• Medical Director - Medicaid N.…

    Humana (Washington, DC)
    **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (05/14/25)
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  • Medical Director - Pacific SW Region

    Humana (Washington, DC)
    **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (05/10/25)
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  • Medical Director - Care Plus…

    Humana (Washington, DC)
    **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (04/24/25)
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  • Medical Director - Florida

    Humana (Washington, DC)
    **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...data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation… more
    Humana (05/22/25)
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  • Medical Director

    Cayuse Holdings (Washington, DC)
    **Overview** The Medical Director provides occupational health services to support the Health Unit (HU). The Medical Director is pivotal in overseeing a ... services, health education, and ensures compliance with occupational health regulations. The Medical Director will embody Cayuse's Core Values by fostering a… more
    Cayuse Holdings (05/22/25)
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  • Medical Director , MSK Surgery

    Evolent (Washington, DC)
    …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
    Evolent (05/20/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Washington, DC)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs, CNS Early Assets will be responsible… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Center Medical Director (CMD)

    CSL Plasma (Halethorpe, MD)
    …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . Determines donor suitability following adverse reactions in… more
    CSL Plasma (04/09/25)
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  • Medicare Medical Director - Part…

    Elevance Health (Washington, DC)
    **Medicare Medical Director - Part time** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... must be able to work Eastern Time Zone hours. The **Medicare Medical Director ** is responsible for the administration of physical and/or behavioral health … more
    Elevance Health (05/17/25)
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  • Medical Director - Commercial…

    CVS Health (Washington, DC)
    …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 (05/16/25)
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  • Corporate Medical Director

    Humana (Washington, DC)
    …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 scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (04/24/25)
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  • Field Medical Director , Cardiology

    Evolent (Washington, DC)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (05/16/25)
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  • Field Medical Director

    Evolent (Washington, DC)
    …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (04/30/25)
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  • Field Medical Director , MSK (Spine)…

    Evolent (Washington, DC)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (05/21/25)
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  • Medical Director Infection Control

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** **Description:** **Position Title: Medical Director , Infection Control** **Employment Type: Exempt** **What We Offer:** ... administrative procedures and policies in conjunction with Cancer Center Medical Director + Oversight of the ID Outpatient Practice administrative procedures… more
    Trinity Health (05/15/25)
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  • Medical Director , Cardiology

    Elevance Health (Washington, DC)
    **Clinical Operations Medical Director ** **Carelon MBM** **Location:** Alternate locations may be considered. The ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The ** Medical Director , Cardiology** is responsible for supporting the medical management staff ensuring… more
    Elevance Health (04/03/25)
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  • Medical Director - Early Development…

    Amgen (Washington, DC)
    …million patients worldwide. It's time for a career you can be proud of. ** Medical Director - Early Development - Cardio-metabolic, US - Remote** **Live** **What ... early clinical programs for Amgen's Early Development Obesity/CV pipeline. The Medical Director will lead the early phase clinical development of compounds from… more
    Amgen (05/09/25)
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  • Medical Director - Medicare…

    Humana (Washington, DC)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (05/14/25)
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  • Hospice Medical Director

    AccentCare, Inc. (Columbia, MD)
    Overview Find Your Passion and Purpose as a Hospice Medical Director Reimagine Your Career in Hospice As a medical professional, you know that what you do ... your first AccentCare-branded scrubs for patient-facing employees Qualifications Hospice Medical Director Qualifications, Job Specifications: Maintains an active… more
    AccentCare, Inc. (04/19/25)
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  • Associate Medical Director

    Sumitomo Pharma (Washington, DC)
    …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
    Sumitomo Pharma (05/16/25)
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