• Senior Medical Director - Sharp…

    Sharp HealthCare (San Diego, CA)
    …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... Osteopathic Medicine (DO); California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine ( MD...+ 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons… more
    Sharp HealthCare (04/20/25)
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  • Medical Director - Medicaid N.…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...departmental expectations and meets compliance timelines. **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (05/14/25)
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  • Medical Director - Pacific SW Region

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (05/10/25)
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  • Medical Director - Care Plus…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + **Valid Florida Medical more
    Humana (04/24/25)
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  • Medical Director MD /DO

    Wellpath (Marysville, CA)
    …training, education, and point of care support. **How you make a difference** As a Medical Director , you will be responsible for providing medical oversight ... of services is provided to the Regional or Corporate Medical Director or designee to monitor services...and procedures. **Additional Details** Must be licensed as an MD or DO in the state of California and… more
    Wellpath (04/03/25)
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  • Medical Director - Florida

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...departmental expectations, and meets compliance timelines **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (05/22/25)
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  • Center Medical Director (CMD)/Center…

    CSL Plasma (Fairfield, CA)
    …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... are given. Submits monthly report to Divisional (or Corporate) Medical Director . + Determines donor suitability following...as and when requested by the company. **Education** + MD or DO degree from an accredited medical more
    CSL Plasma (04/13/25)
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  • Medical Director , Clinical…

    Ascendis Pharma (Palo Alto, CA)
    …offer a dynamic workplace for employees to grow and develop their skills. The Medical Director is involved in the design, monitoring, data analysis, and ... interpretation of the Company's late-phase clinical trials in endocrinology. As such, the Medical Director is an important and visible member of the clinical… more
    Ascendis Pharma (05/12/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...into cross functional leadership meetings and plans. **Requirements:** + Medical Doctor ( MD ), PhD or PharmD candidates… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Outpatient Clinic, Medical Director

    Prime Healthcare (Redding, CA)
    …Responsibilities The Medical Director ... Directors in the development of servicesand program plans. The Medical Director will ensure consistent quality of...University/Program with a Doctorate Degree of Medicine or Osteopathic- MD or DO3. Current California Medical License… more
    Prime Healthcare (05/21/25)
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  • Medical Director - Commercial

    CVS Health (Sacramento, CA)
    …(work from home) role preferably resides in Pacific or Mountain Time Zone. In the Medical Director role you will provide oversight for medical policy ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...in Internal Medicine, Family Medicine, Surgery Specialty Preferred. **Education:** MD or DO **Pay Range** The typical pay range… more
    CVS Health (05/08/25)
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  • Medical Director - Commercial…

    CVS Health (Sacramento, CA)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
    CVS Health (05/03/25)
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  • Plan Performance Medical Director

    Elevance Health (Costa Mesa, CA)
    **Plan Performance Medical Director - Washington Medicaid** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration ... PST. Weekend rotation: once a month.** The **Plan Performance Medical Director ** is responsible for serving as...and/or serve on external committees. **Minimum Qualifications:** + Requires MD or DO and Board certification approved by one… more
    Elevance Health (05/22/25)
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  • Corporate Medical Director

    Humana (Sacramento, CA)
    …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...your skills to make an impact** **Required Qualifications** + MD or DO degree + A current and unrestricted… more
    Humana (04/24/25)
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  • Field Medical Director , Cardiology

    Evolent (Sacramento, CA)
    …utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
    Evolent (05/16/25)
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  • Field Medical Director

    Evolent (Sacramento, CA)
    …accountability for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD /DO/MBBS Degree + Current, ... setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
    Evolent (04/30/25)
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  • Field Medical Director , MSK (Spine)…

    Evolent (Sacramento, CA)
    …management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS- **Required** + ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
    Evolent (05/21/25)
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  • Senior Medical Director , Clinical…

    Gilead Sciences, Inc. (Santa Monica, CA)
    …this mission? We are seeking a highly motivated individual to join us as Senior Medical Director , Clinical Development ( MD ) - Rheumatology. The Senior ... cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves...to one or more clinical trials. Additionally, the Senior Director guides the project teams to design and implement… more
    Gilead Sciences, Inc. (03/19/25)
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  • Medical Director or Scientific…

    AbbVie (San Francisco, CA)
    …requirements are factored into programs' scientific activities. Qualifications Medical Director Qualifications + Medical Doctorate ( MD ) degree or ... will be based on qualifications listed below. Purpose: The Director provides specialist medical and scientific strategic...equivalent (DO or non-US equivalent of MD ). Relevant multiple myeloma experience in an academic or… more
    AbbVie (05/10/25)
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  • Medical Director , Hematopathologist

    BD (Becton, Dickinson and Company) (Milpitas, CA)
    **Job Description Summary** The BD Biosciences Medical Director will have an extensive background in clinical hematopathology, immunology, cell biology and ... By interacting with clinical researchers, laboratory leaders and industry partners, Medical Director will provide product, customer and patient impacting… more
    BD (Becton, Dickinson and Company) (03/29/25)
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