- Humana (Austin, TX)
- **Become 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 home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review ... health claims and preservice appeals. The Corporate Medical Director works on problems of diverse...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
- BrightSpring Health Services (Houston, TX)
- …of specialized and/or chronic care. Through the Company's service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral ... individuals served and staff training About our Line of Business BrightSpring Health Services provides complementary home - and community-based pharmacy and… more
- CVS Health (TX)
- …is a remote based (work at home ) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background ... At CVS Health , we're building a world of health...Health Care Industry. * Active and current state medical license without encumbrances * MD or DO,Board Certification… more
- Humana (Austin, TX)
- **Become a 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 scope and complexity ranging from moderate to substantial. The… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... 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
- Evolent (Austin, TX)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key… more