• Plan Performance Medical Director

    Elevance Health (Morristown, NJ)
    **Plan Performance Medical Director - New York Commercial ** Location: This role enables associates to work virtually full-time, with the exception of required ... Medical Director ** serves as the Chief Medical Officer for the health plan's Commercial ...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
    Elevance Health (11/01/25)
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  • Medical Director - OP Claims Mgmt

    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 ... 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 (11/24/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Trenton, NJ)
    **Become 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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations,… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (10/25/25)
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