- Amgen (Washington, DC)
- …team. Join us and transform the lives of patients while transforming your career. ** Medical Director , US Medical Lead** **What you will do** Let's ... Let's change the world. In this vital role you will support implementation of US medical Strategies. Supporting the development and execution of US product … more
- Highmark Health (Washington, DC)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...and all users. If you would like to contact us regarding the accessibility of our website or need… more
- CenterWell (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. ... The Medical Director , Primary Care work assignments involve moderately complex to...program, business travel and accident. Application Deadline: 12-31-2025 **About us ** About Conviva Senior Primary Care: Conviva Senior Primary… more
- Humana (Washington, DC)
- **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...insurance and many other opportunities. Application Deadline: 12-31-2025 **About us ** Humana Inc. (NYSE: HUM) is committed to putting… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex...insurance and many other opportunities. Application Deadline: 01-31-2026 **About us ** Humana Inc. (NYSE: HUM) is committed to putting… more
- Humana (Washington, DC)
- …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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...and willing to obtain license, as required, for various states in region of assignment + 5+ years of… more
- Humana (Washington, DC)
- …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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...and willing to obtain license, as required, for various states in region of assignment** + **5+ years of… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of...from home opportunity. Candidates may live anywhere in the US and work forty hours per week. Required Qualifications… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... 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 (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...insurance and many other opportunities. Application Deadline: 12-31-2025 **About us ** Humana Inc. (NYSE: HUM) is committed to putting… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... with compensated days off during the work week The Medical Director 's work includes reviewing of all...insurance and many other opportunities. Application Deadline: 04-30-2026 **About us ** Humana Inc. (NYSE: HUM) is committed to putting… more
- Merck (Washington, DC)
- **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD, DO) Vaccines/Infectious Disease expert who engages in ... from SLs, including questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Humana (Washington, DC)
- …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...and willing to obtain license, as required, for various states in region of assignment + Board Certified in… more
- Parexel (Washington, DC)
- …we are expanding our esteemed Medical Sciences Team and seeking an Associate/ Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with...without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender… more
- Humana (Washington, DC)
- …caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex... us put health first** The Behavioral Health Medical Director actively uses their medical… more
- Elevance Health (Washington, DC)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as...be located in a state or territory of the United States when conducting utilization review or… more
- Somatus (Fairfax, VA)
- …supervisor, co-workers, patients, and families. + Maintains positive working relationships with Medical Director / Medical Staff. + Actively participates in ... (Alexandria, Fairfax, Fair Oaks, Loudoun, and Mount Vernon).** Our heritage gives us a unique perspective on inpatient and outpatient dialysis care. We have… more
- Pfizer (Washington, DC)
- …compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or ... **Why Patients Need You** The Oncology Field Medical , Director is responsible for providing...any location outside of the United States . Relocation assistance may be available… more
- Elevance Health (Washington, DC)
- ** Medical Director Associate - CarelonRx** **Location:**...be located in a state or territory of the United States when conducting utilization review or ... services to drive affordability and improve member outcomes. The ** Medical Director Associate- CarelonRx** supports pharmacy prior...an appeals consideration and cannot be located on a US military base, vessel or any embassy located in… more
- Merck (Washington, DC)
- **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert ... any drug, vaccine or biologic product. The Oncology Regional Medical Scientific Director provide to Scientific Leaders...medical meetings. **Location:** This position will cover the US Midwest region: MN, WI, ND, SD, IA, KS,… more