• Medical Director - Medicare

    Humana (Concord, NH)
    …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... in accordance with Medicare and Humana policy. **Please note that this Medical Director position is non-benefitted, and compensated hourly * **Use your… more
    Humana (11/04/25)
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  • Medical Director - Medicaid N.…

    Humana (Concord, NH)
    **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...group practice management. + Utilization management experience in a medical management review organization, such as Medicare more
    Humana (10/25/25)
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  • Precision Medicine - Medical Affairs…

    Merck (Concord, NH)
    …with HSO MADs + Serves as a resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of US Medical Affairs on other ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems...research \#eligibleforERP **Required Skills:** Benefit Programs, Clinical Data, Clinical Pharmacy , Clinical Studies, Medical Affairs, Medical more
    Merck (10/25/25)
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  • Clinical Social Worker (C), 2 vacancies

    State of Massachusetts (Tewksbury, MA)
    …Department of Clinical Social Work, Hathorne Units, Joint Commission, Centers for Medicare , and Medicaid Services (CMS) / Health Care Finance Administration (HCFA) ... * Works on assigned committees as instructed by the Director of Clinical Social Work. * Produces reports and/or...* Proficiency in Microsoft Office * Proficiency in Electronic Medical Record systems * Given the population served, bilingual… more
    State of Massachusetts (10/07/25)
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