• Humana Inc (Denver, CO)
    A healthcare services company is seeking a Medical Director to oversee Medicare drug appeals and ensure compliance with relevant policies. This remote ... position involves collaboration with healthcare professionals and directly impacts patient care. The ideal candidate will have an MD or DO degree, extensive clinical experience, and strong communication skills. The role offers a competitive salary and the… more
    job goal (01/13/26)
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  • Humana Inc (Denver, CO)
    …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... case consideration of the Medicare rules, Humana policies and medical necessity. The Medical Director ...includes computer based review of moderately complex to complex appeals for coverage for drugs using resources outlined as… more
    job goal (01/13/26)
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  • University Support Services, LLC (Denver, CO)
    Executive Director , Financial Aid The Executive Director of Financial Aid serves as the senior leader, visionary strategist, and hands‑on operational leader for ... strengthen enrollment outcomes, and support retention and graduation. The Executive Director is both a forward‑looking leader and an active practitioner. They… more
    job goal (01/12/26)
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  • Director , Home Health Grievances…

    CenterWell (Denver, CO)
    …compliance. Manages the Denials Management data analytics, denial and appeal process. The Director , Home Health Grievances & Appeals assists members, via phone ... caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal...required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to… more
    CenterWell (01/08/26)
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  • Medical Director - OP Claims Mgmt

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... of service should be authorized at the Initial and Appeals /Disputes level. All work occurs within a context of...to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of… more
    Humana (11/24/25)
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  • Medical Director - IP Claims…

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... 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 (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... 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 (12/11/25)
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  • Field Medical Director , Cardiology

    Evolent (Denver, CO)
    …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 (12/31/25)
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  • Field Medical Director…

    Evolent (Denver, CO)
    …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 (12/18/25)
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  • Field Medical Director - Vascular…

    Evolent (Denver, CO)
    …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 (01/08/26)
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