- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
- Elara Caring (South Portland, ME)
- …or related field is required. + 1+ year of experience in supervisory or administrative home health or related program required. To the extent a Branch ... in the Right Place. **Job Description:** + The Branch Director is responsible for the overall operations and services...certain state specific qualifications may apply. + 2+ years home health experience preferred. + Current state… more
- Central Maine Medical Center (Rumford, ME)
- …care and experiences for our community and for each other every day. Rumford Community Home is seeking an Activity Director to join our team! This is a ... full-time 40-hour days, benefits eligible position. This Activity Director position is with our Rumford Community Home...We are all about our team members growth and health . That why we prioritize work/life balance, community-based wellness… more
- Humana (Augusta, ME)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Elevance Health (South Portland, ME)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support experience in the Post-Acute Domain, DME, Home Health , and Wound Care. + Experience… 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. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Elevance Health (South Portland, ME)
- …to work remotely from home . _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty ... **Clinical Operations Medical Director ** **Utilization Management of ...medical necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer-to-peer… more
- Northern Light Health (Waterville, ME)
- Primary Care Physician Medical Director opportunity in picturesque Maine Northern Light Inland Hospital in Waterville, Maine, is seeking an experienced Primary ... Care or Internal Medicine Physician Medical Director for their family practice ...our hospitals, primary and specialty care practices, long-term and home healthcare, and ground and air 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. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Augusta, ME)
- **Become 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… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Intermountain Health (Augusta, ME)
- …we encourage health for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more than a well-working body: ... and forests, all within hours of where you'll call home . Becoming a part of the Intermountain team means...are paid out based on attainment of selected Intermountain Health Board-approved goals. As the Director of… more
- VCA Animal Hospitals (Lewiston, ME)
- …**Lewiston Animal Hospital** located in **Lewiston, Maine** is looking for a ** Medical Director ** who enjoys practicing advanced medicine with a cohesive, ... diverse member to our compassionate group of professionals. The Medical Director position will be filled by...1/2 of the broader Lewiston-Auburn area. It is the home of Bates College, 2 regional medical … more
- VCA Animal Hospitals (Standish, ME)
- …in beautiful southern Maine is seeking an experienced Veterinarian to join our team as Medical Director . Apply today, or reach out directly to our talent team ... access to VCA's Scribe Program (Never do records at home again!) + Brand new Digital X-ray & ultrasound...+ Brand new Digital X-ray & ultrasound machines The Medical Director position will be filled by… more
- Cardinal Health (Augusta, ME)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Evolent Health (Augusta, ME)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- CenterWell (Augusta, ME)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of ... is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
- CenterWell (Augusta, ME)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more