2 administration operations jobs found

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

The Department of Radiology and Radiological Sciences at Vanderbilt University Medical Center (VUMC) is recruiting a Vice Chair of Clinical Research to join our leadership team in Nashville, TN. The Vice Chair of Clinical Research will be responsible for leading and growing clinical and translational imaging research across the VUMC enterprise. Position Highlights: Clinical Research & Administration : Develop and implement clinical and translational imaging research strategies aligned with department and organizational goals Partner with departmental and organizational leaders to grow the clinical imaging research footprint Manage and oversee daily clinical research operations Foster a collaborative clinical research environment with internal and external stakeholders, including industry, government agencies, etc. Develop and support mentoring pathways for trainees and junior faculty Clinical & Teaching : Partial clinical effort within a specialty or...