• Medical Director - Northeast Region

    Humana (Trenton, NJ)
    …+ Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine , Family Practice, Geriatrics, Hospitalist , Emergency Medicine clinical ... 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 more
    Humana (07/25/25)
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  • Medical Director - Medicaid Northeast

    CVS Health (Trenton, NJ)
    …experience - Board certification in Physical Medicine & Rehabilitation, Emergency Medicine , Family Medicine (with hospitalist experience) or Internal ... every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune...other plans when needed. This UM (Utilization Management) Medical Director will be a "Work from Home" position primarily… more
    CVS Health (08/31/25)
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  • Corporate Medical Director - Medicare…

    Humana (Trenton, NJ)
    …assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine , Family Practice, Geriatrics, Hospitalist , Emergency Medicine , or ... and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health...review health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity… more
    Humana (09/05/25)
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  • Medical Director - Medicare Grievances…

    Humana (Trenton, NJ)
    …hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine , Family Practice, Geriatrics, Hospitalist , Anesthesiology, Physical ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...Medicine and Rehabilitation, Emergency Medicine , and General Surgery clinical specialists **Work at Home… more
    Humana (09/06/25)
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