• OneHome - Medical Director - Part…

    Humana (Trenton, NJ)
    **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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
    Humana (10/17/25)
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  • Medical Director - Florida

    Humana (Trenton, NJ)
    **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 (10/03/25)
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  • Medical Director - OneHome

    Humana (Trenton, NJ)
    **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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
    Humana (09/27/25)
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  • Medical Director - Claims Management

    Humana (Trenton, NJ)
    **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 (10/16/25)
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  • Medical Director -Payment Integrity

    Humana (Trenton, NJ)
    **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 (09/26/25)
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  • Medical Director - Mid West Region

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (09/16/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …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. (10/14/25)
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  • National Medical Director

    CenterWell (Trenton, NJ)
    …a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
    CenterWell (10/02/25)
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  • Associate / Medical Director

    Parexel (Trenton, NJ)
    …Parexel!** In anticipation of future needs, we are seeking an additional Associate / Medical Director to join Parexel's highly recognized Medical Sciences ... grow our Global Immunology and Inflammation Therapeutic Franchise! As an Associate / Medical Director , you will work closely with some of the best and brightest… more
    Parexel (10/11/25)
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  • Corporate Medical Director

    Humana (Trenton, NJ)
    …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 (09/05/25)
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  • Field Medical Director , Cardiology

    Evolent (Trenton, NJ)
    …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 (10/01/25)
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  • Field Medical Director

    Evolent (Trenton, NJ)
    …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 (07/30/25)
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  • Veterinary Medical Director

    BluePearl (Langhorne, PA)
    …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in ... and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance… more
    BluePearl (10/15/25)
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  • Field Medical Director - Vascular…

    Evolent (Trenton, NJ)
    …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 (10/10/25)
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  • Medical Director - Medicare…

    Humana (Trenton, NJ)
    …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 (10/02/25)
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  • Field Medical Director , Pain…

    Evolent (Trenton, NJ)
    …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in… more
    Evolent (09/25/25)
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  • Medical Director - Medicaid…

    CVS Health (Trenton, NJ)
    …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... but may support other plans when needed. This UM (Utilization Management) Medical Director will be a "Work from Home" position primarily supporting the Aetna… more
    CVS Health (10/08/25)
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  • Field Medical Director , Oncology

    Evolent (Trenton, NJ)
    …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 (08/19/25)
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  • Medical Director

    VCA Animal Hospitals (Yardley, PA)
    …dental cleanings & extractions, and surgical procedures. We are seeking a full time Medical Director and will consider any candidate interested in part time. Our ... **,** **PA** is looking for a classically trained and holistically oriented ** Medical ** ** Director ** who enjoys practicing advanced medicine with a cohesive,… more
    VCA Animal Hospitals (09/17/25)
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  • Medical Director , Global…

    J&J Family of Companies (Raritan, NJ)
    …may be considered on a case-by-case basis and if approved by the Company. The Medical Director , Global Medical Affairs, known also as the Study Responsible ... profoundly impact health for humanity. Learn more at https://www.jnj.com **Job Function:** Medical Affairs Group **Job Sub** **Function:** Medical Affairs - MD… more
    J&J Family of Companies (10/11/25)
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