Medical Director

• Provide clinical leadership for Medicaid behavioral health utilization management
• Review complex behavioral health requests and clinical records across levels of care and specialty services
• Apply clinical criteria, Medicaid policies, state regulations, evidence-based national guidelines, and Medicaid requirements
• Make timely, consistent, and defensible medical-necessity determinations
• Conduct peer-to-peer consultations and discussions
• Support utilization reviews, appeals, provider disputes, state fair hearings, audits, and regulatory activities
• Collaborate with providers and internal partners
• Participate in case consultations, training, and process improvement
• Manage high-volume, time-sensitive work and provide coverage during absences, holidays, and on-call rotations
• Maintain confidentiality and comply with privacy, security, credentialing, and organizational requirements
• Report to the Lead Behavioral Health Medical Director or another designated physician leader

Medical Director, Medicaid

• Analyze comprehensive revenue cycle processes to enhance financial performance and reduce revenue leakage for hospitals and health systems
• Develop and implement revenue cycle management best practices, ensuring regulatory compliance and improving efficiency
• Independently lead and direct teams delivering complex performance improvement engagements
• Create collaborative, high-performing work environments; address issues, remove barriers, and ensure successful client outcomes
• Manage engagement-wide economics, including budgets, invoicing, and billing
• Quantify financial and operational benefits, identify risks to projected outcomes, and develop solutions for data gaps or risks
• Understand client challenges, create customized solutions, manage expectations, and deliver impactful presentations and proposals
• Build relationships while leading multifaceted change processes and influencing change in complex environments
• Define roles, build teams, coach and mentor staff, and manage performance
• Build and maintain professional networks and identify business development opportunities
• Collaborate with Huron and client senior leaders to design and implement complex, sustainable solutions
• Develop enduring client relationships, networking, business development, and sales opportunities

Consulting Director – Healthcare Revenue Cycle

• Provide overall medical direction and consultation for hospice services and programs
• Supervise hospice physician employees and contract hospice physicians
• Ensure compliance with organizational policies, Medicare Conditions of Participation, CHAP, and federal and state statutes
• Establish and review policies and procedures for patient care, medical education, and emergency procedures
• Develop and evaluate physician, personnel, and volunteer education programs
• Evaluate quality assurance and performance improvement plans and identify medical education needs
• Propose and assess programs addressing identified education needs
• Liaise with community physicians and provide consultation and education on hospice and palliative-care admission criteria
• Provide training on caring for terminally ill patients
• Review patients' hospice eligibility and establish plans of care with attending physicians and the interdisciplinary group
• Certify terminal illness and provide clinical narratives for subsequent benefit periods
• Consult with attending physicians on pain and symptom management
• Manage patient medications and treatments, including prescribing, changing, and discontinuing medications
• Serve as a medical resource to the interdisciplinary group and attend interdisciplinary group meetings
• Review and update plans of care every 15 days or as needed
• Document care and evidence of end-stage disease progression in clinical records
• Serve as primary physician when referring or attending physicians relinquish care or are unavailable
• Maintain current knowledge of hospice research, trends, and pain/symptom management
• Review and develop treatment protocols and propose current intervention options
• Counsel patients and families regarding end-of-life issues
• Participate in resolving interpersonal conflicts and clinical or ethical concerns
• Ensure competent physician services are available 24 hours a day as needed
• Assist with evaluating protocols and procedures for quality and cost outcomes
• Travel by automobile to patient locations and work in an office setting

• Support the Clinical Trial Patient Safety organization in evaluating and ensuring the quality of clinical trial patient safety data
• Lead worldwide surveillance of clinical trial patient safety data, including organization, resourcing, and continuous improvement
• Manage assigned operational areas, compound-associated clinical studies, and related systems to ensure compliant and timely adverse event surveillance
• Establish, monitor, evaluate, and communicate workload projections and operational metrics
• Support training programs, knowledge attainment, and staff development
• Create and sustain an environment that attracts, develops, and retains scientific professionals
• Plan and conduct talent management
• Assist with strategic planning and department development
• Develop and participate in special projects and CTPS initiatives
• Apply ICH, FDA, and EMA regulations and guidelines to drug safety responsibilities and global reporting requirements
• Partner with therapeutic-area physicians and medical monitors to oversee medical safety review at the compound-study level
• Oversee safety reports, IRB/IEC safety issues, narratives, issue management, document management systems, and centralized data review
• Communicate and escalate relevant study and team information to clinical team members and management
• Understand, implement, and improve department SOPs and new regulatory requirements
• Maintain communication channels with clinical, medical, regulatory, compliance, and pharmacovigilance counterparts
• Manage 5 to 10 people

Associate Director, Clinical Trial Patient Safety

• Generate new business for Huron’s solution areas, primarily selling direct-to-customer solutions
• Perform sales and account acquisition activities
• Provide account management and customer service to existing and prospective clients
• Maintain frequent contact with clients via telephone, email, and in-person meetings
• Respond to staffing requests, RFPs, and business opportunities
• Identify opportunities to provide additional Huron services to clients
• Acquire new Workday customers and position Huron’s Digital Solutions as a Strategic Workday Partner of Choice
• Identify opportunities to sell new Workday consulting service offerings and solutions
• Develop new accounts and expand existing accounts within an established territory, industry, product segment, or channel
• Build strong business relationships and position Huron as a trusted solution provider
• Prospect for opportunities through the Workday channel and direct territory in the Financial Services space
• Grow the sales pipeline, generate qualified leads, and submit proposals using knowledge of Huron’s service offerings
• Collaborate with Workday architects and delivery professionals to align solutions with client needs
• Lead complex sales cycles, including deal qualification, strategy, competitive analysis, and contract negotiation
• Communicate and partner with C-Suite, VP, Director, and Manager-level executives

Business Development Director – Healthcare

• Provide strategic direction and oversight to the regional MSL team
• Manage, coach, develop, and evaluate MSL direct reports
• Foster a collaborative, engaging, and high-performing work environment
• Identify training needs and collaborate with training partners on development plans
• Ensure compliance standards and timely completion of CRM, expense reports, and training modules
• Lead the team through organizational change
• Partner with medical leadership to develop field medical strategy, tactics, and Scientific Engagement Plans
• Elevate field medical insights to refine strategy and tactics
• Identify tools and resources to support Scientific Engagement Plans
• Oversee peer-to-peer scientific engagement activities with Opinion Leaders, community healthcare providers, and Population Health Decision Makers
• Develop key-account engagement strategies with internal stakeholders
• Guide MSLs in communicating clinical value, outcomes, and economic data to Population Health Decision Makers
• Support the MSL team in achieving goals and executing impactful strategies
• Ensure understanding of the healthcare ecosystem and Amgen’s business landscape
• Represent the MSL team to senior leadership
• Collaborate with internal stakeholders to inform Amgen strategies
• Support congress activities and lead or participate in project teams
• Ensure cross-functional collaboration between field medical and field commercial teams

Field Director, Medical Science Liaisons – Obesity and Related Conditions

• Consult with Science, Creative, Account, and Planning teams to create compelling medical content across digital and print media
• Identify new clinical developments and apply disease-state knowledge to drive client business growth through promotional and unbranded initiatives
• Analyze clinical data, conduct literature searches, participate in medical conferences, and perform competitive analyses
• Engage and inform colleagues, healthcare professionals, clients, and medical, legal, and regulatory groups
• Collaborate and communicate deliverables and strategic recommendations with clients
• Manage and mentor junior Medical team members
• Guide the creation of clinically cogent promotional materials and ensure effective use of clinical data for strategic brand objectives
• Improve medical literacy across agency groups and provide understanding of disease states, clinical trials, and treatments
• Guide submissions for client medical/regulatory approval processes and incorporate client and regulatory feedback
• Travel occasionally, less than 10%
• Demonstrate commitment to diversity, equity, and inclusion
• Perform other duties as assigned

Group Director, Medical – Pharma Ad Agency Experience Required

• Maintain continuous learning and the highest level of technical expertise in the assigned therapeutic area
• Engage in scientific exchange and provide unbiased, accurate, current medical and scientific information to customers
• Establish trusted relationships with scientific and clinical experts
• Spend the majority of time on customer-facing activities
• Serve as a primary interface between Lilly Medical and scientific/clinical experts
• Connect experts with Lilly resources and internal business partners
• Facilitate collaborative research and external opportunities
• Develop, implement, and evaluate a strategic territory plan
• Prioritize core MSL activities and take accountability for territory results
• Coordinate compliantly with other Lilly field roles sharing customers
• Use territory analytics for customer identification and routing prioritization
• Synthesize and communicate actionable customer and clinical insights to internal medical and cross-functional teams
• Cultivate internal networks and collaborate across functions with field-based colleagues
• Escalate issues as appropriate and make sound decisions
• Contribute to team goals and act as an effective teammate
• Execute the role in compliance with applicable requirements, procedures, and laws

Associate Director – Medical Science Liaison – Hematology/Oncology

• Provide in-depth and cutting-edge scientific and clinical information to scientific and clinical experts
• Synthesize the latest research on products, disease states, and standards of care for assigned indications and therapeutic areas
• Establish credibility as a reliable, trusted source of unbiased, accurate, and current medical and scientific information
• Support healthcare professionals in sharing evidence and addressing clinical care gaps to improve patient outcomes
• Connect scientific and clinical experts with Lilly resources and internal business partners
• Facilitate collaborative research opportunities
• Partner with clinical development on studies and investigators to accelerate pipeline and evidence generation
• Deliver disease-state and scientific information aligned with site identification, selection, and recruitment
• Analyze customer data and prioritize engagement with assigned scientific and clinical experts through face-to-face and virtual interactions
• Implement strategic territory plans and use analytical tools for execution
• Coordinate compliantly with Lilly field roles sharing customers
• Use territory analytics for customer identification and routing prioritization
• Synthesize and communicate actionable customer and clinical insights to Lilly Medical and cross-functional teams
• Cultivate internal networks and collaborate across functions with field-based colleagues
• Contribute to team goals and work collaboratively with peers and Lilly colleagues
• Execute the role compliantly while adhering to governing requirements, procedures, and laws

Medical Director jobs in Illinois

Medical Director, Medicaid

Consulting Director – Healthcare Revenue Cycle