Medical Director Resume Samples

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F Walter

Floy

Walter

159 Leopoldo Plain

New York

+1 (555) 278 2426

159 Leopoldo Plain

New York

Phone

p +1 (555) 278 2426

Experience Experience

Philadelphia, PA

Medical Director

Philadelphia, PA

Blick-Lemke

Philadelphia, PA

Medical Director

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

Boston, MA

Medical Director

Boston, MA

Morar Group

Boston, MA

Medical Director

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

present

Philadelphia, PA

Associate Medical Director

Philadelphia, PA

Doyle and Sons

present

Philadelphia, PA

Associate Medical Director

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

Education Education

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

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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

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

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

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

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

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

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

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%

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.*

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Associate Medical Director Resume Examples & Samples

Clinical Pharmacology
Pharmaceutical Development
Pharmacovigilance and Patient Safety

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

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

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

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

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

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)

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

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

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

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Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Medical Director Resume Examples & Samples

Associate Medical Director Resume Examples & Samples

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