Nationwide Insurance logo
Nationwide Insurance

Nationwide Insurance, founded in 1926, is one of the oldest and most well-respected insurance agencies in the United States. Headquartered in Columbus, Ohio, where more than 10,000

Sr. Medical Director

Location

United States

Posted

73 days ago

Salary

$170K - $284K / year

Seniority

Lead

No structured requirement data.

Job Description

Sr. Medical Director

Nationwide Insurance

Are you passionate about being part of a team at a Fortune 100 company with nearly $70 billion in annual sales that delivers extraordinary care to help individuals and businesses prepare for and protect their future? If so, then Nationwide Financial could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Medical Director, Life Underwriting Location: Remote (U.S.) Job Type: Full-time, Exempt About the Role We are seeking a Medical Director to join our Life Underwriting team, applying your clinical expertise to improve mortality and morbidity risk assessment. In this role, you will support life underwriting through medical case consultation, guideline development, and education, while partnering with underwriting leadership, claims, product, actuarial, and other stakeholders to deliver strong business results and an excellent customer experience. This is an excellent opportunity for a physician or advanced practitioner with an interest in insurance medicine who wants to move into (or deepen) a career in life underwriting. Key Responsibilities Medical Risk Assessment - Review life insurance applications referred for medical review and provide written risk assessments, including recommendations on ratings, postponements, declines, and exclusions. - Interpret complex medical histories, medical records, lab data, and diagnostic testing (including ECGs) to assess mortality and morbidity risk. - Serve as a medical resource for underwriters on complex, impaired-risk, older-age, and high–face-amount cases. Underwriting Support, Automation & Digital Data - Provide day‑to‑day consultation to underwriters and leadership on medical issues impacting risk selection. - Collaborate with underwriting and underwriting innovation team to: - Refine medical aspects of underwriting rules and requirements. - Support the effective use of digital medical evidence sources (e.g., EHR-derived summaries, lab data, APS, pharmacy data) in risk assessment. - Contribute medical input to automation and accelerated underwriting initiatives so they maintain appropriate protective value. - Help identify trends in impairments, testing, and outcomes that can inform underwriting strategy and process improvements. Guidelines, Policy & Innovation - Contribute to the development and ongoing refinement of evidence‑based medical underwriting guidelines, manuals, and rules. - Assist in evaluating new lab tests, diagnostics, therapies, and clinical practices for their impact on mortality/morbidity and underwriting requirements. - Ensure medical guidelines and practices align with regulatory requirements, reinsurance treaties, and internal risk appetite. - Training, Education & Collaboration - Develop and deliver training for underwriters and junior team members on disease states, test interpretation, and emerging medical trends. - Provide feedback and coaching through case referrals to help underwriters build stronger medical judgment. - Work closely with cross-functional partners (underwriting, claims, product, actuarial, legal/compliance, operations, reinsurance) to align medical perspectives with business strategy. Industry & Thought Leadership - Stay current with advancements in medicine, insurance medicine, and underwriting practices; communicate key developments and implications to stakeholders. - Participate in relevant professional organizations, conferences, and industry workgroups as appropriate. - Represent the company externally as a medical underwriting expert when engaging with reinsurers, distribution partners, and industry bodies. Qualifications Education & Credentials - Medical degree (MD or DO, or equivalent) required. - Licensed to practice medicine in at least one U.S. state (or ability to obtain licensure in a reasonable timeframe). - Board certification in Internal Medicine or Family Medicine preferred (not required). - Board certification or eligibility in Insurance Medicine is highly desirable but not required. Experience - Minimum of 3 years of clinical experience post‑training; additional experience is welcomed. - Prior experience in life insurance, risk assessment, or managed care is a plus but not strictly required. - Demonstrated experience interpreting complex clinical information and making balanced, well‑reasoned decisions. Technical Skills - Comfort reviewing and synthesizing medical records, EHR printouts, lab results, imaging reports, and specialist consultations. - Familiarity with common medical coding and documentation conventions (e.g., ICD and CPT codes). - Willingness to work with underwriting systems, digital evidence sources, and rule-based tools (training provided as needed). Core Competencies - Exceptional written and verbal communication skills; able to translate complex medical concepts into clear guidance for underwriters and business partners. - Strong analytical and diagnostic skills; able to synthesize clinical data into concise, well‑supported recommendations. - Collaborative, low‑ego approach; proven ability to work effectively across multidisciplinary teams. - Demonstrated aptitude for teaching, mentoring, and building capabilities in others. - High integrity and commitment to ethical medical and underwriting practices. - Comfort operating in a changing environment, with openness to experimentation and continuous improvement. Job Description Summary Are you ready to apply your expert knowledge of medical science and its impact on health and mortality in a key leadership role, by developing and evolving Nationwide's medical underwriting guidelines and approaches? If so, we want to know more about you! As a Medical Director, you'll provide medical skills to accurately adjudicate health and disability claims in associate, individual, group and workers' compensations claims activities. We'll count on you to provide written medical risk assessments and advise underwriters on referred cases. You'll have opportunities to provide medical training and coaching and to review and improve the medical training curriculum. In addition, you also may provide medical care and direction for Associate Health Services and direct patient care at select Nationwide events. Job Description Key Responsibilities: - Interprets insurability and rating of life insurance applicants. Provides written medical risk assessments and case consultations to Life Underwriters. - Provides morbidity risk assessments as needed for riders such as waiver of premium and Long Term Care (LTC). Interpret EKGs, stress tests and provides appropriate risk assessments. Provides medical skills to properly adjudicate LTC, disability and life insurance claims for Nationwide. - Provides formal and informal medical training and coaching to underwriters. Develops new content and/or updates curriculum for medical instruction for Underwriting and others as appropriate. - Identifies need and helps develop medical underwriting guidelines. Drives assessment of new laboratory tests and other medical technology from mortality prediction and cost benefit perspectives. Establishes Medical Department policies strategies. - Provides medical skills to properly adjudicate claims in employee, individual, group and workers’ compensations. - Provides physician counseling and advice in corporate health promotions. - Promotes advancement of insurance medicine with industry organizations. Represent Nationwide and Nationwide Financial at Insurance Industry events, including industry meetings and committees such as the American Council of Life Insurance, The American Academy of Insurance Medicine, the Medical Information Bureau and the Board of Insurance Medicine. May perform other responsibilities as assigned. Reporting Relationships: Reports to Associate Vice President, Life Underwriting. Typical Skills and Experiences: Education: Doctor of Medicine or equivalent degree received from a medical school program accredited by the Liaison Committee of Medical Education. License/Certification/Designation: Licensed to practice medicine in at least one state. Board certification in Insurance Medicine. Experience: Completion of fully accredited residency in a medical specialty and five years of post-residency experience in the practice of medicine. Clinical medical and insurance medicine. Four years of insurance medical experience. Knowledge, Abilities and Skills: Knowledge of medicine, insurance, and underwriting practices. Sophisticated verbal and written communication skills. Command of skills to interact with all levels of associates. Ability to analyze complex medical problems/situations with regard to mortality. Ability to teach and explain medical material to key populations. Ability to treat complex medical conditions should they arise. Ability to maintain a license through continuing medical education requirements. Other criteria, including leadership skills, competencies and experiences may take precedence. Staffing exceptions to the above must be approved by the hiring manager’s leader and HR Business Partner. Values: Regularly and consistently demonstrates the Nationwide Values. Job Conditions: Overtime Eligibility: Exempt (Not eligible) Working Conditions: Normal office environment. Some travel may be required. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Benefits We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here. Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law. NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means. Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule. The national salary range for Sr Medical Director : $170,000.00-$318,000.00 The expected starting salary range for Sr Medical Director : $170,000.00 - $284,000.00

Related Categories

Related Job Pages

More Medical Director Jobs

Full TimeRemoteTeam 51-200

Job Summary: As a field-based medical expert, the Medical Science Liaison (MSL) supports AQST's therapeutic areas of interest, programs, and approved products by advancing scientific and medical relationships by engaging with key members of the healthcare community functioning as a conduit for scientific and clinical knowledge exchange. The MSL focuses on educating external and internal stakeholders on the science behind the safe and appropriate use of our products. The MSL supports the generation of scientific and medical knowledge and applies subject matter expertise and experience to advance company projects. This role reports to the Field Director of Medical Affairs and operates independently from Commercial in accordance with company compliance policies. This role offers growth opportunities within Medical Affairs based on performance and organizational needs. Responsibilities: - Develop and maintain a level of scientific and medical knowledge in the assigned therapeutic area(s) and/or disease state(s) related to AQST products. - Identify, develop, and effectively manage KOL relationships on a continuum of advocacy in support of company objectives while enhancing AQST's reputation as a scientifically innovative industry partner. - Accurately and compliantly interpret and disseminate balanced and factual scientific, clinical, and health economic data. - Lead efforts in identifying, cultivating, and integrating KOL contributions and insights into therapeutic areas of interest and programs of AQST. Identify opportunities for growth and generation of medical contributions in support and/or expansion of current programs and therapies. - Gather and evaluate new information as it applies to AQST products and areas of therapeutic interest. - Deliver on project support according to established objectives. - Provide support for unsolicited requests for medical information. - Support key initiatives such as continuing medical education (CME) programs and investigator-initiated research efforts. - Responsible for a defined geographic territory, managing relationships with priority KOLs across academic and community settings Qualifications: - Doctoral level degree in a medical and or scientific field required (PharmD, PhD, MD/DO, DNP, or equivalent). - A degree in a relevant medical and/or scientific field with strong related experience may be considered. - A minimum of 3-5 years in a relevant pharmaceutical/biotechnology industry role or in healthcare is required. - Experience in allergy/immunology is highly desired with pediatric experience also helpful. - Ability to travel 60% of time, including overnights and weekends as necessary. - Solid interpersonal and communication skills with a demonstrated ability to be a relationship builder. - The ideal candidate must have character traits that promote respect, credibility, and trust throughout all interactions, outside and inside the organization. - Must be able to organize, prioritize, and work effectively and operate independently in a dynamic field-based environment. - Strong presentation and writing skills and should be results oriented and self-motivated. The above statements are intended to describe the general nature and level of the work being performed by colleagues assigned to this position. This is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Aquestive reserves the right to make changes to the job description whenever necessary. As part of Aquestive’s employment process, final candidate will be required to complete a drug test and background check prior to employment commencing. Please Note: Aquestive is a drug-free workplace and has a drug free workplace policy in place. Aquestive provides equal employment opportunities to all colleagues and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. The Company is required to provide a reasonable estimate of the salary range for this job in certain states and cities within the United States. Final determinations with respect to salary will take into account a number of factors, which may include, but not be limited to the primary work location and the chosen candidate’s relevant skills, experience, and education. Expected Base salary range: $160,000.00 to $220,000.00 USD and includes eligibility for a quarterly incentive bonus plan

United States
$160K - $220K / year
Johnson & Johnson logo

Medical Director

Johnson & Johnson

Johnson & Johnson is an award-winning, family-owned-and-operated company that has been providing health and wellness products for more than 120 years. Employing

Medical Director73 days ago

Title: Medical Director , Early Development & Experimental Medicine (Neuroscience) Location: Titusville, New Jersey, United States of America Raritan, New Jersey, United States of America Spring House, Pennsylvania, United States of America Job Description: At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Discovery & Pre-Clinical/Clinical Development Job SubFunction: Clinical Development & Research – MD Job Category: People Leader All Job Posting Locations: Raritan, New Jersey, United States of America, Spring House, Pennsylvania, United States of America, Titusville, New Jersey, United States of America Job Description: Johnson & Johnson, is recruiting for Medical Director, Clinical Leader- Neuroscience Early Development & Experimental Medicine to be located in Raritan, NJ, Titusville, NJ or Spring House, PA. Remote work options may be considered on a case-by-case basis and if approved by the Company. Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Our Neuroscience team tackles the world’s toughest brain health challenges including multiple sclerosis, Alzheimer’s disease, Parkinson’s disease, myasthenia gravis, epilepsy, major depressive disorder, bipolar disorder, schizophrenia, and autism. This patient-focused team helps address some of the most complex diseases of our time. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine The Clinical Leader for Neuroscience Early Development & Experimental Medicine will serve as the clinical lead for one or multiple early‑stage programs in Neuroscience. This role will be accountable for shaping the clinical strategy, designing and overseeing early‑phase clinical studies, and driving programs from first‑in‑human through Proof‑of‑Concept. The role requires deep scientific and clinical expertise in neuroscience, strong leadership in cross‑functional drug development, and the ability to operate in an innovation‑focused matrix environment. The Medical Director Clinical leader will partner closely with discovery, precision measures (e.g. biomarkers, diagnostics), clinical pharmacology, biostatistics, regulatory, and external academic collaborators to advance transformative therapies for patients. Key Responsibilities - Develop and lead clinical development strategies from IND/CTA through Phase I and Phase IIa Proof‑of‑Concept/Proof-of-Mechanism. - Integrate translational hypotheses, biomarker strategies, precision measures (for patient selection, pharmacodynamic measures) and patient‑centric approaches into clinical plans. - Ensure scientific rigor, clinical feasibility, and regulatory alignment in all development strategies. - Lead the design of innovative and lean signal seeking early-phase clinical trials, including adaptive and biomarker‑enriched designs. - Provide clinical oversight for study execution, including protocol development, medical monitoring, and data interpretation. - Leads cross-functional clinical study teams and work closely with biomarker, PK/PD, biostatistics, and operations teams to ensure high‑quality clinical execution. - Be a core member of the early development compound team for specific assets. Guide decision‑making at project milestones and participate in governance reviews. - Engage with regulatory affairs to inform early interactions with FDA, EMA, and other agencies. - Establish and maintain relationships with global key opinion leaders, academic partners, and clinical investigators. - Represent the company at scientific meetings, advisory boards, and consortiums in neuroscience and neurodegeneration. - Contributes to in-licensing evaluations and due-diligence activities. - Provide scientific and strategic leadership to clinical scientists and clinical development team members. - Promote a culture of scientific excellence, patient focus, and collaborative innovation. Education & Experience: - MD, MD/PhD, or equivalent clinical degree required; board certification in Neurology or Psychiatry strongly preferred. - Minimum 5 years of clinical research experience in the biopharmaceutical industry, academia, or equivalent setting. - Demonstrated experience leading early‑phase clinical trials; experience in Parkinson’s disease and Alzheimer’s Disease is highly desirable. - Proven track record of advancing programs through early development milestones. - Deep understanding of neurodegenerative diseases, including Alzheimer’s and Parkinson’s biology, clinical endpoints, and emerging modalities. - Strong knowledge of translational neuroscience, biomarkers, and experimental medicine approaches. - Experience with innovative trial designs, digital health tools, or fluid/imaging biomarkers is a plus. - Strategic thinker with the ability to influence and drive cross‑functional teams. - Outstanding communication and presentation skills, with the ability to engage senior leadership, and ensures alignment between various teams and stakeholders. - Demonstrated ability to work in an agile, innovation‑driven environment. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please contact us via https://www.jnj.com/contact-us/careers or contact AskGS to be directed to your accommodation resource. #LI-Hybrid Required Skills: Preferred Skills: Clinical Operations, Clinical Research and Regulations, Clinical Trials, Collaborating, Drug Discovery Development, Global Market, Leadership, Scientific Research, Stakeholder Management The anticipated base pay range for this position is : $199,000.00 - $343,850.00 Additional Description for Pay Transparency: Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company’s long-term incentive program. Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits: •Vacation –120 hours per calendar year •Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year •Holiday pay, including Floating Holidays –13 days per calendar year •Work, Personal and Family Time - up to 40 hours per calendar year •Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child •Bereavement Leave – 240 hours for an immediate family member: 40 hours for an extended family member per calendar year •Caregiver Leave – 80 hours in a 52-week rolling period10 days •Volunteer Leave – 32 hours per calendar year •Military Spouse Time-Off – 80 hours per calendar year For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits

New Jersey + 1 moreAll locations: New Jersey | Pennsylvania
$199K - $343.9K / year
Arizona Department of Administration logo

Tucson Medical Eligibility Assessor

Arizona Department of Administration

The Attorney General's Office offers a comprehensive benefits package. For a complete list of benefits provided by The State of Arizona, please visit our benefits page.

Medical Director73 days ago
Full TimeRemoteTeam 1,001-5,000

AHCCCS Arizona Health Care Cost Containment System The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. We’re Hiring! Tucson Medical Eligibility Assessor Arizona Health Care Cost Containment System Division of Member and Provider Services 7202 E Rosewood St, Tucson, Arizona 85710 https://www.ahcccs.gov Salary: $24.6827 Hourly Flexible Work Options: Remote within Arizona Requisition Closing Date: April 19, 2026 Make An Impact With AHCCCS AHCCCS is nationally recognized for its outstanding workplace effectiveness and flexibility, consistently setting the benchmark for excellence among Medicaid programs. AHCCCS employees are deeply committed to serving Arizona’s citizens, ensuring access to quality healthcare for vulnerable populations. Why AHCCCS? At AHCCCS, your work doesn’t just support a system—it transforms lives across Arizona. ✓ Supportive Culture: High employee engagement, strong leadership, and flexible work options including remote roles. ✓ Diverse Career Paths: Whether you're an experienced professional, a recent graduate, or exploring internships, AHCCCS offers meaningful roles in a competitive industry. ✓ Innovation in Public Service: Join a team that values performance, creativity, and continuous improvement in delivering healthcare solutions. What You’ll Do As a Medical Eligibility Assessor, you’ll: • Conduct Pre-Admission Screenings (PAS) determining medical eligibility for Arizona Long Term Services (ALTCS) • Review medical records • Record and update actions taken on case files • Directly interact with customers • Travel to various off-site locations Your Competencies and Skills We’re looking for someone who can: • Perform comprehensive interactive Pre-Admission Screenings for all age groups in various settings. • Determine Medicaid eligibility based on medical records, health conditions, and treatment history. • Ensure compliance with Medicaid guidelines, state, and federal laws. • Prepare and submit medical assessment results accurately and on time. • Provide community resources for customers not eligible. • Recognize improvement opportunities in medical assessments. • Stay current on Medicaid rules and regulations. What We Need From You Required Qualifications: • Meet one of the following: 2 years in medical case management, RN licensure, or a relevant degree. • Valid Driver’s License • Pass a Fingerprint Background Screening • Complete E-Verify employment eligibility • Attend required training at start of employment What Sets You Apart Preferred Qualifications: • Background in medical case management • Licensure as a Registered Nurse • Professional experience working with the elderly or disabled The Perks Join us, and you’ll enjoy: • Comprehensive medical, dental, and life insurance options • Supportive retirement plan through Arizona State Retirement System (ASRS) • 10 paid holidays and generous vacation/sick leave • Up to 12 weeks of paid parental leave (pilot program) • Tuition reimbursement, wellness plans, and professional development • Flexible schedules to support work-life balance • Visit the State of Arizona benefits page for more Are You Ready to Make a Difference? Take the next step in your career and join a team that’s transforming lives across Arizona. Apply today and be part of something extraordinary! For questions, contact AHCCCS Careers at 602‑417‑4000 or careers@azahcccs.gov Additional Details 📝 Applications are reviewed on a rolling basis—apply early to ensure consideration! 🚗 Travel within Arizona may be required for this role.

United States
Job Closed
Arizona Department of Administration logo

Chinle Medical Eligibility Assessor

Arizona Department of Administration

The Attorney General's Office offers a comprehensive benefits package. For a complete list of benefits provided by The State of Arizona, please visit our benefits page.

Medical Director73 days ago
Full TimeRemoteTeam 1,001-5,000

AHCCCS Arizona Health Care Cost Containment System The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. We’re Hiring! Chinle Medical Eligibility Assessor Arizona Health Care Cost Containment System Division of Member and Provider Services Tseyi Shopping Center, Hwy. 191 Chinle, Arizona 86503 https://www.ahcccs.gov Salary: $27.8770 Hourly Flexible Work Options: Remote within Arizona Requisition Closing Date: April 19, 2026 Make An Impact With AHCCCS AHCCCS is nationally recognized for its outstanding workplace effectiveness and flexibility, consistently setting the benchmark for excellence among Medicaid programs. AHCCCS employees are deeply committed to serving Arizona’s citizens, ensuring access to quality healthcare for vulnerable populations. Why AHCCCS? At AHCCCS, your work doesn’t just support a system—it transforms lives across Arizona. ✓ Supportive Culture: High employee engagement, strong leadership, and flexible work options including remote roles. ✓ Diverse Career Paths: Whether you're an experienced professional, a recent graduate, or exploring internships, AHCCCS offers meaningful roles in a competitive industry. ✓ Innovation in Public Service: Join a team that values performance, creativity, and continuous improvement in delivering healthcare solutions. What You’ll Do As a Medical Eligibility Assessor, you’ll: • Conduct Pre-Admission Screenings (PAS) determining medical eligibility for Arizona Long Term Services (ALTCS) • Review medical records • Record and update actions taken on case files • Directly interact with customers • Travel to various off-site locations Your Competencies and Skills We’re looking for someone who can: • Perform comprehensive interactive Pre-Admission Screenings for all age groups in various settings. • Determine Medicaid eligibility based on medical records, health conditions, and treatment history. • Ensure compliance with Medicaid guidelines, state, and federal laws. • Prepare and submit medical assessment results accurately and on time. • Provide community resources for customers not eligible. • Recognize improvement opportunities in medical assessments. • Stay current on Medicaid rules and regulations. What We Need From You Required Qualifications: • Meet one of the following: 2 years in medical case management, RN licensure, or a relevant degree. • Bilingual (fluent) in Navajo • Valid Driver’s License • Pass a Fingerprint Background Screening • Complete E-Verify employment eligibility • Attend required training at start of employment What Sets You Apart Preferred Qualifications: • Background in medical case management • Licensure as a Registered Nurse • Professional experience working with the elderly or disabled The Perks Join us, and you’ll enjoy: • Comprehensive medical, dental, and life insurance options • Supportive retirement plan through Arizona State Retirement System (ASRS) • 10 paid holidays and generous vacation/sick leave • Up to 12 weeks of paid parental leave (pilot program) • Tuition reimbursement, wellness plans, and professional development • Flexible schedules to support work-life balance • Visit the State of Arizona benefits page for more Are You Ready to Make a Difference? Take the next step in your career and join a team that’s transforming lives across Arizona. Apply today and be part of something extraordinary! For questions, contact AHCCCS Careers at 602‑417‑4000 or careers@azahcccs.gov Additional Details 📝 Applications are reviewed on a rolling basis—apply early to ensure consideration! 🚗 Travel within Arizona may be required for this role.

United States
Job Closed