• Corporate Medical Director

    Humana (Dover, DE)
    **Become 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (09/05/25)
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  • Medical Director - Medicare

    Humana (Dover, DE)
    **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...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (10/02/25)
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  • Medical Director - Florida

    Humana (Dover, DE)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (10/03/25)
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  • Medical Director - Mid West Region

    Humana (Dover, DE)
    …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
    Humana (09/16/25)
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  • Associate Director ; Software Renewals

    Humana (Dover, DE)
    …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
    Humana (10/02/25)
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  • Manager, Special Investigation

    CVS Health (Dover, DE)
    …every day. **Position Summary** Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation, and prosecution of ... for compliance with state and federal regulations mandating the reporting of corporate fraud-related activities and the preparation of the Corporate Anti-Fraud… more
    CVS Health (10/19/25)
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  • Supervisor Case Manager Long-term Care - Delaware

    Highmark Health (Dover, DE)
    …facilities and providers for care-coordination. + Participate in rounds with the Medical Director . + Review documentation and processes for consistent practice, ... evaluate, counsel, and develop performance improvement plans; promote and terminate per corporate policy; and encourage career development and support of staff. +… more
    Highmark Health (10/08/25)
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