- 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 (Staff Geriatrician or Physician with Ten (10) Years...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc.$199,400 - $274,400 per yearThis job is… 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...or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as… more
- 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 provided by… 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 judgement ... will understand how to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of moderately complex to… 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 judgement ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
- Elevance Health (South Portland, ME)
- …appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. How you will make an impact: + Conducts peer-to-peer… more
- MaineGeneral Health (Waterville, ME)
- …significant issues; RN triage for call service is first point of contact. Medical Director /Administrative Responsibilities include: + a strong commitment to team ... in partnership with administrative dyad partner. + working collaboratively with service line medical director to resolve medical staff performance issues. +… 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 new ... for project components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience,… more
- Elevance Health (South Portland, ME)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefit Management** **Interventional Pain Benefit Review** **Location** : This position ... of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the 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...interaction, etc. + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists **Work at Home Guidance** To… more
- MaineGeneral Health (Augusta, ME)
- …and staff in area of clinical practice. Job Description: Physiatry - Inpatient Medical Director MaineGeneral Medical Center is seeking an enthusiastic ... of Maine. Highlights of the Inpatient position include: + Medical Director of Inpatient Physiatry with exciting...Loan Reimbursement is available to pay down outstanding eligible medical education debt. + Eligible medical… more
- Elevance Health (South Portland, ME)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management** **$20,000 Sign On Bonus** ... set of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director supporting our Medical Oncology team** is… more
- Elevance Health (South Portland, ME)
- **Clinical Operations Associate Medical Director ** **Neurosurgery** **Carelon Insights/Carelon Medical Benefits Management** _A proud member of the Elevance ... including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director of Neurosurgery** responsible for performing… 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, ... to welcome a new, diverse member to our compassionate group of professionals. The Medical Director position will be filled by someone that holds strong… 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 ... + Brand new Digital X-ray & ultrasound machines The Medical Director position will be filled by...Health & Wellness + Innovative associate health and wellbeing department (Headspace app subscriptions, Vault financial wellness tool, and… more
- MaineGeneral Health (Augusta, ME)
- …compensation, transportation, occupational safety and other applicable regulations. + As a Medical Director , the physician should: + be able to demonstrate ... off, ensuring you have opportunity to recharge and achieve work-life balance. Continuing Medical Education (CME): Your growth and development are essential to… more
- Elevance Health (South Portland, ME)
- **Plan Performance Medical Director - Maine and New Hampshire Markets** **Location: This is a hybrid position, be expected to go to the office at least once a ... serving as the lead clinician for a plan. Responsible for the administration of medical services for company health plan including the overall medical policies… more
- Merck (Augusta, ME)
- …ideally in the greater Los Angeles Metro area. **Role Summary** + The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Merck (Augusta, ME)
- **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory ... help drive our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director ( Medical Science Liaison) is a… more
- J&J Family of Companies (Augusta, ME)
- Associate Director , Immunology Medical Affairs Data Analytics - 2406185361W **Description** Johnson and Johnson Inc. is hiring an Associate Director , ... on a case-by-case basis and if approved by the Company. The Associate Director , Immunology Medical Affairs Data Analytics role is responsible for generating,… more