• Medical Director - National Medicare

    Humana (Lansing, MI)
    **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 (06/25/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Care Plus…

    Humana (Lansing, MI)
    **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)
    - Save Job - Related Jobs - Block Source
  • Medical Director - OneHome

    Humana (Lansing, MI)
    **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 ... home health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services… more
    Humana (05/31/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Mid West Region

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (05/14/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director -Payment Integrity

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (06/06/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director , MSK Surgery

    Evolent (Lansing, MI)
    …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)
    - Save Job - Related Jobs - Block Source
  • EMS Medical Director

    Great Lakes Drone Company, LLC (Coloma, MI)
    Job Title: EMS Medical Director Location: Coloma, MI Employment Type: Part-Time/Contractual Position Summary We are seeking an experienced and dedicated EMS ... Medical Director to provide medical oversight and guidance for our Emergency Medical Services agency. The EMS Medical Director will ensure the… more
    Great Lakes Drone Company, LLC (05/23/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Lansing, MI)
    …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)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Commercial…

    CVS Health (Lansing, MI)
    …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 (06/14/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Medicare…

    Humana (Lansing, MI)
    …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)
    - Save Job - Related Jobs - Block Source
  • Medical Director - PathWays…

    Elevance Health (Dearborn, MI)
    ** Medical Director - PathWays for Aging Program** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... and ensures essential face-to-face onboarding and skill development. The ** Medical Director ** will have program management responsibilities including… more
    Elevance Health (06/18/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Cardiology

    Evolent (Lansing, MI)
    …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)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Vascular…

    Evolent (Lansing, MI)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (06/26/25)
    - Save Job - Related Jobs - Block Source
  • Physician - Medical Director , Child…

    Corewell Health (Grand Rapids, MI)
    Physician - Medical Director , Child & Adolescent Psychiatrist - Helen DeVos Children's Hospital - Grand Rapids, MI The Corewell Health Helen DeVos Children's ... within a premier children's hospital. We are growing to add a Medical Director to lead our new 12-bed, state-of-the-art pediatric medical psychiatric… more
    Corewell Health (04/01/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director

    Grifols Shared Services North America, Inc (Flint, MI)
    …and services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... of human disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the United States (non-California), is $170,000.00 -… more
    Grifols Shared Services North America, Inc (05/30/25)
    - Save Job - Related Jobs - Block Source
  • Physician Manager 20 - Medical

    State of Michigan (Grand Rapids, MI)
    Physician Manager 20 - Medical Director Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4848644) Apply  Physician Manager 20 - Medical ... about a career at MVH, please click here (https://www.youtube.com/watch?v=o92V-nOxaKs) . Serve as Medical Director for Michigan Veteran Homes at Grand Rapids, a… more
    State of Michigan (05/21/25)
    - Save Job - Related Jobs - Block Source
  • Occupational Health Medical Director

    Munson Healthcare (Traverse City, MI)
    …| Monday-Friday | No Call GENERAL SUMMARY Munson Healthcare is seeking a Medical Director for Occupational Medicine to lead clinical operations, provide direct ... programs. As part of Munson's Occupational Health and Medicine team, the Medical Director will oversee clinical operations, lead in the supervision of APPs,… more
    Munson Healthcare (04/14/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Hospice

    Henry Ford Health System (Detroit, MI)
    …and Palliative Medicine is seeking a physician for the role of Hospice Medical Director . Highlights: + Well-established Hospice Program with over 30 years ... and/or research Based on interest and skills the physician may: + Serve as Medical Director of the Henry Ford Palliative Care at Home Program + Initial board… more
    Henry Ford Health System (04/04/25)
    - Save Job - Related Jobs - Block Source
  • Medicare Grievances and Appeals Corporate…

    Humana (Lansing, MI)
    …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 (06/18/25)
    - Save Job - Related Jobs - Block Source