Medical Jobs 2026 (Now Hiring) – Smart Auto Apply

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BlueCross BlueShield of Tennessee logo

Consultant- Medical Director

BlueCross BlueShield of TennesseeChattanooga, Tennessee
Job Responsibilities Develop and administer inter-reviewer reliability methodology to ensure medical necessity determinations are consistent with CMS published guidelines corporate...

Posted 1 day ago

MedSpeed logo

Swing Medical Delivery Driver - Houston, TX Full Time - $16.00 hourly

MedSpeedHouston, Texas
Description Logistics Service Representative/Medical Driver Full Time Flex Medical Delivery Driver - Houston, TX - $16.00/hr Shift times will vary based on business needs. Open ava...

Posted 1 day ago

Planned Companies logo

EVS Medical Housekeeping (FLOATER)

Planned CompaniesRidgewood, New Jersey
Description Position at Pinnacle Health Services Environmental Services/Cleaner Schedule: On call role. Must be open availability in the AM and PM Pay rate: $18.00 per hour Locatio...

Posted 1 day ago

Endeavor Health logo

Medical Office Receptionist - Primary Care

Endeavor HealthSchaumburg, Illinois
Hourly Pay Range: $18.38 - $26.65 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position...

Posted 1 day ago

Sutter Health logo

Medical Social Worker II, Inpatient Case Manager

Sutter HealthOakland, California
We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Summit Campus Position Overview: Provides biopsychosocial assessment, crisis intervention, short ter...

Posted 1 day ago

S logo

Medical Assistant

SchuylkillHazleton, Pennsylvania
Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health...

Posted 1 day ago

Takeda logo

Medical Support Specialist – Licensed Practical Nurse (LPN) | Immediate Benefits

TakedaMuncie, Indiana
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed...

Posted 1 day ago

Sutter Health logo

Medical Assistant II, Phlebotomist Technician, Orthopedic Sports Medicine

Sutter HealthSacramento, California
We are so glad you are interested in joining Sutter Health! Organization: SMF-Sutter Med Foundation- Central Position Overview: Provides clinical and clerical support to providers...

Posted 1 day ago

Serenity Mental Health Centers logo

Medical Billing Manager

Serenity Mental Health CentersFarmers Branch, Texas
Description Medical Billing Manager Location: Las Colinas, TX Employment Type: Full-Time Serenity Healthcare is seeking an experienced Medical Billing Manager to oversee billing op...

Posted 1 day ago

WorkFit Medical Staffing logo

Medical/Surgical Registered Nurse

WorkFit Medical StaffingGeneva, New York
Description PAY: $65- $70/hr WorkFit Medical Staffing is seeking a dedicated Medical/Surgical Registered Nurse (RN) to join our team. In this role, you will be responsible for prov...

Posted 1 day ago

Sutter Health logo

Medical Assistant II, Specialty Shared Staff

Sutter HealthRoseville, California
We are so glad you are interested in joining Sutter Health! Organization: SMF-Sutter Med Foundation- Central Position Overview: Provides clinical and clerical support to providers...

Posted 1 day ago

Sutter Health logo

Staff Nurse II, Medical Surgical Telemetry ACE

Sutter HealthSan Francisco, California
We are so glad you are interested in joining Sutter Health! Organization: CPMC-California Pacific Med Center - Mission Bernal Position Overview: Accountable for the assessment, coo...

Posted 1 day ago

Sutter Health logo

Medical Assistant II, Family Medicine

Sutter HealthYuba City, California
We are so glad you are interested in joining Sutter Health! Organization: SMF-Sutter Med Foundation- North Position Overview: Provides clinical and clerical support to providers an...

Posted 1 day ago

QualDerm Partners logo

Medical Assistant - Westerville, OH

QualDerm PartnersWesterville, Ohio
Description $1,000 Sign On Bonus QualDerm Partners is seeking a dedicated Medical Assistant to join our dynamic team in Westerville, OH. At QualDerm Partners, we’re committed to be...

Posted 1 day ago

Geisinger logo

Unit Desk Clerk - Evenings - Advanced Acute Care Medical and Oncology Unit

GeisingerScranton, Pennsylvania
Location: Geisinger Community Medical Center (GCMC) Shift: Evenings (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Who...

Posted 1 day ago

CenterWell logo

Associate Medical Director - Myrtle Beach, SC

CenterWellMyrtle Beach, South Carolina
Become a part of our caring community and help us put health first The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining clini...

Posted 1 day ago

Thomas Cuisine logo

Registered Dietitian In- Patient at Community Regional Medical Center Full-Time

Thomas CuisineFresno, California
Who We Are Founded in 1986, Thomas Cuisine is an award-winning, privately held contract food service company. We advocate the healing power of whole foods and believe in preparing...

Posted 1 day ago

The University of Kansas Health System logo

Medical Assistant- Neurology- M, T, F- Part Time

The University of Kansas Health SystemKansas City, Kansas
Position Title Medical Assistant- Neurology- M, T, F- Part TimeLandon Center on Aging Position Summary / Career Interest: The Medical Assistant is responsible for ensuring efficien...

Posted 1 day ago

C logo

RN Manager of Critical Care (Medical ICU)

Cooperidge Consulting FirmDallas, Texas
Description Cooperidge Consulting Firm is seeking an RN Manager of Critical Care (Medical ICU) for a top healthcare client in Dallas, TX . This role provides leadership and operati...

Posted 1 day ago

F logo

Medical Receptionist, FPG Gastroenterology: FT Days

Firelands Health CareersSandusky, Ohio
Position Highlights: Lifestyle: Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the be...

Posted 1 day ago

BlueCross BlueShield of Tennessee logo

Consultant- Medical Director

BlueCross BlueShield of TennesseeChattanooga, Tennessee

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Overview

Schedule
Full-time
Career level
Director

Job Description

Job Responsibilities

  • Develop and administer inter-reviewer reliability methodology to ensure medical necessity determinations are consistent with CMS published guidelines corporate medical review criteria, and medical policy guidelines.
  • Analyze, evaluate and apply clinical metrics that produce actionable information in support of medical management and quality improvement initiatives.
  • Direct and support physician review to ensure timeliness, accuracy and reliability of UM and Appeals reviews.
  • Lead and serve on various committees in order to accomplish medical utilization, cost and quality objectives of BCBST.
  • Willingness to travel within the State of Tennessee and nationally.

Job Qualifications

Education

  • Current MD or DO degree with an unencumbered and unrestricted license to practice medicine in Tennessee required. *However, this requirement can be waived for jobs where the totality of the incumbents duties and responsibilities are restricted to the performance of administrative duties only.
  • Based on business need, an unencumbered and unrestricted license in an alternative state may be substituted.

Experience

  • 5 years- Clinical experience required
  • 5 years- Healthcare administration and/or UM experience preferred

Skills\Certifications

  • Board Certification in a recognized specialty by the American Board of Medical Specialties or the American Board of Osteopathic Specialists
  • Ability to conceive and deliver innovative solutions
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Outstanding negotiation, presentation, and facilitation skills
  • Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
  • Ability to interpret and explain complex government policies
  • Knowledge of Medicare programs
Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program.   The employee will also be required to adhere to the guidelines set forth through the program.  This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.

Number of Openings Available

0

Worker Type:

Consultant

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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Submit 10x as many applications with less effort than one manual application.

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