- Humana (Augusta, ME)
- **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 (Augusta, ME)
- **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 (Augusta, ME)
- **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 (Augusta, ME)
- **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
- Evolent (Augusta, ME)
- …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
- Otsuka America Pharmaceutical Inc. (Augusta, ME)
- …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
- Elevance Health (South Portland, ME)
- ** Medical Director - Carelon RX** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Medical Director ** is responsible for the administration of physical and/or… more
- Elevance Health (South Portland, ME)
- **Medicare Medical Director ** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... 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
- Humana (Augusta, ME)
- …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
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The VP Medical Director of Clinical Programs will manage the Health Plan Medical ... and other areas of MHPC, as needed + Assists the Market Medical Director for building and deepening relationships with area hospitals, physicians, and other… more
- Evolent (Augusta, ME)
- …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 (Augusta, ME)
- …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 (Augusta, ME)
- …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
- Northern Light Health (Portland, ME)
- Podiatrist and Wound Healing Medical Director Opening in Picturesque Portland, Maine Northern Light Mercy Hospital is seeking a full-time Podiatrist and ... Medical Director for its Wound Healing and...Medical Director for its Wound Healing and Hyperbaric Medicine practice...other problems, + Minor burns + Traumatic wounds As Medical Director , you will have a seat… more
- Northern Light Health (Portland, ME)
- Medical Director - Hospital Medicine Opportunity in Beautiful Portland, Maine! Northern Light Mercy Hospital seeks a Medical Director to lead its ... meals; easy access from Route 295; and onsite parking. Expectations of Medical Director include: + Energetically lead a team of top-notch providers, including a… more
- Elevance Health (South Portland, ME)
- ** Medical Director Associate - Carelon RX** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... and leadership for clinical and/or quality activities under the guidance of a Medical Director . May be responsible for supporting one or more Medical … more
- Humana (Augusta, ME)
- …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
- Sumitomo Pharma (Augusta, ME)
- …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
- Evolent (Augusta, ME)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Augusta, ME)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more