of accredited CE per calendar year
  • Supervise the administration and case review of client medical complaints
145

Medical Director Resume Examples & Samples

  • Act as Principal Investigator/Co-Investigator
  • Represents Clinical Pharmacology as the medical expert for early clinical trials
  • Acts as consultant with regard to scientific/medical study design
  • Evaluate the performance of the medical staff
  • Ensure medical coverage for clinical studies
  • Establish and maintain close affiliations with the medical community
  • Review and evaluate protocols and Investigator Brochures, and provide clinical and scientific support as needed
  • Discuss medical design aspects with the monitor/sponsor as needed
  • Attend study initiation meetings as needed
  • Present protocols at IRB/IEC meetings, as required
  • Perform pre-study physical examinations and review vital signs, medical histories, ECGs, and lab data to ensure volunteers are medically and mentally fit upon entering the study
  • Perform on-study and post-study physical examinations and review adverse events, vital signs, ECGs, and lab data to ensure that the physical and mental well being of volunteers is undiminished at the end of the study
  • Review relevant data for dose escalation
  • Administer test article to the subject, or delegate this to nursing staff where appropriate
  • Inform Principal Investigator, IRB and Sponsor as appropriate of relevant events
  • Review and sign CRFs at the conclusion of the study
  • Sign notes of administrative change and Notes to Study File
  • Meet with Monitor at monitor visits
  • Review and sign study clinical reports
  • Delegate the above as appropriate
  • Serves as a member of the Senior Management Group
  • 5 - 10 years experience in conducting clinical research
  • At least 10 years of progressive and proven leadership responsibilities in a related business environment
  • Skilled with client interactions and in delivering presentations
146

Associate Medical Director Resume Examples & Samples

  • Work record indicates advances leadership experience consistent with job responsibilities
  • Recognized in the professional community for commitment to quality, customer service and excellent patient care. Personal characteristic of assertiveness, flexibility, integrity and sensitivity
  • Minimal physical effort required normally seated with some freedom of movement on a regular basis. Regular moderate to severe stress due to cyclical work load pressures
147

Medical Director Resume Examples & Samples

  • Assists in the development, implementation, and evaluation of utilization management policies and procedures to support medical management objectives
  • Educates peer physicians and care managers about utilization management policies and procedures. Works with medical/clinical staff on outlier management issues and corrective actions
  • Assists in developing and evaluating the collection and analysis of data and formulation of clinical utilization
  • Provides medical leadership to the clinical provider network and clinical and Intensive Case Management staff
  • May assist in and coordinating the development and design of performance standards, clinical policies and procedures and utilization management clinical criteria
  • Microsoft project
  • Desktop computer
  • Avaya telephone
  • Connects System platform
  • MHS
  • Absolute
148

Associate Medical Director Resume Examples & Samples

  • At least five years of clinical practice in mental health
  • Experience at a mental health and substance abuse facilities with inpatient, partial hospital, intensive outpatient and outpatient care is desirable
  • Position requires in-depth knowledge of, and/or the commitment to learn about, medical care delivery systems, utilization management, quality improvement, peer review, contracting, benefits interpretation, provider relations and member services
  • Knowledge, experience and demonstrated success in medical/clinical management operations in a managed care environment is preferred
149

Medical Director Resume Examples & Samples

  • Develops/Implements policies and procedures with coordination of the Director of Clinical Operations, Director of Quality Management and the Corporate Medical Director
  • Manages the Peer Advisors (as assigned) and the review process to ensure quality and consistent application of Value Behavioral Health of PA (VBH) policies and protocols
  • Oversees the management of the process of providing Peer Advisors reviews to other service centers through collaboration with their SC Medical Directors and staff
  • Serves as co-chair of Quality Management and the Utilization Management committees
  • Available and consults on cases referred by Care Managers or their supervisors to ensure quality and consistent application of VBH policies and procedures within the limits of the client benefits plan
  • Has periodic consultations with providers, non-staff and in-network practitioners
  • Basic computer skills required, including Microsoft Excel, Word and Outlook
  • The Ability to build and manage an interdisciplinary team, coaching and training skills
150

Associate Medical Director Resume Examples & Samples

  • Ensures that clinical programs are in compliance with governmental and regulatory requirements
  • Participates in the design and evaluation of certified home care, infusion services or hospice, clinical policies and procedures, standing orders, standards of care, and special equipment and emergency procedures
  • Available on a consultative basis to the administration regarding client care, education, quality improvement, and strategic planning
  • Collaborates with home care administration, home health clinicians, and other physicians to assure quality, service-orientated patient care delivery
  • Available on a consultative basis to the agency administration regarding client care, education, quality improvement, and strategic planning
  • Consults with the hospice interdisciplinary team on a routine basis regarding ethical and clinical issues
  • Helps determine appropriateness of hospice prior to admission and reviews the initial plan of care based on diagnostic and prognostic indicators
  • Works in a team approach with the interdisciplinary team
  • Minimum of five years of clinical practice preferred
151

Medical Director Resume Examples & Samples

  • Provides medical leadership for Medicare utilization management activities, Organizational Determinations, and medical review activities pertaining to utilization review, quality assurance, medical review of complex, and controversial or experimental medical services such as transplants utilizing the services of consultants
  • Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and ytcost of care
  • Requires a Medical Doctor or Doctor of Osteopathy, board certified in psychiatry
  • Previous experience within a managed care organization, specifically reviewing for Medicare Organizational Determinations, preferred. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred
152

Medical Director Resume Examples & Samples

  • Provide strategic US Medical input to Global Development on clinical development (Phase II-IV), pre-registration, label extension, pre- and post-market launch strategies, and life cycle management
  • Attend scientific meetings and foster and develop strong relationships with investigators
  • Develop and implement reliable and high-value publication strategies
  • Team responsibilities include U.S. medical affairs support for pre-launch products, including strategic and tactical planning and design, implementation and timely completion of Phase IV studies and addressing post-marketing concerns
  • Experience in managing clinical trial conduct is essential. Trial research experience conducted in a pharmaceutical or equivalent environment is strongly desired
  • A well-established network within the medical research community
  • Proven ability to build productive relationships and teams internally and externally
153

Medical Director Resume Examples & Samples

  • Overall management of the Medical Affairs Department and function
  • Act as spokesperson for CSL Behring (Australia) on medical matters and as advocate for its products including participation in Advisory Boards, seminars, conferences and interaction with the media where relevant
  • Engagement with key external stakeholders, especially specialist expert clinicians, research partners and government stakeholders
  • Provision of medical input and advice in the formulation of commercial strategy for both new and existing products of the business including assessment of new product opportunities and participation in cross functional strategic teams
  • Provision of medical and clinical input into the development of formulary and tender submissions at hospital, State and Federal levels
  • Regular communication and interaction with GCSP
  • Implement and interface effectively with pharmacovigilance processes and systems which are in line with local and international regulatory requirements for products marketed locally and internationally
  • Ensure compliance with legal requirements and voluntary industry codes in scientific and commercial material supplied by the company relating to the products of CSL Behring
  • Activities include dealing with challenges and complaints that may be received within the framework of the relevant codes
  • Provision of a quality, timely and cost-effective medical information service to our customers
  • Provision of product and disease state training for the sales force and other relevant CSL staff
  • Supporting appropriate training and development of Medical Affairs department staff
  • Provision of medical support to CSL New Zealand when necessary
154

Medical Director Resume Examples & Samples

  • Collaborate and work closely with Hospital CEOs, Vice Presidents of Medical Affairs, Practice Administrative Director, Site Lead Hospitalists, Medical Group Site Clinical Leads, and Site Program Managers to assure that strategies, systems, policies, processes that support the clinical encounter and patients’ and family’s experiences are performing at a high level of proficiency. This position reports to a VP, Medical Practice, who reports to the President of the Fairview Medical Group
  • Ensure that community, Fairview Medical Group and Hospital standards/guidlines of medical practice are maintained. Actively promotingthe provision of quality health care and excellent patient service, to implement and execute system strategies within appropriate clinical units
  • Collaborate with University of Minnesota Health hospitalist program leadership to align strategies on clinical quality, patient experience, clinical efficiency and provider engagement
  • Collaborate with Fairview System Service Lines to provide leadership to inpatient quality initiatives, system strategies, and operational plans
  • Supervise Site Lead Hospitalists
  • Manage a combination of clinical practice and/or administrative work across the Fairview System (0.6-0.7 FTE) and leadership role (0.3-0.4 FTE). Maintain active clinical practice regularly at Fairview Ridges Hospital and Fairview Southdale Hospital and periodically at Fairview Lakes Medical Center and Fairview Northland Medical Center
  • Minimum of five years experience in hospitalist medicine practice
  • Master of Business Administration, Healthcare Administration, Public Health or Public Administration
  • Clinical leadership experience
  • Success in process and quality improvement
  • Strong communication skills (verbal, written, listening)
  • Experience in mentoring and coaching clinicians
  • Experience working closely with nursing leadership and staff
155

Medical Director Resume Examples & Samples

  • M.D. degree with sub-specialty in Oncology and clinical development experience is required
  • 5+ years of relevant medical/clinical or pharmaceutical experience
  • Experience with clinical and translational investigation of cancer therapies is a plus
  • Relevant experience in early phase drug development and translational medicine is an advantage
  • Excellent communication and presentation skills, high- level negotiation skills and the ability to resolve conflict in a constructive manner
156

Medical Director Resume Examples & Samples

  • Presents payment policy to clients for selection
  • Works with Medical Policy team, helping them to evaluate and validate the editing
  • Directing the research & development efforts of our Medical Policy team
  • Acts as a clinical liaison with our health plan clients
  • Supporting new sales activity and existing client growth by identifying value creation opportunities for our clients
  • In depth knowledge of claims, claims adjudication, medical policy rules and edits
  • Builds value and credibility with clients
  • Inspires trust and credibility- delivers on commitments, MD subject matter expert
  • New client implementations as needed
  • Completes client requests for research and inquiries in a timely manner
  • Defines mission and strategy with CSVP; delivers strategy to clients medical policy team
  • Supports Sales process for new and existing clients
  • Creating capability and results presentations and claims analysis
  • Drives and supports the vision and values of Cotiviti Healthcare and abides by all policies and procedures
  • Improves and implements procedures as needed and/or assigned
  • Consistently provides optimum service to all internal and external customers
  • Consistently works to develop and maintain positive and professional relationships with all internal and external customers
157

Medical Director Resume Examples & Samples

  • 5 years’ pharmaceutical or relevant medical/clinical experience
  • Experience with clinical and translational investigation of cell-based therapy, cancer immunotherapies and/or cancer epigenetics modifiers is a plus
  • Managerial experience with demonstrated track record of successfully managing high-performance cross-functional matrix teams in a complex organization with minimal direct supervision
  • Ability to discriminate between critical and non-critical activities and to follow established processes while identifying areas for process improvement
158

Medical Director Resume Examples & Samples

  • Ambulatory Clinical Care Guidelines (0.2 FTE)
  • Oversee the administration, prioritization, development, and maintenance of these institutional guidelines
  • Facilitate institutional alignment in implementing these guidelines
  • Consult Request Guidelines (CRGs) (0.05 FTE)
  • Oversee the administration, prioritization, development, and maintenance of CRGs
  • Facilitate institutional alignment in utilizing CRGs
  • Institutional activities regarding guidelines and improving care (0.05 FTE)
  • Help coordinate the use of clinical guidelines to improve care
  • Share UMHS guideline development efforts regionally and nationally
  • Eligible for a faculty appointment with medical degree in a primary care/ambulatory specialty (.40 FTE)
  • Experience as an author and/or editor of clinical guidelines or similar publications
  • Able to conceptualize problems at the level of the individual and the institution and integrate both levels in solutions
  • Able to engage multiple stakeholders in collaborative activities and lead/work effectively in teams
  • Able to communicate effectively (written and oral)
  • Experience with UMMG Clinical Guidelines
159

Medical Director Resume Examples & Samples

  • Lead Medical Surveillance Team (s) for assets,
  • Evaluate and integrate data from multiple sources, including clinical, non-clinical and real-world, to detect, understand and manage safety signals
  • Accountable for risk strategy, risk assessment and risk minimization for BMS products in partnership with other BMS functions
  • Serve as safety consultant for product development activities
  • Leader or key contributor to safety query responses
  • Medical safety lead for aggregate safety reports and strategic documents
  • Serve as a trusted partner to other R&D functions in representing the view on product safety, and lead in a matrix environment through scientific competency and organizational influence and impact
  • Contributes to GPVE and cross functional improvement initiatives, as assigned
  • Written and oral scientific communication skills and analytical reasoning skills
  • Behavioral competencies necessary to work and lead within a complex matrix environment
  • Knowledge of pharmacovigilance and risk management
160

Medical Director Resume Examples & Samples

  • Develop and ensure execution of the Global Medical Affairs Strategy in line with the Brand Strategy supporting development and preparation of the launch for an anti-interleukin 6 therapy in the field of rheumatoid diseases in partnership with Regeneron
  • Provide strategic inputs for the development of the global brand and medical affairs plans by being the center of scientific expertise
  • Develop and implement a strong working relationship with experts in the field, academics and professionals and/or patient associations (prior knowledge of and established relationships with key opinion leaders in the field of rheumatoid diseases is considered to be an asset)
  • Organize ad boards or roundtables during major congresses to build product awareness for anti-IL-6 in rheumatoid diseases and gain strategic insights for marketing and development strategy
  • Prepare and implement a publication plan to support the development of the anti-interleukin 6 in rheumatoid diseases according to the brand strategy and key messages defined
  • Provide expertise for and support global training programs on rheumatology diseases, treatment paradigms and company data
  • Lead the development and alignment of product life cycle management strategy and tactics to define and prioritize future clinical trials for investment; provide leadership to oversee the execution of the lifecycle management studies
  • Ensure a patient-centric approach to development of medical strategy both for product and device development as well as possible services which can enhance the value proposition of the product
  • Provide relevant feedback to commercial and market access teams to ensure optimal pricing and reimbursement strategy, and inclusion of relevant endpoints in clinical trials
  • Coordinate the network of affiliate Medical Directors through regular contacts and meetings
  • In addition this individual will also
  • Lead KOL relationship management
  • Ensure that medical guidance is provided to marketing and sales teams
  • Provide expertise and ensure alignment of medical affairs with clinical development and commercial activities
  • Represent the Sanofi Genzyme Immunology business unit at medical meetings, advisory boards, outreach meetings at key institutions, and in interactions with KOLs
  • Interact with other Sanofi business units to optimize coordination and collaboration around areas of overlapping interests
  • Travel regularly, both internationally and domestically as necessary
  • Basic Qualifications
  • Board Certified MD
  • Qualification in Immunology and/or Rheumatology
  • 10+ years of experience in pharmaceutical medical affairs and/or clinical development
  • Preferred Qualifications
  • Experience in leading global projects
  • Global product launch experience
  • Experience in working with alliance partners and third party organizations
  • Strong leadership and interpersonal skills
161

Associate Medical Director Resume Examples & Samples

  • You have a solid understanding of the framework for quality improvement in healthcare
  • You are able to understand and assimilate clinical data and medical information as it relates to the clinical practice you are supporting
  • You are highly organized, detail-oriented and above all committed to producing the highest quality content to our learners
  • You are an independent, solution-oriented self-starter who works well with others as part of a larger team
  • You possess strong communication skills and have a natural ability to build (and maintain) relationships with both internal and external partners
  • You have excellent project management skills, with the ability to manage competing priorities to effectively meet strict deadlines
  • You are proficient in data analysis and reporting
  • You have the ability to travel up to 5%
  • Bachelor’s degree from an accredited four-year institution
  • 3-5 years of medical content development or related experience
  • PhD, PharmD or MD is preferred; other relevant scientific degrees will be considered
  • Content development experience in the areas of pulmonary, diabetes and pain, and/or oncology is a plus
  • Knowledge of current guidelines and criteria of the ACCME, AMA, FDA, OIG and others, as appropriate
  • A thorough understanding of performance and quality improvement-based continuing education, in addition to the understanding of and the ability to align with the requirements of MOC/MOL
  • Proficiency with basic computer programming, including the Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
162

Medical Director Resume Examples & Samples

  • Provides scientific/clinical advice and oversight for medical aspects of projects
  • May present feedback and proposes recommendations to management on quality issues within the clinical trial team
  • Represents the Company at scientific and industry meetings as required, including participating at booth exhibitions, speaking, etc. May represent the Company by publishing scientific or industry-related articles in industry and clinical journals
  • Maintains an in-depth knowledge of FDA and worldwide drug-development regulations
  • Maintains an in-depth knowledge of national and ICH Good Clinical Practice (GCP) guidelines
  • Doctorate degree in medicine and significant clinical experience in the practice of oncology area
  • Significant clinical research and demonstrated leadership experience in oncology area
  • A strong understanding of the use of medical terminology and of drug-names in multiple nations and environments
  • Experience working in matrix-teams is preferred
  • Effective organizational and interpersonal skills, communication and language skills, and group presentation skills. Above average attention to detail, accuracy, organizational, interpersonal, and team-oriented skills
  • Ability to be customer-focused and have a disciplined approach to work is critical
163

Medical Director Resume Examples & Samples

  • In conjunction with other relevant functional areas, develop the strategic development plan for development candidates
  • Act as the US/international clinical lead for the compound to both internally and externally facing stakeholders by providing high level input
  • Interface with US/international regulatory authorities, as appropriate, in support of the development objectives for these compounds and assist Regulatory Strategy staff in the compilation of submissions and in the responses to inquiries
  • Ensure compliance with AMAG SOPs, ICH, GCP and other national and international regulatory requirements
  • Strong track record in drug development preferably in a variety of therapeutic areas. Ability to work collaboratively in a challenging team matrix environment
  • Ability to work independently to resolve challenges and conflicts
164

Associate Medical Director Resume Examples & Samples

  • Demonstrated focus on patients’ interest
  • Board certified/board eligible medical doctor (MD) with a minimum of two years in a clinical or pharmaceutical setting
  • Experience in hematology and/or oncology. In depth understanding of the multiple myeloma research environment is a key plus
  • Requires experience and success in working in a matrix, cross-functional environment; excellent collaboration skills; experience working across functions to achieve results
  • Ability to work effectively in a fast paced, rapidly changing technology environment
  • Strong interpersonal skills particularly motivational, negotiation, listening, judgment, analytic, and conflict management skills, demonstrated by ability to lead teams
  • Advanced PC skills, including MS Project, Word, Excel, Power Point, Visio and SharePoint
165

Medical Director Resume Examples & Samples

  • Participation in design and execution of clinical trial safety, product safety and risk management plans. May also carry responsibility for routine and adhoc safety monitoring reports to regulatory agencies. May review, assess and report applicable Adverse Events (AE’s) and Serious Adverse Events (SAE’s) if assigned to AbbVie conduct on clinical studies
  • Responsible for understanding the regulatory requirements related to the clinical studies and global drug development and accountable for complying with those requirements. May assist in the development of scientifically accurate marketing materials, medical education programs, advisories, and symposia. Assists with the scientific review, development, approval, execution and communication of affiliate/area/global medical affairs sponsored or supported clinical research activities
  • Ensures budgets, timelines, compliance requirements are factored into programs' scientific activities
  • Minimum of 2 years of clinical trial or medical affairs experience in the pharmaceutical industry or academia or equivalent. 3+ years of experience is preferred
  • Proven leadership skills in a cross-functional global team environment. Ability to interact externally and internally to support global business strategy. Ability to run a clinical study or medical affairs team independently with little supervision
  • Knowledge of clinical trial methodology, regulatory requirements governing clinical trials and experience in development strategy and the design of protocols. Expert knowledge in a relevant therapeutic specialty
  • Ex-Us: At least one further major international language is preferred
166

Medical Director Resume Examples & Samples

  • Implements utilization review and quality improvement systems
  • Implements educational programs and offerings
  • Aligns the medical component and delivery of home health and infusion services or hospice and palliative care services, working collaboratively with local physicians
  • Participates on advisory committees, quality committees and other organizational meetings
  • Complements care and intervenes with the attending physician when indicated to provide appropriate plan of care
  • Provides medical direction for the hospice program and assures overall continuity of the hospice medical services
  • Serves as a medical resource to hospice staff, patients, and other professionals regarding pain and symptom control
  • Collaborates with hospice mid-level providers
  • Assumes responsibility for medical management of the hospice patient in the absence of the attending physician or their designee
  • Participates in interdisciplinary team conference to review patient care, assists in the revision of that patient’s plan of care and the recertification process
  • Collaborates with the patient’s attending physician to develop and update the plan of care and to ensure pain and symptom management control
  • Completes recertification of patients, as appropriate, for continuation of Medicare hospice benefit
  • Physician/MD
  • Licensed as Medical Doctor (MD) in Indiana
  • American Board of Medical Specialties (ABMS) Hospice and Palliative Medicine (HPM) preferred, not required
  • Board Certified Internal Medicine/Family Medicine
  • Minimum five years of clinical practice
167

Medical Director Resume Examples & Samples

  • 2 - Key relationships
  • Reports to
  • Understand Rx to OTC Switch, the healthcare environment (including social & policy trends), anticipate the self-care future and changes that will impact the CHC portfolio
  • Leverage understanding of consumer & patient journeys to identify threats and opportunities
  • Regularly engage with external experts to identify new insights, including risks and opportunities relevant to our therapeutic areas of interest
  • Monitor and evaluate the evolving body of scientific evidence for our products & our competitors and generate data when needed
  • Collaborate with business partners (e.g. CI, marketing, pharmacovigilance, regulatory affairs) to understand their needs and communicate medical insights that will influence their decision making
  • Define medical priorities, ensure key medical insights are captured in strategic medical plans for prioritized products and implement the CHC Medical Affairs strategy in daily work,
  • Demonstrate entrepreneurial Medical Leadership at every opportunity and actively contribute to and influence decisions across the business
  • Be curious in daily work, seeking new science based solutions to problems experienced by consumers and patients
  • Leverage medical/scientific knowledge to cross-functionally develop robust innovative concept proposals by matching consumer insights with scientific innovation concepts
  • Openly exchange with external stakeholders to build on innovative concepts for meeting unmet needs of future
  • Collaborate with internal business partners to ensure alignment and prioritization of marketing and medical strategies, to evaluate and prioritize innovative concepts/opportunities and to develop new approach with existing data/solutions
  • Ensure medical strategies are built upon key medical insights that have been identified
  • Drive innovation through medical strategies in order to enhance claims (ie. evidence generation, scientific publication, scientific education, stakeholder engagement and endorsement, and further medical insight discovery) at country level
  • Ensure that medical strategies assess and consider risk management in order to achieve the desired objectives
  • Define, track and share progress on key medical commitments, taking corrective actions if the outcome(s) are at risk or not achieved
  • Lead and collaborate cross-functionally to achieve ambitious delivery on medical commitments
  • Learn from failure(s) and transparently share experiences and solutions
  • Manage and deliver on medical budget in parternship with Medical head CHC
  • Collaborate actively within Medical Affairs, across CHC and the organization to achieve results; developing, embracing and supporting a strong cross-functional brand team culture
  • Identify and champion opportunities for continuous improvement in our ways of working
  • Strive to implement key processes efficiently and enable faster governance decision
  • Monitor, identify and assess potential crisis situations using a proactive risk management mind-set
  • Ensure the integrity of all scientific activities (e.g. clinical studies, publications, scientific events) communications and apply scientific, professional and ethic-based risk-management judgment to governance decisions, in alignment with company and local industry standards, as well as local Regulations
  • Ensure and promote professional/compliant interactions with internal and external stakeholders (e.g. HCPs, HCOs, Health Authorities, advocacy bodies, patients and/or consumers) in alignment with company and local industry standards
  • 4 –Expected educational background and job related experience
  • Minimum of 6 years of job related experience is desirable
  • Medical degree (MD) preferred and desirable. Scientific/health related degree (PhD, Phar.D.) is acceptable if supported by good experienced
  • Good understanding of Rx to OTC Switch in the US, Experience with regulatory agencies and ability to lead a team of scientists for Advisory Committee
  • Demonstrated track record of building and maintaining a KOL network
  • A keen understanding of drug development and commercialization
  • Experience in working across and building effective partnerships between business, Medical, and Regulatory
  • Experience in dealing with safety issues
  • Good understanding of the consumer health care pharmaceutical business
  • Experience working within a company with a complex organizational environment and the ability to operate in a matrix, team oriented structure
  • Strong commercial acumen and strategic ability
  • 5 - Additional skills
  • Ability to understand business needs in CHC perimeters (including food supplements, medical devices and cosmetics)
  • Advanced oral and written communication in English and presentation skills
  • High standards of integrity
  • Dedicated and persuasive with “can-do” attitude
  • Ability to translate science to clear consumer messages/benefit
  • Self-motivated; entrepreneurial spirit
  • “Think out of the box” mindset
168

Medical Director Resume Examples & Samples

  • Oversees the provision of medical assessments of all clinical and post-marketing adverse event case reports by CROs or business partners
  • Monitors adverse event data for all marketed products for possible product quality issues
  • Performs signal detection activities on adverse event data for all Impax marketed products and in consultation with the QPPV for products in territories outside the US
  • Participates in the selection, implementation and maintenance of signal detection systems as needed
  • Manages the medical content of the safety specification, pharmacovigilance plan and risk minimization activities in the risk management plans of marketed products
  • Leads the Executive Corporate Drug Safety Committee in maintenance of benefit risk profile of marketed products; directs the creation and maintenance of Company Core Data Sheets (CCDS) and contributes to the safety sections of investigator brochures (IB)
  • Participates in labelling committees
  • Understands the role of the QPPV and contributes to the maintenance of the pharmacovigilance system and processes
  • Manages adverse event coding using MedDRA including synonym maintenance in collaboration with Corporate Drug Safety Operations
  • Reviews aggregate reports (PADERs, PSURs, PBRERs, DSURs)
  • Prepares, implements and maintains standard operating procedures (SOPs) and policies relating to pharmacovigilance (PV) and risk management to ensure compliance with regulatory requirements
  • Develops and conducts training as necessary
  • Participates in internal and external audits
  • Responsible for assisting with remediation of any Pharmacovigliance deficiencies cited during regulatory or internal audits
  • Minimum of 5 years pharmacovigilance drug safety experience including benefit/ risk analysis and safety evaluations required
  • Experience with CNS therapeutic area is desired but not necessary preferred
  • Product launch experience is desired preferred
  • Experience with pharmacovigilance audit process. Prior experience in interactions with regulatory authorities on drug safety aspects as well as risk management strategies and pharmaco-epidemiology preferred
  • Ability to write SOPs and other working practices and documents within the context of clinical and post-marketing drug safety reporting required
  • Ability to write risk management plans and periodic safety reports. Excellent clinical judgment and ability to communicate complex clinical issues in a scientifically sound and understandable way required
  • Comprehensive experience with obtaining, analyzing, disseminating, and reporting safety information in compliance with safety regulations, including periodic safety reports, is required
  • Expert knowledge of FDA regulations, GVP in the EU, ICH guidelines, and other applicable regulatory guidance documents required
169

Associate Medical Director Resume Examples & Samples

  • Financial
  • Corporate / Head office environment
  • Medico-marketing
  • Leadership: Proactively identify projects and opportunities
  • Cross Functional Team Leadership : Establish, facilitate and drive towards reaching objectives
  • General business analytical skills: understand, analyse, evaluate and interpret financial statements etc
  • Negotiating (protecting Merck’s interests)
  • Conceptual thinking
  • Planning/Organising
  • Analysis and Evaluation
  • Bringing to completion
  • Communication Written/Oral
  • Evaluating/Judgement
  • Merck Leadership principles
  • Project Management skills and experience
  • Commercial acumen
  • Computer – Excel, word, PowerPoint, internet, data base packages (sales and market data)
170

Medical Director Resume Examples & Samples

  • Serves as Regional Medical Advisor and/or Global Medical Advisor on assigned projects
  • Attends and presents at the Investigator Meeting(s)
  • Provides therapeutic area/indication training for the project clinical team
  • Attends Kick-Off meetings, weekly team meetings, and client meetings, as needed or requested
  • Serves as Scientific Advisor and provides guidance to Project Managers on the medical and scientific aspects of
  • Knowledge of applicable federal and local regulations and guidelines pertaining to clinical research including knowledge
  • A medical degree from an accredited and internationally recognized medical school with a curriculum relevant to general
171

Medical Director Resume Examples & Samples

  • Initiates medical affairs activities and generation and dissemination of data supporting overall Hidradenitis Suppurativa (HS) scientific and business strategy
  • Support clinical research / development activities for products under development, and for post approval commitments such as regulatory agency mandated trials, or those intended to support product registration or to generate data for label inclusion remain the primary responsibility of TA development teams
  • Provide scientific/medical education to investigators, clinical monitors, and Global Project Team members related to Derm therapeutic area or disease specific information. Keeps abreast of professional information and technology through conferences and/or medical literature and acts as a Derm therapeutic area resource
  • Initiative: Takes prompt action to accomplish objectives, is proactive. Maintains a strong focus on internal and/or external customers. Continuously monitors relevant information, key issues and/or trends. Proactively seeks feedback and adapts behavior to improve performance. Demonstrates a willingness to learn new aspects of the business
  • Integrity: Firmly adheres to codes of conduct and ethical principles. Exhibits honesty. Presents information accurately and completely. Keeps commitments to work colleagues and customers. Acknowledges and responds constructively to failure and mistakes
  • Teamwork & Collaboration: Works effectively and cooperatively with others; establishes and maintains good working relationships with internal and external partners to facilitate the accomplishment of work goals. Helps others achieve shared goals. Demonstrates a willingness to listen without interrupting. Open to diverse and different ideas
172

Medical Director Resume Examples & Samples

  • Current Board Certification approved by the American Board of Medical Specialties required
  • Must possess an active unrestricted medical license to practice medicine in the State of Florida
  • 5+ years of clinical experience required
173

Medical Director Resume Examples & Samples

  • Directs the utilization review process and oversees the quality of utilization determinations. Responsible for the quality of the utilization review determinations. Develops and implements a utilization management program
  • Ensures compliance with care management programs and clinical goals through regular monitoring of care management center performance. Evaluates the effectiveness of the clinical program, and modifies programs as needed to achieve desired results
  • Provides an interface to key health plan and state government partners through outreach to customer medical directors, and attendance at standing meetings and as needed to discuss emerging issues, improvement in metrics, and strategic plans
  • Provides medical direction to the support services review process, and oversees the quality of determinations. Develops and implements clinical management programs. Responsible for training and oversight of any associate medical directors, and for physician advisor training and monitoring which includes orientation, training, supervision, chart auditing, meetings scheduling and oversight of invoices
  • Provides medical leadership, oversight, and consultation for Quality Improvement (QI) Programs and the Utilization Management (UM) Programs including monitoring effectiveness and compliance with goals, prevention programs, network development and management, quality of care concerns and adverse incidents, medical practice of network or sub-capitated providers, clinical service delivery system, coordination with After Hours Team, and oversight of clinical appeals
  • Recruits, trains, supervises, mentors, oversees and evaluates the quality of medical staff and physician advisors. Ensures adequate physician resources. Develops and manages the physician budget
  • Develops and implements the Medical Action Plan (MAP) which includes metrics for utilization and quality management. Develops mitigating strategies to ensure goals are met or exceeded. Works closely with the clinical care management to ensure effective staff case review
  • Responsible for development (if applicable), oversight and implementation of the clinical programs including utilization, care/case, disease and quality improvement
  • Responsible for implementing medical policy, technology assessment and clinical practice standards developed by the company, and participates in management of the inter-rater reliability process to ensure consistency between reviewers. Provides input regarding the need for modifications and additions to medical policy. May participate on corporate medical policy and clinical guideline committees
  • Provides an interface to key health plan and state government partners through outreach to customer medical directors, and attendance at standing meetings and as needed, to discuss emerging issues, improvement in metrics and strategic plans
  • Works closely with the network management team on an integrated clinical-network approach which may include provider relationships
  • Works collaboratively with QI on the development and implementation of QI activities, UM and QI program descriptions, evaluations and work plans. Chairs the Regional Network Credentialing Committee (RNCC) and the Quality Improvement Committee (QIC). Develops and provides leadership for NCQA compliant clinical quality improvement activity (QIA) in collaboration with key stakeholders
174

Medical Director Resume Examples & Samples

  • Develops and sustains an interface with providers and Recipient groups and provides an interface with the Department, which includes attendance at ad-hoc and standing meetings to discuss emerging issues, improvement in metrics, collaboration initiatives and strategic plans
  • Develops and implements the behavioral health utilization management program.Directs the utilization review process and oversees the quality of behavioral health utilization determinations. Responsible for training and oversight of physician advisors, training and monitoring which includes orientation, training, supervision, chart auditing, meeting scheduling, and oversight of invoices utilizing evidence-based best practices and clinical guidelines
  • Oversees the Appeals and Grievance process and ensures all requirements as outlined in the Contract, including notifying the Department within 24 hours of notification an appeal or grievance, logging appeals and grievances from Members, implementing a Reconsideration process, ensuring Fair Hearing Reports are submitted to the Department and OMS Administrative Hearings Representative and representing the Department at all administrative Hearings related to MaineCare concerning or related to the ASO’s services. Presents testimony regarding ASO decisions at Administrative Appeal Hearings
  • Responsible to implement behavioral health medical policy, technology assessment and clinical practice standards developed by Magellan corporate and participates in management of the inter-rater reliability process to ensure consistency between reviewers. Provides input regarding the need for modifications and additions to medical policy. May participate on corporate medical policy and clinical guideline committees
  • Ensures compliance with clinical management programs and clinical goals through regular monitoring of care management center performance. Evaluate the effectiveness of the clinical program and modify as needed to achieve desired results
  • Develops the Behavioral Health Medical Action Plan (MAP) which includes metrics for utilization and quality management. Develops mitigating strategies to ensure goals are met or exceeded. Provides psychiatric leadership, oversight, and consultation for Quality Improvement (QI) and the Utilization Management (UM) Programs including: monitoring effectiveness and compliance with goals, prevention programs, and management, quality of care concerns and adverse incidents, and the application of evidence based best practices in treatment plans
  • Works collaboratively with QI on the development and implementation of QI activities, UM and QI program descriptions, evaluations, and work plans. Chairs the Regional Utilization Management Committee, and the Quality Improvement Committee (QIC). Develops and provides psychiatric leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the Clinical Lead, the Medical Director, and QI staff
  • Recruit, train, supervise, mentor, oversee and evaluate the quality of medical staff and physician advisors. Ensures adequate physician resources. Develops and manages the physician budget to include Physician advisors
  • Provides an interface to state government partners through outreach to Department medical directors, and attendance at standing meetings and as needed to discuss emerging issues, improvement in metrics, and strategic plans
  • 7+ years of managed care experience within a specialty of psychiatry
175

Associate Medical Director Resume Examples & Samples

  • Develop approaches and protocols to demonstrate efficacy through the use of both clinical biomarker endpoints
  • Execute phase III trial as medical lead
  • Industry experience, particularly in development within the disease area including phase III experience, is desirable
176

Medical Director Resume Examples & Samples

  • Participating in implementing standards of medical service and advising General Manager on medical and administrative questions and policies
  • Planning for and participating in physician education; investigating and implementing new medical and clinical practices and techniques
  • Serving as consultant for unusual and difficult medical cases
  • Assisting in the supervision of medical operations to ensure high quality and cost effective medically necessary services, along with ongoing care management, are provided by assigned staff based on medical standards while abiding with contract relationships in home, community and facility-based settings within a capitated reimbursement rate
  • Participating in establishing medical policies; designing and implementing advanced care/case management strategies; and communicating, as needed, with providers to ensure effective quality care is being provided
  • Reviewing care / case management reports and identifying trends and needs of the program population
  • Providing guidance and consultative services to Utilization Management (UM) and Care Management (CM) staff on issues relating to clinical services, case management, condition management, and health risk assessments
  • Developing solutions for complex cases; reviewing prior authorizations / denial of services, grievances and appeals
  • 5+ years of experience in Clinical Medicine, including Geriatrics or HIV population; 3+ years of Medical Management experience
  • Administrative and/or Management experience
  • Certification in Geriatric Care
177

Medical Director Resume Examples & Samples

  • Graduate of a recognized medical school and recipient of an M.D. degree
  • Must possess at least a current, unrestricted medical license and the ability to obtain licensure in multiple states
  • Minimum three years of experience practicing in an acute inpatient environment, where dealing with managed care organizations made up at least half of inpatient practice
  • Understanding of population-based medicine with preference given to significant experience with the Medicare population
  • Strong business acumen, including working knowledge of changing U.S. payer and provider landscape
  • Excellent organizational, verbal and written communication and presentation skills
  • Ability to work with others while completing multiple tasks simultaneously and successfully
  • Ability to complete assignments with reasonable oversight, direction and supervision
  • Highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment
  • Strong interpersonal skills and necessary business acumen in order to communicate and build positive relationships with management
  • Clear, concise and persuasive verbal and written communication. Must be able to positively interact with other clinicians, senior management, patients and their families, and all levels of medical and non-medical professionals
  • Excellent analytic skills
  • Highest level of ethics and integrity
  • Proficiency with MS Office Suite
178

International Medical Director Resume Examples & Samples

  • Summary of Main Responsibilities: Maintain the highest standards and levels of scientific and clinical knowledge in the oncology area (via publications, key meetings, interaction with key Therapeutic Areas Experts (TAEs), as well as continuous communication and effective partnering with global functions and affiliates)
  • Stay abreast of internal and external developments, trends and other dynamics to maintain a fully current view and perspective of internal/external influences and/or implications for the assigned product / group of products
  • In charge of establishing the Independent Data Monitoring Committees (IDMCs) and data safety monitoring boards, lead trial Steering Committees and Investigator Meetings
  • Host/lead medical events such as advisory boards and Roche initiated medical education events and present data at such events if appropriate; Develop scientific content for advisory boards including preparing agenda, questions and topics presented
  • Work together with TAEs, cooperative groups and societies to get advice and ensure the appropriate use of Roche products
  • Get input from key affiliates to develop Global Medical Plan and communicates final Global Medical Plan to all Affiliates; Provide strategic medical guidance to affiliates/regions, including guidance and information to MSLs
179

Medical Director Resume Examples & Samples

  • Provide Medical and Clinical Development expertise to our clinical development programs
  • Design and draft protocol synopses, clinical trial protocols and protocol amendments, Provide medical oversight of multiple clinical studies and provide medical input and guidance on scientific, clinical and safety monitoring issues
  • Partner with Clinical Operations to provide leadership and direction to clinical project teams
  • Establish and maintain positive relationships with clinical trial investigators/physicians, KOL’s and clinical advisors through independent collaborations and scientific meetings
  • Provide strategic input on compounds in development and propose clinical development strategies
  • Provide medical expertise as needed for business development initiatives
  • Provide medical and scientific expertise to preclinical discovery groups for compounds that are in preclinical development
180

Medical Director Resume Examples & Samples

  • Oversee GE-sponsored clinical trials within the Research Management procedure
  • Oversee and lead medical risk assessments within a Post-Market Safety Board
  • Participate on NPI review committee for assigned aspects of the modality
  • Assist with process to establish, update & implement procedures and work instructions related to clinical trials
  • Assist in coordinating publications and regulatory submissions that include clinical data
  • Represent their assigned aspects of the modality on appropriate external committees, taskforces and professional bodies
  • Present the medical affairs vision, strategies, programs and clinical data of their assigned aspects of the modality to multiple customers
  • Lead and participate in medical advisory boards and workouts for disease-based indications
  • Provide medical expertise to project teams on clinical testing of devices
  • Provide pre-market design inputs from a clinical and safety point of view; ensure safety and efficacy of protocols
  • Provide safety monitoring and adverse event analysis for clinical trials
  • Review and approve clinical trial documentation as needed; review study data and make final judgment on analysis
  • Review and comment on medical risk assessment documents for complaints; provide medical guidance to complaint handling teams regarding post-market safety assessments; sign off on reportability of MDRs at the Post-Market Safety Review Board; create white papers related to potential post market product issues
  • Create, review, update and approve risk assessment control documents as needed
  • Partner with external thought leaders who work with clinical applications and technologies in academia and research institutions to help create a competitive advantage
  • Provide medical input into Research & Development, Regulatory Affairs, Marketing & Sales, and other functions within GEHC
  • Medical Degree recognized by the American Board of Medical Specialties (ABMS) or equivalent organization
  • Medical and clinical experience appropriate to function as a Subject Matter Expert to support the modality
  • 2 years of experience planning, executing and reporting clinical trials
  • Excellent verbal and written communication and presentation skills with the ability to communicate business issues in English in an easy to understand manner
  • Strong leadership skills; able to create a dynamic environment that fosters transparency, collaboration and innovative thinking
  • Strong problem solving and negotiation skills; ability to influence and make recommendations at multiple levels of the company
  • Demonstrated project management skills to establish strategic goals and to prioritize, plan, delegate and evaluate deliverables
  • Prior experience working with Microsoft office products (Word, Excel, PowerPoint)
  • Ability to travel 25% of the time (domestic and international)
  • Board-certified physician with a minimum 1 years clinical experience
  • 3 years’ experience in either the medical device or pharmaceutical industry, working with post-market safety assessments/drug safety and clinical trials for PMA or NDA purposes
  • 2 year experience directly supporting Marketing & Sales in a clinical liaison position or in a medical affairs organization
  • 1 year experience of performing medical risk assessments in the healthcare industry and / or the medical device or pharmaceutical industry
  • Experience working in a regulated environment with strong knowledge of quality systems, including but not limited to ISO, GCP, FDA
  • 1 year’s experience in performing medical risk assessments
181

Medical Director Resume Examples & Samples

  • Interpret and assess payment policy and medical coding information / guidelines against our policy library for maintenance of existing policy and development of new policy
  • Conducts thorough research and analysis for medical policy items
  • Performs multi-faceted analytics for data and report analysis
  • Responsible for translating industry references into Cotiviti policy
  • Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library
  • Identifies new opportunities as appropriate from both clinical reference and analytical sources
  • Analyze research inquiries from a multitude of sources and apply solid clinical judgment to determine potential impact to medical policies
  • Ability to determine if an update to existing policy logic or content is warranted based on changes to industry or Cotiviti reference data
  • Perform QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy. In addition to QA, provides feedback to originator as needed
  • Educates client-facing MDs and Client Policy Managers (CPMs) on new changes and policy updates by actively participating in monthly meetings for client facing MDs and CPMs
  • Manages interactions with our expert panel (consultant pool) on relevant clinical issues
  • Ensures work is accurate, complete and finished in a timely manner including documentation of notable changes
  • Maintains current knowledgebase of industry and Cotiviti content, best practices, applications, procedures and policies
  • Minimum of 5 years of experience in a clinical setting
  • Minimum of 3 years of experience in internet based research as it relates to codes (CPT, HCPCS, ICD, etc.)
  • Experience in a health plan, Medicare or State Medicaid with focus on reimbursement and/or coding preferred (CPT, ICD-10, etc.). Equivalent experience would be knowledge through a payer services organization working with one or more of the organizations noted above
  • Experience developing medical payment policy edits or algorithms (preferred)
  • Maintains high degree of flexibility in performing research and analysis
  • Responsive to learning new tools and analytical techniques
  • Considers rule interactions and interconnectedness of current systems
  • Capable of relating current system and operational responsibilities into new system and process design
  • Exhibits accuracy and thoroughness
  • Possess in depth knowledge of claims, claims adjudication, medical policy rules and edits
  • Strong organizational and project management experience preferred
  • High attention to detail
  • Strong analytical, critical thinking and problem solving skills
  • Works with a sense of urgency
  • Prior health plan operations experience helpful
  • Prior understanding of client policy or client implementation services helpful
  • Proficient with Microsoft Office Suite (Word, Excel, Power Point); Intermediate Excel
  • Professional with ability to properly handle confidential information
  • Ability to work well independently and in a team environment
  • Ability to handle multiple tasks, prioritize and meet deadlines
  • Ability to work within a matrix organization
  • Communicates with ease up and down the chain of leadership
182

Medical Director Resume Examples & Samples

  • Facilitates conformance to regulatory requirements
  • Reviews quality referred issues, focused reviews and recommends corrective actions
  • Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency and continuity of care
  • Conducts retrospective reviews of claims and appeals, and resolves grievances related to medical quality of care
  • 7-9 years
183

Medical Director Resume Examples & Samples

  • 2 years previous Medical Director
  • 3 years Utilization/Quality Program Management
  • Minimum 2 years HMO/Managed Care
184

Medical Director Resume Examples & Samples

  • Currently hiring for sub-specialty expertise in Haematology, Hepatology, Nephrology, Oncology, Orthopaedics, Rheumatology
  • Level: Director or Executive Director
  • Location: Basel, Switzerland (Novartis supports international relocation)
185

Medical Director Resume Examples & Samples

  • Minimum, M.D. or D.O. with Board Certification in a recognized specialty; preferred, Board Certification in Physical Medicine and Rehabilitation
  • Minimum, at least five years of direct patient care experience; preferred, experience/knowledge of workers’ compensation system and treatment; and
  • Active and current New York State medical license without encumbrances
186

Medical Director Resume Examples & Samples

  • Provide clinical expertise to support, enhance, and develop healthcare analytic products and consulting projects
  • Work at a detailed level with codes (e.g., ICD10, CPT) and pharmacy claims to define clinical definitions used to support analytics and consulting projects
  • Develop or improve methodologies in existing analytics/products and new decision-support applications
  • Provide clinical support for business development initiatives
  • Promote a culture of clinical excellence for the company and its analytic- and quality-based solutions
  • Lead or contribute to efforts to write peer-reviewed publications, white papers, and other dissemination projects that highlight the use of our analytic solutions
  • 2+ years’ experience as a practicing physician in the United States
  • 2+ years’ experience in the use and application of claims-based analytics
  • Demonstrated ability in written and verbal communication and presentation skills with clients
  • Familiarity with administrative claims data and medical coding systems (i.e., CPT, HCPCS, ICD-9, ICD-10)
  • Strong interpersonal skills and ability to work cohesively in a team environment
  • Strong organizational skills (e.g., prioritize and manage multiple tasks, meet deadlines; complete complex long-term projects)
  • Board certified in an ABMS or AOBMS specialty
  • Certification in Medical Informatics
  • Experience with, or directly used, any tool within Symmetry Suite or Impact Suite analytic applications
  • Experience with machine learning
  • Demonstrated ability to develop new analytics to meet market needs
  • Possess recent knowledge and/or experience in cost/utilization measurement, bundled payments, or episode groupers
  • Possess recent knowledge and/or experience in quality measures (e.g., STARS, HEDIS, State measures)
  • Basic skills using industry-standard data analysis tools such as Microsoft ACCESS, EXCEL, or SQL
  • Published in peer-review journals
  • Experience with risk-adjusted quality measures and payment tool
  • Experience with clinical data from EMR to optimize health care solutions (e.g., clinical decision support systems, care management programs)
  • Experience networking within your area to build relationships and further business opportunities
187

Medical Director Resume Examples & Samples

  • Board Certified MD/DO in a ABMS Medical Specialty with an active unrestricted license (preferably in Florida, South Carolina, and/or Texas) and the willingness to obtain additional licenses as requested
  • Must have two years of post-graduate training in a residency or fellowship program approved by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association or by the predecessor or successor to either of these two agencies
  • Excellent communication skills with 5 years established clinical experience
  • Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products
  • Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehabilitation
  • Experience in clinical quality improvement and Medicare Risk Adjustment
  • Thorough knowledge of ICD-10 and CMS HCC Models
  • EMR proficiency, preferably eClinicalWorks (eCW)
  • Must demonstrate skill and experience in management concepts and their application to health systems. Strong written and oral communication skills are necessary
  • Ability to travel to Care Delivery Organizations (CDO) markets
  • Certified Professional Coder (CPC) or equivalent, preferred but not required
  • Previous demonstrated, structured instructional training or experience, preferred but not required
  • Association of Clinical Documentation Improvement Specialists membership, preferred, but not required
188

Medical Director Resume Examples & Samples

  • Design and optimize clinical trial design and ensure clinical trials meet ethical and regulatory standards
  • Lead the Clinical Protocol Team, including interactions with discovery, safety, marketing, regulatory, research and other functions
  • Write protocols that are in-line with the overall indication strategy
  • Present at Investigators’ meetings
  • Conduct medical review and interpretation of efficacy and safety data from clinical trials
  • Have responsibility for the quality, coordination, medical accuracy and timeliness of clinical study reports
  • Work with other Therapeutic Area Heads and team members to prepare abstracts, manuscripts and presentations for external meetings as well as author clinical sections of regulatory documents (IB, IND sections)
  • Present and discuss data and findings at relevant team, governance, KOL and regulatory meetings
  • Ensure adherence to GCP/ICH and Celgene Standard Operating Procedure (SOP) standards
  • Guide and influence the distribution and management of Clinical Research Scientists
  • Minimum M.D degree and substantial medical/clinical training in Therapeutic Area or a related field
  • Minimum 5 years of experience designing, leading and managing significant clinical trials in the Therapeutic Area
  • Demonstrated understanding of drug development process
  • Ability to provide scientific and clinical expertise to a clinical development program and evaluate scientific and clinical strategies for a product
  • Ability to develop and evaluate strategies for the clinical development of a designated indication and to critically evaluate outside expert advice
189

Associate Medical Director Resume Examples & Samples

  • Early engagement with Drug Discovery Unit (DDU) to assist in research portfolio prioritization
  • Provide early clinical expertise and recommendations to DDU on go/no-go decisions at stage-ups
  • Creation of the early Clinical Development Plan
  • Study design and implementation of clinical protocols for first in human studies through early proof of concept/proof of mechanism
  • Ensure that critical TREC experiments deliver timely go/no-go decisions
  • Coordination with other functional experts within TREC (e.g. quantitative clinical pharmacology, imaging and biomarkers) to utilize all modalities to accelerate or enhance the decision making process
  • Engagement of GI Therapeutic Area Unit (TAU) to ensure early clinical studies support decision making for late phase development
  • Ensure seamless transition between research and clinical development, driving the early plan as part of the overall Asset Strategy in the GPT
  • Work directly with global product teams and global clinical development teams to support biomarker / imaging strategies and implementation plans across therapeutic areas
  • Support the Working Groups that support the development and execution of teams’ biomarker and personalized medicine strategy and implementation plan
  • Work closely with early clinical operations, quality, procurement, and contracting groups to support study team implementation of studies
  • Provide clinical expertise for early phase external opportunities and participate in due diligence teams
  • MD, MD/PhD preferred
  • Formal clinical training, including fellowship training with GI specialization as well as translational/experimental medicine expertise preferred
  • Clinical development experience should be in academia and/or industry including early clinical trial design and implementation, documentation / filing
  • Academic clinical experience is preferred
  • Minimum 5-10 years biopharmaceutical/CRO health-related consulting company/academic industry early clinical development experience
  • Demonstrated strategic thinker with an ability to create and drive a shared understanding of a long-term vision
  • Comfort with ambiguity is required
  • Demonstrated creativity and innovation, including ability for divergent thinking and the propensity to question to traditional methods, processes, and products, as well as build on others' ideas
  • Excellent communication, interpersonal sensitivity, and negotiating skills
  • GI-related expertise
  • Clinical science
190

Medical Director Resume Examples & Samples

  • Minimum of 5 years of experience in Public Health or Infectious Diseases with vaccine experience
  • Experience interacting with policy making agencies such as CDC, NVPO, USDHHS, and state or national/country governments
  • Excellent interpersonal skills in enabling interactions with pre-eminent scientists and research institutions worldwide, while representing the interests of various functional groups within Merck
  • Works well with others with diverse backgrounds and able to adapt to different cultures
  • Demonstrated ability to work within a collaborative environment with internal and external colleagues
  • Collaborates with and imparts scientific information to persons from a broad cross-section of academic, research, and medical professionals and business disciplines and functions, including an ability to understand and work with scientists around the world
  • Demonstrated ability to think strategically and to align medical, research, public health, and commercial strategies
  • Exemplary communication skills
  • Effectively review scientific literature, prepare presentations, present and discuss scientific data in depth
  • Adapt to and function professionally in diverse cultures internationally
  • Fluent in spoken and written English
  • Up to 25% travel (with overnight stays)
191

Medical Director Resume Examples & Samples

  • Demonstrated knowledge and experience of interaction of medical policy with other Plan functions (legal, marketing, media, government relations, provider contracting etc.)
  • Medical license and board certification
  • Works effectively in cross functional teams
  • M.P.H. or other advanced degree is desired
192

Associate Medical Director Resume Examples & Samples

  • Review medical records of applicants for life insurance to assess mortality risk
  • Interpret ECGs, echocardiograms and stress tests and review and assess laboratory tests and other medical requirements
  • Assess and synthesize medical aspects of an applicant as to the mortality risk with particular emphasis on complex cases
  • Research and conduct formal training sessions for new and experienced underwriters on the specifics of medical disorders and the mortality risk
  • Represent the medical department in projects such as manual revisions, requirement reviews, and guideline updates
  • Work with the Medical Director, conduct ongoing medical research, leading to next generation underwriting practices
  • Interact with producers and attending physicians as case needs warrant
193

Medical Director Resume Examples & Samples

  • Support the pro-active recruitment of medical staff to the organisation
  • Ensure compliance with organisation Health & Safety standards and support team members in matters pertaining to personal Health, Safety & Wellbeing in fulfilling role
  • Support any investigations as required i.e. disciplinary, whistleblowing, compliance,
  • Ensure self and team comply with Safeguarding referrals in line with company guidelines
  • The post holder may be required to undertake other reasonable duties as required of them
  • Qualified Medical professional
  • Registration with GMC
  • A practising GP, Forensic Medical Examiner or Medical Consultant of at least 5 yrs standing
  • Evidence of continued professional development and GMC appraisal/ Revalidation
  • Postgraduate medical qualifications
  • Formal management training or evidence of achieving in a Medical Director or Clinical Manager role
  • Case Investigation and Case Management experience
  • Clinical Governance leadership experience
  • Proven experience of undertake sensitive negotiations
  • Successful initiation/ facilitation of multi-disciplinary working
  • Engagement of clinicians in decision-making and in service improvement
  • Innovative, with strong service focused approach
  • Excellent communication, interpersonal, negotiating and influencing skills
  • Ability to think and act strategically and to articulate a clear sense of direction and vision to a wide audience
  • Ability to build effective relationships with a range of internal and external stakeholders
  • Commitment and passion for customer- focused services with the ability to embed an ethos at all levels of the organisation
194

Medical Director Resume Examples & Samples

  • Develop and implement Global Medical Affairs plan
  • Work closely with commercial and clinical development in designing and implementing the launch strategies
  • Provide strategic assessments of opportunities and threats regarding the treatment of lung cancer patients with a focus on ALK positive subgroup
  • Develop an in-depth understating of the needs of oncology patients and demonstrate a focus on activities to meet those needs
  • Lead a broad range of medical affairs activities, including: review of investigator initiated trials, design and conduct Phase IIIB/IV trials, medical leadership in materials review
  • Conduct global advisory boards
  • Foster research relationships with key cancer research centers globally
  • Provide medical expertise in development of promotional materials
  • Develop materials to coach and teach the Sales Force and MSLs on emerging, and existing, lung cancer data
  • Develop strategy for development, and review of, investigator initiated studies
  • Key contributor to brigatinib development plan
  • MD degree with experience in oncology
  • 5 + years Medical Affairs experience or related experience
  • Lung cancer experience
  • Understating of pharmaceutical clinical development and product life-cycle management
  • Cross-functional leadership experience within the Pharmaceutical or related industry
195

Medical Director Resume Examples & Samples

  • Primary care board certification preferred (Pediatrics, Geriatrics, Family Medicine, or Internal Medicine)
  • Must possess an active unrestricted medical license to practice medicine issued by the Commonwealth of Virginia
  • Selected candidate must be domiciled in Virginia
  • More than 5 years of post-residency clinical experience or any combination of education and experience, which would provide an equivalent background
196

Medical Director Resume Examples & Samples

  • Collaborates with the market lead Chief Medical Officer and various program directors, clinical quality , population health , operations , compliance and other market staff to implement programs to support and meet state and national clinical operations goals
  • Provides support and guidance to the community care teams of care coordinators, care managers, behavioral specialists, community health workers, and other clinical staff
  • Works toward fully integrated clinical model working with Behavioral Health and Choices clinical management, and leads coordination of clinical activity with other state programs such as the DIDD program for TennCare member with intellectual and developmental disability
  • Reports to Health plan Chief Medical Officer with accountability to various clinical program leaders
  • Leadership role in local clinical operations and initiatives
  • Manages external physician relationships as needed, acts as community ambassador, and works in developing new business opportunities as required
  • Participates in and may lead quality evaluations, committees and subcommittees, and peer review activity
  • Represents the health plan in various TennCare activities to include the state payment reform initiative and various other programs and meetings as needed
  • Responsible for managing/monitoring the financial results of Care Management/Health Services interventions and initiatives to ensure that utilization goals are achieved; collaborating with Care Management/Health Services/Behavioral Health as necessary to maintain focus on achieving targets
  • Supports local market data, sharing activities which include: reviewing completed data analysis and establishing a process for sharing data with facilities, physicians, and other providers as needed
  • Responsible for complex case reviews and rounds with clinical staff, care managers, and IDD care coordinators
  • Delivers the clinical value proposition in support of the sales and or growth activities of the Health Plan
  • Promotes positive relations with State/local regulatory authorities and Medical Societies
  • Coordinates care with the local integrated behavioral health teams
  • MD or DO with an active, unrestricted Tennessee license
  • Board Certified in an ABMS or AOBMS specialty- pediatrics, medicine-pediatrics, family or internal medicine with fellowship, additional training, and/or experience with DSNP or other programs managing patients with special needs
  • Intermediate or higher level of proficiency with managed care and/or population health
197

Medical Director Resume Examples & Samples

  • Radiology board certification preferred
  • Must be domiciled in the State of California
  • At least 5 years of post-residency clinical experience or any combination of education and experience, which would provide an equivalent background
198

Medical Director Resume Examples & Samples

  • Has fiduciary responsibility to the BWC CEO/Administrator ensuring soundness and consistency of agency medical activities
  • Responsible for managing the activities, policies, programs, quality reviews and functions of the Office of Chief Medical Officer
  • Develops policies and standards which concisely convey results of observations and recommendations for improvement
  • Promotes and develops appropriate medical plans, resolves disputes concerning medical treatment protocols and practices, and approves complex medical treatment plans
  • Works in concert with agency nursing staff and Medical Services Division staff in healthcare efforts, initiatives, and overall medical business operations
  • Provides input for managed care organizations' vendor service requirements, standards and performance outcomes
  • Governs the credentialing, medical standards and quality assurance of BWC's Disability Evaluator Panel
  • Serves on committees to provide direction in the development of state-of-the-art quality, cost-effective healthcare to injured workers
  • Possesses creativity and views challenging issues as opportunities to move forward
  • Formulates, recommends and implements improvement measures in order to increase efficiency and overall quality of services provided
  • Demonstrates leadership skills, and accepts responsibility for assigned Departmental activities
  • Thinks strategically and in terms of outcomes, understands BWC's mission, and maintains a strong focus on customer satisfaction, both internal and external
  • Builds rapport and creates an atmosphere of openness with management
  • Acts objectively, in fact-based and nonpartisan matter, in relationships with customers
  • Serves as trusted advisor and maintains open, direct and effective communications with stakeholders, BWC Board of Directors, executive staff, and external entities
199

Medical Director Resume Examples & Samples

  • Oversight of Quality measures will be a significant responsibility of the Medical Director
  • Provides leadership for the activities of the medical staff in order to meet the overall strategic objectives of the Unity campus of Mercy Hospital and provide medical consultation and leadership to hospital managers
  • Facilitates constructive communication between the medical staff members and leaders and hospital administration
  • Participates in committees, councils and teams
200

Medical Director Resume Examples & Samples

  • ENSURES CLINICAL QUALITY AT THE CENTER
  • Clinical Quality and Safety -- Partner with the Center Executive Director (CED) and the Center Nurse Executive (CNE), to optimize Center performance across key clinical measures and objectives. Participate in monthly Quality Assurance/Performance Improvement meetings. Support nursing education. Collaborate with Regional GPS leadership. Advise the CED about the adequacy and medical appropriateness of the Center's scope of services, medical equipment, and staff
  • Clinical Policies and Protocols -- Implement and promote Center-wide adherence to clinical policies and protocols that have been established by Genesis Healthcare and Genesis Physician Services, with input from the provider community. Ensure that medical and overall care is consistent with applicable laws, rules and regulations, and current standards of practice approved by Genesis Physician Services
  • Advanced Care Planning -- Ensure that all patients have been engaged in advanced care planning discussions, and offered the opportunity to create advanced directives
  • Coordination of Medical Care -- Direct and coordinate facility-wide medical care. Resolve issues related to continuity of care and transfer of medical information between the facility and other care settings. Review individual resident cases as requested or indicated, including consultant recommendations
  • ESTABLISHES STRATEGIC FOCUS AND EFFICIENCY AT THE CENTER
  • Readmission Avoidance -- Co-lead the Center's strategy to minimize avoidable readmissions with the CNE, through readmission review and customer-at-risk (CAR) meetings, as well as collaboration with hospitals and home health agencies
  • Population Health and Value Based Reimbursement Models -- Drive improvements in outcomes and efficiency, sharing accountability for Center performance in value-based models such as BPCI and MSSP
  • Efficient Utilization of Ancillary Services -- Ensure that Center utilization of laboratory tests, imaging studies, and medications is efficient and consistent with Genesis strategies and standards of practice
  • MAINTAINS OPERATIONAL EXCELLENCE AT THE CENTER
  • Surveys -- Actively participate in the survey process to ensure Center success
  • Medical Staff Oversight -- Lead the medical staff at each center, providing feedback and coaching, to help optimize individual performance. Ensure effective physician participation in care processes such as assessment, diagnosis, treatment, and documentation. Provide appropriate feedback to practitioners about their care and overall performance and intervene as appropriate when any practitioner fails to meet requirements or standards. Address and resolve concerns and issues between the physicians and Center staff. Assure physician compliance with certifications/re-certifications, verbal orders, admission and discharge notes, and death certificates, and identify educational and informational needs regarding same
  • Telemedicine -- Support the use of telemedicine services, as made available by Genesis, to help avoid potentially unnecessary and burdensome transfers
  • Availability and Accessibility -- Ensure that residents have primary attending and backup physician coverage. Provide a safety net of back-up medical support for unanticipated attending physician unavailability, to ensure that each resident has appropriate physician coverage
  • DIRECTS PATIENT CARE
  • Direct the medical care of Center residents who are assigned to the Medical Director as the Attending Physician. [Time spent as the Attending Physician is separate from that spent in the Center to meet the expectations of Medical Director described herein. The Attending Physician component is addressed by separate agreement.]
  • PROVIDES AND SUPPORTS GENESIS PHYSICIAN SERVICES LEADERSHIP
  • Attend quarterly Medical Director meetings
  • Represent and articulate the Genesis HealthCare® mission to the community and professional organizations
  • Help the organization establish appropriate relationships, and coordinate transfer and care arrangements, with area hospitals and other pertinent institutions
  • Partner with GPS Nurse Practitioners and Physician Assistants in delivering team-based patient care, and consenting to appropriate Collaborative Practice Agreements
  • Fulfill role-specific requirements from accreditors, such as JCAHO, as applicable to the Center
  • ADHERES TO COMPLIANCE RESPONSIBILITIES
201

Associate Medical Director Resume Examples & Samples

  • Develop and lead innovative phase 0 approaches in RA, GI and Dermatology for biomarkers and novel clinical endpoints (e.g. new digital health methodologies) to support early signs of efficacy approaches
  • Provide clinical translational strategies for early preclinical programs
  • Work across the matrix to deliver robust target engagement/proof of mechanism strategies in the Immunology portfolio for both preclinical and clinical stages
  • Propose appropriate disease and target specific patient enrichment strategies and generate translational clinical development plans
  • May serve on a Clinical Strategy Team as the clinical representative for the protocols for which the incumbent has responsibility. Contributes to the development of a rigorous, cross-functionally-aligned, vetted Clinical Development Plan in collaboration with matrix team members
  • Responsible for understanding the regulatory requirements related to the clinical studies and global drug development and accountable for complying with those requirements. May be asked to contribute to regulatory responses and discussions
202

Associate Medical Director Resume Examples & Samples

  • Responsible for the design, execution, analysis, interpretation and presentation of clinical and translational studies in inflammation, autoimmunity and related indications. Participates in the development and execution of strategies for new product development and lifecycle growth, including regulatory and investigator interactions as applicable
  • Provides medical strategic leadership for inflammation clinical and translational projects
  • Plans, organizes, and directs the activities of inflammation, autoimmunity and related clinical trials, including development of clinical protocols and amendments, investigator brochures, and clinical study reports
  • Provides medical monitoring support, including evaluation of safety, pharmacology and efficacy of ongoing and completed studies
  • Establishes and implements exploratory pharmacodynamic, diagnostic, and biomarker plans in conjunction with partners in clinical pharmacology and diagnostics/biomarkers
  • Interacts with external thought leaders, including advisory boards, to support clinical and translational development
  • Prepares literature reviews and publications as appropriate
  • MD or MD/PhD in an inflammation-related field, such as rheumatology, gastroenterology or pulmonology. Board certification is preferred
  • Clinical drug development experience in inflammation and/or oncology. Strong understanding of translational disease biology in immunology and/or oncology
  • Excellent specialty professional reputation and working relationships
  • Working experience in the pharmaceutical industry preferred
  • Ability to communicate efficiently with preclinical, biomarker, biostatistical and computational scientists, as well as clinical and commercial colleagues. Ability to explain inflammation-related technical issues to technical and non-technical staff
203

Medical Director Resume Examples & Samples

  • Serve as product safety leader for assigned product(s)
  • Key activities include but are not limited to medical review of ICSR (SAEs), protocol review, CIBs, ICFs, IB, COR development documents including regulatory filing
  • Collaborate closely with clinical development, clinical operations, regulatory affairs, and medical affairs teams to provide the pharmacovigilance input into procedures/documents & help define strategies to support best clinical trial outcomes by ensuring patient safety
  • Participate in team meetings, training CRO partners on products & medical component (specific to patient safety & product safety/management of risk)
  • Develop and lead PV, benefit/risk assessment and risk MGMT strategies in collaboration with SRM team for the product of their responsibility
  • Represent/participate with global drug safety on safety monitoring teams and labeling committees as required by preparing, reviewing and evaluating materials
  • Evaluate all safety data, provide input on signal detection activities, and continuously assess the benefit/risk ratio and design/implementation risk management & mitigation activities for the product(s) of their responsibility
  • Oversee SAE reconciliation completion to ensure proper data lock & cleaning for sponsored trials and other PASS trials
  • Develop, in collaboration with GDS Operations team, medical coding guidelines to ensure proper coding of safety data
  • Review CSR narratives and provide feedback to medical writers in timely manner
  • Provide expert medical, safety knowledge and guidance on individual case assessment and literature case review
  • Provide medical expertise to the PV Operations team including PV Specialists, case processors and serve as an authority for medical decision on ICSRs related activities. First line of decision making on case processing matters for case prioritization, FU, seriousness, listedness, coding, etc
  • Perform medical review of SAE reports, determine listedness/expectedness, causality of product in association with ADR, evaluate medical coding, medical review and performs causality assessment and determines regulatory report ability of clinical trial cases for assigned products and across therapeutic areas
  • Perform preliminary signal detection based on ICSRs review of SAEs and discuss with SRM team for further action/impact on risk-benefit
  • Identify potential safety signals and inform the appropriate safety scientists of all potentially important cases and issues for extraction and analysis
  • Provide support to the Safety Risk Management function through data mining, aggregate report writing, safety strategy development, signal detection & topic report assessment
  • Work with product quality complaint team to review trends & other data to assess impact on safety benefit risk
  • Provide program/product level updates to leadership team as necessary
  • Develop and deliver training on safety/product risk to investigators of different programs
  • Demonstrated creative problem solving skills that enact change and drive continuous improvement
  • Demonstrated flexibility, open mindedness and adaptability in a rapidly changing environment
  • Experience with medical writing preferred
  • Experience working in a team environment, including supporting other team members when necessary; promote collegiality and teamwork among peers
  • Ability to build and manage inter-relationships by motivating and inspiring others
  • Ability to operate with minimal direction
  • Experience in Argus safety database is preferred
204

Medical Director Resume Examples & Samples

  • M.D. or D.O. degree with post-graduate training/specialization in blood banking/transfusion medicine is required
  • Board certified or eligible in internal medicine, pediatrics or clinical pathology
  • Board certified or eligible in blood banking/transfusion medicine is highly desirable
  • Extensive knowledge of current/projected trends in transfusion medicine/blood banking and hospital health care highly desirable
  • Knowledge of medical/technical principles of blood center operations
  • Must be licensed in the state of the primary site of the region and all states served by the region and/or Division, as needed
  • Minimum five years experience in blood banking/transfusion medicine, or related field
  • Completion of a blood banking/transfusion medicine fellowship and board certification in blood banking/transfusion medicine, hematology and/or internal medicine are desirable
  • Experience in relevant medical/scientific research and scholarly activities sufficient to warrant academic appointment is highly desirable
205

Medical Director Resume Examples & Samples

  • Minimum of five (5) years of experience in public health or infectious diseases with vaccine experience
  • Experience with interacting with policy-making agencies such as CDC, NVPO, USDHHS, state or national governments
  • Able to work well with others with diverse backgrounds and to adapt to different cultures
  • Able to collaborate with and impart scientific information to persons from a broad cross-section of academic, research, and medical professionals and business disciplines and functions, including an ability to understand and work with scientists around the world
  • Able to effectively review scientific literature, prepare presentations, present and discuss scientific data
  • Able to adapt to and function professionally in diverse cultures internationally (professional international experience is preferable)
  • Willing to travel domestically and internationally (~ 25% of time)
  • Fluent spoken and written English. Other language skills desirable
206

Medical Director Resume Examples & Samples

  • Represent Drug Safety in Clinical Sub Team and Study teams for assigned investigational products providing expert medical guidance regarding safety issues
  • Review and provide analysis for the supportofkey study-related documents, e.g. IB, ICF, SMC/IDMC
  • Participate in protocol development to ensure alignment with risk management plans and effective collection of safety data
  • Represent Drug Safety in data standards committee
  • Participate in the Signal Management System with regular review of safety data for assigned products for identification and evaluation of new safety signals
  • Responsible for safety data review - to include individual case review and aggregate safety assessment andanalysis using safety data from clinical trials or post-marketing sources
  • Perform/provide oversight for medical review of individual safety reports from clinical trials or post-marketing sources
  • Contribute to preparation and review of periodic reports (PADER; PSUR; Annual IND report; 6-monthly line-listings; EU Annual Safety Report; DSUR)
  • Participate in production and maintenance of risk management plans and safety communication (marketing applications, company core safety information, regulatory safety queries, etc.) to regulatory agencies or third parties
  • MD (board certified/board eligible or ex-US equivalent)
  • Proficiency in use of Excel and Microsoft Office
  • Minimum 3 years of clinical practice experience. Oncology safety science experience preferred
  • Training in clinical research experience desired
  • Clinical data collection, assessment and analysis
207

Medical Director Resume Examples & Samples

  • Knowledge of applicable federal and local regulations and guidelines pertaining to clinical research
  • Proven skills in providing consultation and advice on multiple assignments are required, as well as initiative and flexibility
  • A medical degree from an accredited and internationally recognized medical school with a curriculum relevant to general medical education, along with a medical license, or equivalent, from the country or region in which he/she resides and works is required, plus a minimum of 5 years' experience in clinical medicine, in addition to 4 years' clinical trials experience as an investigator or in the Pharma, CRO, or Biotech industry. Specialty Board certification desirable; or equivalent combination of education, training and experience
208

Medical Director Resume Examples & Samples

  • Work effectively with Client Medical Officers, Executive Leadership, as well as Consulting and Management and Advisory Board Company partners
  • Effectively analyze data or other information to identify and prioritize areas of opportunity within the client network
  • Previous leadership experience in a Medical Director, Executive, or like role required
  • M.D. and Board Certified in a recognized specialty, preferably Family Medicine, Internal Medicine, or Pediatrics,
  • Advanced degree in business or related field desirable
209

Medical Director Resume Examples & Samples

  • Lead the clinical activities that support BCBSKS Patient Centered Medical Home (PCMH) and Accountable Care Organization (ACO) programs
  • Coordinate the integration of Disease Management/Wellness programs to support BCBSKS population health activities
  • An estimated 25% of the Medical Director's time will be spent reviewing claims, inquiries, predeterminations and medical precertifications
  • Support Medical Review activities including all provider peer review activities
  • Participate in Preventive Services activities and reporting
  • Lead cost containment initiatives as directed by the Chief Medical Officer
  • Participate in the development of medical policies and coordinate this activity with the BCBSA Medical Policy Panel
  • Direct divisional URAC accreditation activities and ensure compliance
  • Serve as a physician resource for the department as well as the company as a whole, including: Corporate Health and Wellness Committee, Disability and Life Insurance areas, Medical Practice Analysis, Fraud, Waste, and Abuse (Special Investigations Unit)
  • Must be accessible via mobile services (i.e. Text,Voice, or data) and is therefore expected to be available to timely respond during non-working hours as scheduled and needed, in accordance with the written guidelines of the department applicable to the position
  • Responsible for maintaining an awareness and understanding of the business unit recovery plan for the department and the corporation’s business continuity program in general
  • Provide guidance and clinical oversight to department medical review, medical policy, precertification, and case management programs
  • Analyze medical trends to identify needs for changes in Medical Review that will support strategic objectives
  • Responsible for the review and disposition of provider Second Level Appeals when delegated by the Chief Medical Officer
  • Direct QI/DM department activities and processes. Assist and support quality management programs that promote measurement, monitoring and evaluation of services and work processes to improve the quality based activities and outcomes. (</ = 0.35 FTE)
  • Maintain knowledge in current health plan, case management, and disease management standards and must follow URAC standards as required for essential job functions
210

Associate Medical Director Resume Examples & Samples

  • Ability to work collaboratively with hospice employees and volunteers as part of an interdisciplinary team
  • Membership in good standing on the medical staff of an accredited hospital in the state in which the hospice is located
  • Medical malpractice and liability insurance in amounts and with carriers satisfactory to VITAS
211

Medical Director Resume Examples & Samples

  • Qualified candidates must have knowledge of the principles and practice of primary medical care, with at least a working knowledge of oncology
  • Knowledge of palliative care with particular emphasis on control of symptoms associated with terminal illness
  • Ability to work collaboratively with patients' attending physicians to implement the hospice program and effect optimum medical care
212

Medical Director Resume Examples & Samples

  • Provide medical and scientific leadership and expertise to all line functions on the study team
  • Develop and implement study protocols for different types of clinical pharmacology studies
  • Responsible for clinical monitoring and safety data review during and after the interventional phase of a study
  • Lead study data analysis, data interpretation and communication of results
  • Oversee publication and external presentation of study results
  • With support from Head Translational Medicine NIDU and Head Profiling TM, lead the development of the overall clinical pharmacology plan for NIDU programs
  • Represent Translational Medicine on Global Project Teams
  • Lead the Translational Medicine sub-team of Global Project Teams
  • External representative to medically related experts and organizations, advancing the interests of Novartis by your knowledge, style and personal skills
  • With support from Biomarker Development, develop and implement biomarker plans on study and disease indication levels
  • Lead the preparation of the clinical pharmacology portions of submission dossiers with support from Head Translational Medicine NIDU and Head Profiling TM
  • Provide support for dose selection, design and other clinical pharmacology matters for First in Human studies
  • Represent Translational Medicine in Health Authority interactions and briefing documents preparation
  • Work independently to develop and implement study design and collaboratively with the other NIDU physicians on the broader clinical indication strategy
  • Champion and drive new clinical compound characterization opportunities and profiling approaches
  • Be a recognized expert in your field, driving success for individual studies and projects; respected by colleagues across Novartis R&D and externally; working globally across various Novartis Institutes and Divisions
  • Board Certified Clinical Pharmacologist or equivalent level via significant training and clinical pharmacology experience
  • Specialty training in hepatology or endocrinology preferred
  • Experience performing a similar role within a Pharmaceutical research company leading cross-functional/matrix global project teams strongly preferred. Alternatively, significant relevant experience from a Clinical Research Organization or academic medical center combining relevant scientific and medical subspecialty skills, translational expertise, and clinical trial conduct, partnering with Sponsor international Pharmaceutical firms
  • Significant contributions to your field over time, creating or implementing clinical innovations that are recognized by medical experts and ideally documented by peer-reviewed publications
  • Fluent written and spoken English
213

Medical Director Resume Examples & Samples

  • Develop and execute strategies for efficient, high value management of early stage Autoimmune drug development projects leading to clinical Proof-of-Concept, competitiveness of compounds, and contribute effectively to the preclinical and clinical ATI Disease Area strategy, project-specific Biomarker strategy, innovative target identification and in-licensing efforts
  • Develop and implement ATI compound-related disease area and biomarker strategies
  • Translational Medicine Novartis representative to Health Authorities in matters and meetings that focus on early exploratory development: negotiate effectively with Health Authority representatives on all aspects of Translational Medicine and obtain results favorable to Novartis
  • Translational Medicine representative to Translational Medicine/medically related experts and organizations. Advance the interests of Novartis by your knowledge, style and personal skill and enhance the position of Novartis with these individuals and groups
  • Provide specific medical and scientific expertise for ATI studies
  • Provide direct or supervisory medical support for all pharmacokinetic studies
  • Contribute senior expertise to Research in support of target identification, selection, target validation and preclinical development of compounds. Review and evaluate cross-Disease Area activities at and beyond the early compound optimization stage. Provide clinical context and help design optimal preclinical studies
  • Evaluate clinical centers and foster communication with crucial collaborating investigators. Interact effectively with external medical and non-medical leaders and be an internal Novartis expert leader in your scientific and clinical subspecialty field
214

Medical Director Resume Examples & Samples

  • Responsible and accountable to the SQCN President for helping to assure appropriate health care delivery for SQCN’s products and services. Reports organizationally to the SQCN President of the Network
  • Plans, organizes, and directs the professional medical services program
  • Participates in the design and implementation of Network medical policies, goals and objectives
  • Leads the design and development of SQCN quality improvement program and care improvement initiatives. Works closely with the Chair of the SQCN Performance Improvement Committee
  • Responsible and accountable for implementing the quality improvement and care management programs. Assures plan conformance with legal and regulatory requirements
  • Responsible for and assists with the development of budgets, staffing plans, Network quality and cost improvement targets, and medical loss ratio projections, assuring the adequate allocation of resources to the medical management functions
  • Assists the SQCN President with activities to promote positive community relations. Participates in key marketing activities and presentations. Represents SQCN at medical group meetings, conferences, etc
  • Responsible for creating and maintaining a system that gives feedback to providers individually and collectively regarding care effectiveness of individual providers and networks
  • Assists the SQCN President and Professional Standards Committee in designing and implementing corrective action plans to address issues and improve plan and network care performance
  • Participates in policy review, performs analysis and makes recommendations
  • Supports URAC, AHCA and NCQA qualification activities (if applicable). Prepares for site visits and responds to accrediting and regulatory agency feedback
  • Supports pre-admission review, utilization management, and concurrent and retrospective review process as appropriate
  • Participates in SQCN risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, nutrition service review, provider orientation, credentialing, profiling, etc. as appropriate
  • Participates in the grievance process with the SQCN President, insuring a fair outcome for all members
  • Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants
  • Provides periodic written and verbal reports and updates as required in areas of responsibility. Performs other duties as requested or assigned
215

Associate Medical Director Resume Examples & Samples

  • Design and optimize clinical trial design and ensure clinical trials meet ethical and regulatory standards including
  • At least 6 years of experience in Hematology/Oncology clinical research in the pharmaceutical industry OR experience in clinical research or medical affairs is preferable or a combination of experience in academic medicine with clinical research and or clinical development experience in collaboration with the pharmaceutical industry
  • Scientific medical research experience in Oncology and or Hematology (or relevant specialty) with demonstrated record of scientific medical publications
  • Experience leading the design, conduct, analysis and reporting of clinical studies is strongly preferred
  • Superior leadership, networking, collaboration and communication skills
  • Successful interactions with Medical Experts and investigators
  • Demonstrated the capability for strategic planning along with operations skill and experience related to clinical research involving both single and multiple centers
  • Ability to work across multiple functions is essential
  • Effective oral and written communications skills and strong leadership are essential for success in the role
216

Associate Medical Director Resume Examples & Samples

  • Utilization Management
  • Disease and Chronic Care Programs
  • Credentialing and Peer Review
  • Hospital and Skilled Nursing Facility Management
  • Compliance and Oversight of all Delegated Functions
  • Coordination and Implementation of Cost Efficiency Programs
  • M.D. or D. O. degree with at least 2-3 years clinical practice experience
  • Current California medical license without restrictions
  • Board Certification by the American Board of Medical Specialties
  • In – depth knowledge of medical delivery systems, utilization management, quality management, peer review, credentialing, benefits interpretation, physician relations and member services
  • Excellent interpersonal, leadership and persuasive communication skills
  • Knowledge and experience in the operations of a prepaid delivery system
  • Good analytical skills and the ability to manage for results
217

Associate Medical Director Resume Examples & Samples

  • To advance the rare disease and ophthalmology preclinical and clinical pipeline by optimally integrating research and early clinical development efforts
  • To lead cross-functional team(s) to support pre-R2D and IND through POC activities
  • Provide leadership for assigned clinical programs through integration of
  • Have board certification in Internal Medicine, Neurology or Opthalmology. Ideally 2 years of industry experience (or strong track record of analyzing pre-clinical and clinical data)
  • Have demonstrated leadership and team building skills as well as the ability to perform effectively in a dynamic environment
  • Have demonstrated strategic and critical thinking
  • Experience designing, managing and interpreting data from clinical trials
  • Board certification or advanced training in neurology, ophthalmology or genetics preferred
218

Associate Medical Director Resume Examples & Samples

  • Provide medical affairs expertise and leadership to Product Development teams and Medical Affairs teams by either supporting current Medical Directors or working independently on assigned products/projects
  • Partner with commercial and clinical development to define product strategy based on external and internal input
  • Review and facilitate investigator initiated studies
  • Develop relationships with and solicit input from key medical opinion leaders
  • Lead or assist with product Medical Affairs teams as required
  • As a content expert, create and review abstracts, manuscripts, slides for publications, scientific symposia presentations, and other medical documents as required
  • Plan and execute medical advisory boards
  • Provide medical and scientific training and/or support to other staff internally across functions
  • Participate in budgetary processes as part of annual business planning and review of expenses within Medical Affairs
  • Medical and scientific support of product development planning including review and due diligence of in-licensing candidates and potential business partnerships
  • Develop, coach and mentor Medical Affairs staff, as requested
  • Provide medical input into Copy Clearance Committees for promotional and external facing materials, and participation in labeling meetings, where appropriate
  • Involvement and development of SOPs for activities conducted by Medical Affairs, ensuring activities are in compliance with ICH and other international regulatory guidelines and follow relevant GCPs and SOPs
  • MD, PhD or PharmD with a minimum of 8 years in a clinical and/or pharmaceutical setting with background in Medical Affairs
  • Specialty training in psychiatry (board certification or eligibility in psychiatry), knowledge/experience in depression, addiction and schizophrenia a plus
  • Experience in managing and/or conducting clinical studies
  • Professional society membership(s) relevant to psychiatry
219

Associate Medical Director Resume Examples & Samples

  • Maintain the highest standards of ethics and integrity
  • Drive Medical strategy across our oncology portfolio
  • Oversee data generation activities in partnership with Clinical Operations
  • Develop strong internal/external strategic partnerships
  • Review and approve promotional and educational activities and materials
  • Have oversight of non-promotional brand and therapeutic area activities
  • Ensure compliance with relevant internal and external codes laws and regulations
  • Manage brand/TA budgets
220

Medical Director Resume Examples & Samples

  • Promote quality, cost effective care on behalf of members utilizing their available benefits. -Provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities in the execution of precertification, concurrent review/discharge planning, appeals, case management, disease management, and quality management, including direct participation with plan sponsors, providers, facilities and vendors as required
  • Provide clinical guidance in operating effective medical programs to promote member quality of care and in reviewing potential lapses in the quality of care
  • Act as the lead business and clinical liaison to network providers and facilities to support effective execution of the medical services programs by the clinical teams
  • Leverage the use of predictive modeling and medical cost forecasting capabilities to improve decision making relative to medical cost spending
  • Mentor employees and supports ongoing training and development of clinical staff and acts in a manner consistent with the Aetna Way
  • Lead clinical staff in assuring member's care is coordinated in a fashion that achieves the most value for the available benefits, and that a liaison is available to the member's caregiver for coordination of benefits
  • Act as critical medical leader for external providers, plan sponsors, regulatory & accrediting agencies, and community in general
  • Acts to engage providers and facilities in improving the cost and quality of care delivered to our members and assures that our shared business relationships are maintained and improved
  • 3-5 years experience in the health care delivery system e.g., clinical practice and health care industry
  • Demonstrated appreciation of cultural diversity and sensitivity towards target populations
  • Active and current state medical license without encumbrances is required
  • M.D. or D.O. is required
  • Board Certification in a recognized specialty is required
221

Medical Director Resume Examples & Samples

  • Demonstrated understanding of general principles of healthcare management, biostatistics, and the complexities of the current financing system
  • Demonstrated understanding of regulatory and accreditation standards
  • Demonstrated understanding of principles and implications of standards for quality of care, quality measurement and monitoring, utilization reviews, discharge planning, infection control and related features of today’s healthcare environment
  • Highly knowledgeable about the concepts and implementations of clinical redesign, physician practice behavior, and outcomes analysis
  • Skills in mediation and conflict management resolution
  • Creates and communicates a compelling and inspired vision or sense of core purposes; sees possibilities; is optimistic
  • Sees ahead clearly; anticipates future consequences and trends accurately
  • Collaborates with others to plan and execute strategies and tactics; understands how to work effectively in a matrix management environment
222

Medical Director Resume Examples & Samples

  • Reinforce clinical philosophy, programs, policies and procedures
  • Perform daily review of individual cases from concurrent review and prior authorization processes, including denial decisions for cases that do not meet established criteria
  • Communicate strategic plan and specific tactics to meet plan
  • Create direction and communicate a business case for change by focusing on and addressing key priorities to achieve business results
  • Be accountable for meeting the financial, operational and quality objectives of the unit
  • Consistently demonstrate the ability to serve as a model change agent and lead change efforts
223

Associate Medical Director Resume Examples & Samples

  • As a member of the Medical Leadership Team, actively collaborate with this group to set the culture and inspire the medical team
  • Support the ANZ Medical Director to drive strategy within the medical department and build the organisation through training initiatives
  • Ensure the development of the annual medical affairs plans and contribution towards long range strategic plans for assigned portfolios, contributing scientific, technical & strategic expertise where relevant
  • Leadership and line management responsibility. Build and manage the assigned medical affairs team(s), including setting responsibilities and goals, to ensure delivery of this plan whilst driving a culture of innovation and collaborative working approaches
  • Manage the assigned budget within prevailing financial guidance
  • Support the personal development of the team through individualized plans and their execution, including training to build capability, and maintain and develop technical and disease area expertise. Support career planning for team members
  • Drive a patient-focussed, customer-centric approach in the activity of the department. Provide medical support for and help develop and maintain professional and credible relationships with key external stakeholders. Ensure that field-based medical staff forge and maintain strong collaborative relationships with external experts relevant to their Therapeutic Areas. Build in-field medical capabilities
  • Ensure that the team provide timely technical and scientific support to cross-functional brand teams, HEOR/market access, sales force and other internal stakeholders as required to support business objectives whilst ensuring alignment and appropriate decision making based on current evidence, effective competitive intelligence, and best practice principles
  • Ensure team contributes strategic input to GMA Therapeutic Area strategic medical affairs plans as relevant
  • Provide strategic leadership of evidence generation planning and drive affiliate research studies and global GMA research projects to meet the local needs for data in alignment with GMA strategies, Execute research activities in a scientific efficient and complaint manner
  • Ensure that the team provide effective liaison for investigator initiated and collaborative study proposals. Advise the Medical Director regarding scientific interest, feasibility, and alignment with strategic priorities
  • Ensure that the team work collaboratively with the Clinical Operations team to optimise the implementation and delivery of development research
  • Ensure relevant medical contribution and review in development of ASA and other RMP related activities
  • Act as liaison with global, regional and area medical personnel as required. Ensure attendance of team at GMA training sessions and meetings as agreed with the Medical Director
  • Delegate for the Medical Director as final signatory for promotional and non-promotional material/activity approvals
  • Delegate for the Medical Director as signatory for agreements per formal signing authority
  • Represent the medical department on internal committees, and/or delegate for the Medical Director as required
  • Ensure compliance with company policies & procedures to meet statutory, quality and business requirements, within the overall company objectives & strategy. Contribute effectively as a member of the ANZ compliance committee
  • Assist Medical Director in organising regular departmental meetings and other activities to build in continuous feedback mechanisms
  • Meet the requirements of ISO and Class A by complying with all relevant Quality policies and procedures to ensure the Quality objectives of the business are met
  • Comply with all relevant company Occupational Health, Safety and Environmental policies, procedures and work practices with the intent of preventing or minimising accidental exposures to self, colleagues and/or the environment
224

Medical Director Resume Examples & Samples

  • We are seeking a full-time Medical Director (Cardiologist) to provide expert medical analysis of complex disability claims files
  • Participate in special projects
  • When you join Cigna, you play an important role in improving the health, well-being and security of the people we serve
  • Board Certified in Cardiology with a current active and unrestricted U.S. medical license required
  • Computer Competency: Word processing, Spreadsheet, email and Personal Information Management programs are used extensively and competency in them must be possessed or rapidly acquired; must be able to perform research on internet resources
225

Medical Director Resume Examples & Samples

  • Review utilization management cases and communicate the decisions to the member and provider
  • Collaborate with Gateway staff and physician advisory committees for development of Gateway policies, procedures and special projects
  • Active participation in establishing Gateway’s medical policy, and support established policy as it relates to the care management process and communications with practitioners
  • Become familiar with the principles of continuous quality improvement and apply them in clinical and management functioning
  • Work as a team member coordinating the needs of multiple practitioners and providers across the network
  • Attend meetings as appropriate, including medical director meetings, QI committee and subcommittees, as assigned
  • Serve as a resource for information and consultation on the issues related to utilization management, clinical services and medical affairs, including such issues as case management, disease state management programs and health risk assessments
  • Provide consultation to the care and case management staff, offer advice and assistance in achieving resolution of problem cases, and actively support care and case management activities
  • Intervene as the spokesperson with local practitioners/providers to resolve care and case management issues and participate in the development of long-term strategies to create cost-effective medical care
  • Establish or maintain communication with practitioners and providers and become knowledgeable about their practice patterns in order to identify those factors of quality that define the best practices and once defined, helping them with continuous quality improvement
  • Develop understanding of current hospital and physician payment methodologies, and how they impact utilization incentives in the provider community
  • Establish effective working relationships with hospital, physicians and managers in order to bring about desired outcomes by affecting modifications in the practice patterns for both inpatient and outpatient services
  • Monitor the clinical program initiatives in achieving desired quality and financial objectives
  • Attend corporate QI committee meetings and selected subcommittee meetings and report on clinical initiatives and network management activities
  • Become familiar with the principles of the TQM/CQI processes
  • Regionally supervise and/or collaborate the activities/directives of the QI operations staff and committees
  • Grievances and Appeals – Assist in the evaluation and resolution of grievances and appeals of patients, providers, and hospitals
  • Maintain familiarity with applicable State and Federal Quality Assurance Regulations to ensure the organization’s compliance with them
  • Develop expertise in the external requirements for quality leadership, including NCQA accreditation, and the creation of an accurate HEDIS data set
  • Perform other duties as assigned by the Chief Medical Officer and as assigned or requested
  • Foster a reprisal free environment to promote open and constructive communication
  • All Medicare contractor position descriptions are subject to the Centers for Medicare and Medicaid Services (CMS) security requirement to classify positions as to their sensitivity levels. These levels relate to the impact that the position has on access to Medicare beneficiary protected health information and/or financial information. The designations are high, medium and low sensitivity with each designation having specific background investigation criteria applied to them. The reinvestigation is required to be conducted at least every five years for each position
226

Associate Medical Director Resume Examples & Samples

  • Retain involvement in all aspects of the medical management process involving medical necessity and appropriateness determinations
  • Participate in protocol and guidelines development to ensure consistency in the review process
  • Compose clear and concise clinical rationales for members and provider determination notifications
  • Assure high performance standards by meeting targets set by management
  • Support Care and Case managers by providing consultation and staff education via clinical presentations and case management conferences
  • Interact effectively with members, practitioners/providers, colleague and care and case managers
  • Conduct problem solving the scope and frequency of these opportunities is diverse, frequently involving coordination with internal and external customers. The incumbent has a significant degree of independence in handling day to day duties
  • Must be credentialed in an Organization network
  • Four years’ experience required in an active clinical practice
  • Ability to analyze data, measure outcomes and develop action plans
  • Ability to intervene in crisis situations and multi-task
  • Computer and software knowledge and skills
227

Medical Director Resume Examples & Samples

  • A Medical (MD or DO) degree
  • At least five years of prior clinical leadership experience in health care management
  • Master's degree in business or a related discipline is preferred
  • Five years of healthcare management experience
  • Two years’ experience working in a health plan is preferred
  • Prior account management support experience
  • Experience with formal presentations to diverse audiences
  • Experience with complex data analyses in addressing client issues
  • Relevant licenses, certifications, training, etc
  • Current, unrestricted PA, DE, or WV medical license
  • Board certification in an ABMS or AOA medical specialty
228

Medical Director Resume Examples & Samples

  • Review of utilization management cases and communication of the decisions to the member and provider
  • Collaboration with Gateway staff and physician advisory committees for development of Gateway policies, procedures and special projects
  • Management -- the incumbent has oversight of the following functions, which does not include management of staff
  • Active participation in establishing Gateway's medical policy, and support established policy as it relates to the care management process and communications with practitioners
  • Establish priorities, manage projects in a timely manner, assume responsibilities with limited supervision, and work as a team member coordinating the needs of multiple practitioners and providers across the network
  • Contribute to the education of other employees by direct consultation and formal presentation in topics of general interest
  • Care/Case Management
  • Assist in the design/implementation of advanced care and case management strategies throughout the network of providers and practitioners to insure efficient care delivery of medical services
  • Assist in the design and development of medical management reports that can be used to identify opportunities for improvement in specific clinical areas
  • Analyze utilization data and various forms of health care data available within and external to the corporation to evaluate effectiveness of clinical initiatives and care and case management processes
  • Develop and implement corrective actions
  • Clinical Consulting Services
  • In conjunction with other Gateway executives and local administration, conduct meetings, seminars, and conferences, and facilitate other forms of group interaction among physicians in order to promote sharing of information expertise, to foster program support, and to enhance identity with Gateway
  • Meet regularly with physicians and physician groups to represent the corporation in all matters as requested. Become familiar with network issues and how to act as consultant to physicians at hospitals and health care management
  • Identify specific factors for practices that fall below the standards of quality but have been achieved by the best practices and assist in modification of attitudes and behaviors to assist them in becoming best practices in the care of the patients
  • Monitor clinical resource allocation, utilization and referral patterns, patient satisfaction, and clinical outcomes across the practitioner and provider network
  • Assist in the design and implementation of education programs for physicians and staff, establish education objectives, and identify resources to deliver educational services
  • Evaluate physician feedback with regard to capitation, payment performance rewards, pay for performance methodology development and modification, etc. as appropriate
  • Assist in various corporate initiatives to expand the network, retain practitioners and providers, and complete similar business initiatives. Participate in network promotional activities with members and providers
  • Seek to become knowledgeable about the regions' physicians, hospitals, and health care environment, and establish working relationships
  • Support clinical program development initiatives through selection of program topics, establishment of criteria, and assisting with vendor selection based on the vendor's proposed approach to clinical management
  • Monitor the clinical program initiatives in achieving desired quality and financial objectives. Advise the Senior leadership of findings and lead development of corrective action plans as indicated
  • Attend corporate QI committee meetings and selected subcommittee meetings and report on clinical initiatives and network management activities. Serve as chairperson of the Physician Advisory and Quality Improvement Committees as appropriate, to provide oversight and direction to the quality improvement activities of the corporation
  • Develop a working knowledge of the credentialing process and criteria and participate in education and sanctioning activities directed at individual network physicians. Work with the credential staff to review provider applicants and to make decisions regarding approval, denial, and/or terminations according to Gateway's policies and NCQA standards. Be familiar with corporate credentialing policy, and assist in its design
  • Become familiar with the principles of the TQM/CQI processes. Seek to teach them and apply them in network medical functioning
  • Regionally supervise and/or collaborate the activities/directives of the QI operations staff and committees. Attend corporate QI committee meetings, and report on regional actions related to committee function. Closely collaborate with the regional quality staffs to ensure maximum effectiveness within the organization
  • Organizational providers -- Assist in the evaluation and credentialing of organizational providers, including hospitals, home health agencies, SNFs, etc. Work closely with them to assure ongoing relationships with the corporation maximize their effectiveness
  • Grievances and Appeals -- Assist in the evaluation and resolution of grievances and appeals of patients, providers, and hospitals
  • Maintain familiarity with applicable State and Federal Quality Assurance Regulations to ensure the organization's compliance with them
  • Assist in the development of internal physician advisors and provide support in developing solutions for complex cases, in the authorization and denial of services, and in the grievance and appeals process
  • Assist in monitoring effectiveness of physician advisors in supporting the care and case management activities
  • Assist operation staff in the clinical oversight of subcontracted services and other organizations for which Gateway is liable for quality oversight
  • External Corporate Relationships/Community Outreach
  • Effectively interact with professional groups, such as state and county medical societies, hospital executive committees, medical staff executive committees, payers, member related associations, community groups etc
  • Participate in presentation of corporate goals and interests to practitioners/providers, community and business groups, social agencies, and government bodies
  • Assist in developing Gateway's presence in community outreach and service activities and participate in community efforts to understand and control health care costs. Represent the organization in public affairs and professional organizations, and attend various corporate meetings when requested by the Chief Medical Officer
  • Personal Development
  • Augment CME activities with studies related to management health care, health politics, national and regional changes in the health care environment
  • Seek/achieve certification by ABQAURP, ACPE, etc., and maintain up-to-date completion of the physicians' recognition award of the AMA for CME work completion
  • Development and maintain familiarity with applicable State and Federal regulations and NCQA requirements for accreditation
  • Develop expertise in a designated area and become a source of consultation for other medical directors and staff throughout the organization
  • Maintain regular contact and solicit feedback on performance from management and your peers
  • Perform other duties as assigned by the Chief Medical Officer
  • Medical staff leadership experience, significant prior experience in health care management roles, and involvement with formal quality and/or utilization management programs are required
  • Minimum of five (5) years of experience as a primary care physician or other valuable medical expertise and current knowledge of the clinical practice concerns and issues
  • Board certification in a primary medical specialty and a current, unrestricted PA medical license is required
  • MBA, MPH, MMM or other advanced education in business or public health
  • Proven ability to manage a project in order to accomplish previously agreed upon goals within a reasonable time period and through the use of developed organization and leadership skills
  • Excellent communication and public speaking skills, well-developed interpersonal skills, and ability to interact effectively with members, practitioners/providers, colleagues, and local State and Federal agencies
  • Professional UR/QI training and certification is preferred
229

Medical Director Resume Examples & Samples

  • Provide therapeutic and drug development expertise and interact with Sponsors and investigative sites on protocol medical issues
  • Medical degree with Board Certification in Neurology or Psychiatry is required
  • LI-NM1
230

Medical Director Resume Examples & Samples

  • The delivery of Veteran-centered, high quality and high value geriatric and extended care and rehabilitative services. You will continuously monitor and improve Veterans access to care in the organization
  • Supervision and collaboration with providers, as well as, the direct or indirect supervision of all clinical and administrative staff within the service line
  • Being an active participant and facilitate clarification and the development of patient and family goals of care
  • Full and appropriate documentation of patients care services to support professional billing for these services
  • Weekly participation in interdisciplinary team meetings to review active cases
  • Maintain and promote high ethical, clinical and administrative standards
  • Participation in on-call coverage for Extended Care and Rehabilitative Programs
  • Develop and provide education to Iowa City staff and coworkers
  • Adhere to the practice of confidentiality regarding patients, families, staff, and the organization
  • Board certified or eligible in Geriatrics, Preventive Medicine, PM&R/SCI, Hospice/Palliative Medicine or equivalent experience
  • Skilled communicator and collaborator working as part of interdisciplinary teams
231

Medical Director Resume Examples & Samples

  • Minimum five (5) years clinical experience -Required
  • Serving on hospital utilization committee and/or physician advisor experience -Preferred
  • Respected clinician (MD or PA/NP) who also has experience in change management and care redesign
  • Superb written and verbal communication skills with capability of presenting clinically credible information to small and large groups
  • Experience working with multi-disciplinary groups in a complex, academic environment preferred
  • Experience with current healthcare landscape related to population health management, health IT, and quality and safety
  • Prior inpatient and ambulatory clinical experience – Preferred
  • Experience or training in process improvement – Preferred
232

Medical Director Resume Examples & Samples

  • Provide medical direction 24 hours per day and education to all staff and rotators
  • Direct and supervise all Center matters that concern medical back-up, resources, consultation and advice
  • Provide advice and consultation to physician callers or poison center specialists on cases involving potentially severe symptoms, and medical management questions
  • Provide advice and guidance to the specialist in decision-making processes for home management of difficult cases
  • Conduct Center rounds to review active cases and to answer questions regarding staff and trainee participation in patient care
  • Responsible for arranging the physician consultant on-call schedule for the Center
  • Remain accessible when on call by telephone to poison specialists 24 hours a day
  • Responsible for conversation/correspondence with physicians over issues and controversies dealing with patient/case management
  • Be reachable to resolve clinical questions and issues where a consensus or agreement between the specialist and physician consultant on call is lacking
  • Present to the Center new issues in the medical literature or experience which may give better directions or guidelines
  • Give advice and guidance in Center policy development and decision-making, this includes the development of guidelines for the care of patients
  • Meet with the Director to take part in activities involved with quality assurance and service evaluation
  • Direct & supervise the activities of all medical toxicologists and medical trainees
  • Board certified in Medical Toxicology
  • Active on a Board in the applicants’ perspective primary specialty
  • Basic science background
  • Experience in clinical research
233

Medical Director Resume Examples & Samples

  • Responsible for leading the strategic design and execution of SMAmedical plan and tactics
  • MD, PhD, and/or PharmD with pharmaceutical industry experience required (5 years minimum). Relevant experience in Medical Affairs and clinical trial execution strongly desired
  • Ability to understand and effectively communicate scientific and medical information to both internal and external customers. Excellent written and oral communication skills are imperative
  • Ability to understand the evolving market access and reimbursement landscape and business needs of BIIB and how the strategies of Medical Affairs fit into this
  • Ability to work independently yet engages in collaborative decision making, to complete tasks in a timely fashion, and function in a rapid-paced environment
  • Experience with Spinal Muscular Atrophy and Pain is a plus
234

Medical Director Resume Examples & Samples

  • CT MD License and DEA registration
  • Board eligible or certified in Family Medicine, Internal Medicine, or another underlying ABMS specialty
  • Board eligible or certified in Palliative Care
  • Must possess excellent communication and skills
  • Must possess ability to work in a team environment
  • Must possess strong proficiency with electronic health records and Microsoft Office applications
235

Medical Director Resume Examples & Samples

  • To lead a clinical program team and support the eventual worldwide commercialization of these agents
  • Provide strategic leadership for assigned clinical programs through integration of
  • Have 5 years of experience in clinical or laboratory research
  • Have 5-8 years of experience in industry driving clinical development programs in all phases of Development
  • Have established peer level relationships with therapeutic area opinion leaders worldwide
  • Be comfortable discussing the science or mechanisms of new research approaches, clinical endpoints, protocol design, or data interpretation
  • Have excellent communication skills (oral and written) and excellent organizational skills
  • Have the ability to lead directly and by influence, including strong problem solving, conflict resolution, and analytical skills
  • Experience designing, managing and interpreting data from First in Human through Proof of Concept clinical trials
  • Board certification in the Neurology
  • Subspecialty training in Movement Disorders and/or other degenerative CNS disorders preferred but not required
236

Medical Director Resume Examples & Samples

  • Collaborate across functions, e.g. Product Development, Medical Affairs and Commercial on projects and initiatives
  • Provide clinical expertise and Medical Affairs support for various Commercial activities as well as for other functional groups within Medical Affairs
  • Manage resources and other Medical Affairs commitments to ensure prioritization of deliverables
  • Act as subject matter expert for disease and product related information for the Medical teams
  • Provide scientific input, training, and education for various Commercial and Medical Affairs functions
  • Along with with the global publication team, drive and implement publication strategy that facilitates knowledge acquisition and dissemination of key information that informs the appropriate utilization of molecules within the oncology portfolio
  • Lead exploratory data analyses to address medical gaps for relevant disease states
  • Collaborate cross-functionally with key stakeholders (e.g. Medical teams, MSL, Scientific Collaborations, Commercial) on Medical Affairs strategy and planning for scientific congresses
  • Lead advisory board planning and advisory board execution
  • Compliantly develop and cultivate important relationships with internal and external partners and stakeholders, including investigators, therapeutic area experts, and advisors
  • Stay informed and abreast of the external landscape as it relates to assigned molecules and/or indications and the associated therapeutic area, including attendance at major scientific conferences
  • Provide study team support for company supported studies and scientific input for cooperative group studies
  • Review and comment on IIS proposals
  • Monitor project process and proactively identify issues or challenges and recommend and implement strategies to effectively resolve such once approved with his/her manager
  • Review and/or help create clinical materials (including presentation slides) by providing scientific input and checking for data accuracy, to support post-marketing and commercial activities. This may include commercial advisory boards such as community, regional, or national advisory boards
  • Reviews training materials and slides, and provides clinical input and guidance in their development
237

Medical Director Resume Examples & Samples

  • Provides scheduled and unscheduled direct patient care in mobile environment
  • Demonstrates flexibility towards changing situations and the patient’s condition
  • Delivers high quality frontline mobile integrated healthcare services including but not limited to scheduled and unscheduled in home visits, acute care, health risk assessments, transitional care, longitudinal high risk patient management, advanced illness management, adjunctive care for home health, hospice and primary care services
  • Supervises the clinical practice of collaborating advanced practices nurses, physician assistants and other members of the team including the clinical pharmacist, nurse, paramedic and social worker
  • Delivers patient care in mobile environment as part of interprofessional collaborative practice including physicians, paramedics, nurses, podiatrists, pharmacists, health workers and others
  • Communicates directly with other professional disciplines involved in care of patient on a regular basis
  • Provides accurate and complete documentation of all patient encounters in appropriate medical record(s)
  • Meets with physicians, medical practice groups, healthcare systems and other community health providers to promote Evolution Health practices
  • Actively participates in daily coordination of patient care, scheduling, adjunctive service and documentation with designated team members
  • Accurate and timely completion of all documentation
  • Prior experience working with the elderly population
  • Acute or Urgent Care experience preferred
  • Familiar with and able to demonstrate multicultural competency
  • Familiar with the legal issues facing the population assigned
  • Able and willing to provide services in the home and non-clinic environment
238

Medical Director Resume Examples & Samples

  • Accountability for the strategic planning and execution (including study design, method selection, etc) of Phase I through IV global clinical trials
  • Ongoing medical monitoring of clinical trials
  • Contributing to, reviewing, and approving clinical regulatory documents (clinical study reports, regulatory submission sections, investigator’s brochures, etc.)
  • Working collaboratively with Medical Directors, Biostatistics and Medical Writing, Drug Safety, Clinical Operations, Translational Medicine, and Regulatory Affairs
  • Working with US and EU regulators
  • MD with at least three to five years of pharmaceutical drug development experience
  • Expertise in Psychiatry, particularly treatment of depression and schizophrenia
  • Experience in Clinical trial design specific to depression and /or schizophrenia
  • Familiarity with thought leaders in the field of treatment of depression and/or schizophrenia
239

Associate Medical Director Resume Examples & Samples

  • Requires an MD, DO with Internal Medicine, Cardiology, Endocrinology or Nephrology background preferred
  • Will consider candidates right out of fellowship or clinical practice
  • Knowledge of thrombosis or diabetes is also desirable
  • Two years of prior industry experience is preferred or clinical experience in place of prior industry experience
  • Ability to travel approximately 30% of the time (domestic and international), including some weekend travel is required5687170322
240

Medical Director Resume Examples & Samples

  • Board Certified/Board Eligible in Family Medicine
  • OB Fellowship training and experience with high-risk obstetrics including operative OB
  • Teaching experience or Interest
  • Leadership experience or Interest
241

Medical Director Resume Examples & Samples

  • Performs medical necessity based coverage review, case management, and claims activities
  • Participates in coverage guideline development
  • Serves as a mentor/coach/trainer for care managers in a quality improvement process
  • Works to achieve desirable outcomes for customers on service, quality and cost. Activities contribute to enhanced quality of care and appropriate medical costs for customers. This requires the ability to balance business needs with patient advocacy
  • Improves provider relations through knowledgeable, evidence-driven peer assessment, hands-on communication, and positive collegial relationships
  • Achieve internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring timely turn-around of coverage reviews and sound outcomes
  • Provides clinical insight and management support to other functional areas
  • Participates as needed with Appeals process at all levels including level two committee as appropriate
  • Investigates and responds to account questions to assist in resolving issues or clarifying questions
  • Participates in quality processes such as audits, inter rater reliability actions, and quality projects as appropriate
  • Assists with program development as appropriate
  • Provides provider relations and account management support as appropriate
  • Board-certified psychiatrist with current unrestricted medical license. Must be able to obtain licensure for other states as needed
  • Minimum of 5 years of clinical practice experience
  • Previous utilization management experience preferable
  • Strong skills in the following areas: teamwork, negotiation, conflict management, problem solving and effective decision making
  • Proven ability to assess complex issues, recommend change and resolve issues
  • Effective at negotiation, teamwork and cooperative relations with diverse internal and external stakeholders
  • Demonstrated ability to coach and educate other care management staff
242

Medical Director Resume Examples & Samples

  • Provides clinical support for all areas of Medical Affairs
  • Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements
  • Apply strong knowledge of Medicare rules to medical necessity determinations
  • Participate in development of UM policies & procedures
  • Attends or chairs committees as required such as Credentialing, P&T, and others as directed by CMO
  • 2 years as a Medical Director
  • 5 years+ in clinical practice
  • 2 years+ in HMO/Managed Care
  • 3-5 years in Medicare
243

Medical Director Resume Examples & Samples

  • We require a Medical Doctor or Doctor of Osteopathy degree from a medical school or osteopathic medical school recognized by the American Association of Medical Colleges (AAMC), the American Osteopathic Association (AOA), or the World Health Organization (WHO)
  • Completion of an accredited residency program in a program accredited by the Liaison Committee of Graduate Medical Education (LCGME) or the AOA
  • Has an unrestricted and unencumbered Pennsylvania licenses to practice clinical medicine or osteopathic medicine. Ability to successfully complete Independence Blue Cross credentialing process
  • Current, active Board Certification by a Member Board of the American Board of Medical Specialties (ABMS) or a recognized Board of the Osteopathic Medical Association
  • Good standing with federal and state health care benefits programs, including Medicare, Medicaid, and Federal Employee Health Benefits Program. No unresolved disciplinary actions precluding participation in such programs. No history of conviction for insurance fraud or related offense in any state
  • Operational knowledge of the application of utilization review criteria and guidelines; CPT/HCPCS, ICD-9/10 and DRG coding; health insurance benefits administration, and physician and hospital managed care contracting
  • We seek a physician executive who has strong, engaging interpersonal communication skills, with ability to effectively interact within a matrixed organization and communicate across functions and levels. Required to bring strong verbal, and written communications skills
  • Utilization management experience preferred but not mandatory
  • Other job responsibilities as required by Senior Leadership
244

Medical Director Resume Examples & Samples

  • Doctoral degree (PharmD, PhD or MD)
  • 3 to 5 years of experience in a medical education agency
  • Ability to make successful presentations and lead meetings
  • Skilled in the art of persuasion
  • Ability to work independently; self-motivated
  • Ability to participate and interact effectively on a team
  • Understanding of marketing principles
245

Associate Medical Director Resume Examples & Samples

  • Knowledge/Expertise
  • Teamwork/Collaboration
  • Years of Industry Experience Needed
  • 0-2
  • Degree Required
246

Medical Director Resume Examples & Samples

  • Collaborate with Commercial to develop a strong group of Key Opinion Leaders
  • Play a role in post-marketing pharmacovigilance, working in conjunction with the company’s marketed drugs call center and receiving and processing post-marketing ADR reports, including the generation of narrative and completion of MedWatch forms and the authorship of Periodic Safety Update Reports
  • MD degree required with Oncology sub specialty board certification preferred. Minimum of (4+) years of clinical research experience in oncology within biotechnology, biopharmaceutical, and/or pharmaceutical companies within a similar role. Some prior experience with biological therapies required Broad understanding of oncology, internal medicine and clinical pharmacology
  • Clinical experience should include the development and approval of biomarkers for patient selection and drug efficacy Ideal candidate will have strong communication and collaboration skills Ideal candidate will have a network of external thought leaders within oncology, who serve as advisers
  • Intimate knowledge of and high level expertise in the day-to-day medical monitoring of clinical trials required (e.g., responding to questions about patient eligibility and protocol waivers; review of safety parameters; receiving and processing SAEs, including the composition of SAE narratives; and IND expedited safety reports)
  • Prior experience and expertise in the design of case report forms and the design of clinical data listing and tables for clinical trials preferred
247

Medical Director Resume Examples & Samples

  • Previous clinical experience in direct patient care
  • Previous experience of performing a clinical research role within a clinical research organization or pharmaceutical company
  • Excellent written & verbal communication skills required including a good overall scientific vocabulary
  • Intermediate knowledge of Microsoft Word 2013, including the ability to troubleshoot issues
  • Able to work independently with minimal supervision
248

Medical Director Resume Examples & Samples

  • Clinical Pathology fellowship is preferred
  • Ability to lead in a changing environment
  • Previous performance in providing quality and efficiency in patient care and operations
  • Budgetary, P&L, quality improvement and laboratory management/leadership experience
  • Affiliation with Centura Health for at least one year preferred
  • Provide a value- added culture for clinical and anatomic pathology
  • Provide leadership and participation in strategic projects
  • Development and leadership of laboratory test utilization program
  • Develop and maintain collaborative relationships with system wide laboratory medical directors to include facilitating and leading system wide laboratory medical director meetings
  • Actively participate in Centura system wide corporate and facility committees and councils including but not limited to
249

Medical Director Resume Examples & Samples

  • Act as adviser for the EMS training program
  • Work with the Division of EMS Medical Director on pre-hospital trauma-related projects, as needed
  • Work with the Division of EMS on registry issues and data needs
  • Work with the Division of EMS to coordinate and promote registry-based research
  • Participate in rule-making and rule-revision processes as they pertain to the trauma system
  • Be available for state level meetings impacting the development or maintenance of statewide trauma system in Ohio
  • Advise lead trauma agency on injury prevention methodologies and implementation
  • Participate in Regional Physician Advisory Boards (RPAB) to assist with issues related to monitoring of trauma system performance improvement
  • Participate in the development, implementation, and ongoing evaluation of EMS system protocols to ensure they are congruent with the trauma system design
  • Facilitate defined, cooperative, and ongoing relationship between the hospital trauma medical directors and local/regional EMS directors
  • Identify educational needs of the medical community and develop appropriate training; and,
  • Create an annual report on the status of the trauma system
  • Board Certified Emergency Room Physician; or Board Certified physician in anther specialty who also has a current NAEMSP Medical Director’s courts or equivalent
  • Knowledge of the design and operations of all components of trauma systems
  • Knowledge of federal, state, and local laws and regulations regarding trauma
  • Experience or training in the instruction of pre-hospital and hospital personnel, in particular ATLS, ITLS/PHTLS, preferably at the instructor level
  • Involvement in local, regional, state, or national trauma care organizations
  • Knowledge of local and state mass casualty and disaster plans
  • Knowledge of Incident Command System (IS?ICS 100, 200, 300,400, 700,800)
250

Associate Medical Director Resume Examples & Samples

  • Provides leadership to an assigned interdisciplinary Utilization Management (UM) team, which includes clinical/medical oversight of clinical team members and consultation and training with care managers. Provides day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the management of high-risk cases and medical necessity decisions. Follows high risk cases throughout treatment at the inpatient and partial hospitalization levels of care. Continues physician oversight of high risk patients deemed appropriate for Intensive Care Management. Ensures that patients with severe, complex, and/or treatment resistant illnesses receive coordinated care throughout the episode of treatment, including extended outpatient care to the extent it is medically necessary
  • Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership position relative to knowledge, implementation, training and supervision of the use of the Criteria for Medical Necessity
  • Along with the Corporate Clinical team, implements clinical practice standards developed by Magellan corporate and participates in management of activities. Develops implements and interprets Magellan medical policy (including Medical Necessity Criteria, Clinical Practice Guidelines and New Technology Assessments)
  • Develops effective working relationships with practitioners and provider facilities and treatment programs. Confers directly with psychiatrists and other practitioners regarding the care of patients with severe, complex, and/or treatment resistant illnesses. Identifies and immediately follows up any quality of care concerns with practitioners and provider facilities and treatment programs involved in the member?s care
  • Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the investigation of adverse incidents and quality of care concerns. Participates in preparation for NCQA and URAC certifications. Develops and provides psychiatric leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director, and quality improvement staff