• Part - Time Weekend Medical…

    Highmark Health (Austin, TX)
    …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
    Highmark Health (06/12/25)
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  • Behavioral Health Medical Director…

    Humana (Austin, TX)
    …our 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...requires an in-depth evaluation of variable factors. **Become a part of our caring community and help us put… more
    Humana (08/09/25)
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  • National Accounts Medical Director

    Elevance Health (Houston, TX)
    **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...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
    Elevance Health (08/27/25)
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  • Medical Director - OneHome

    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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (08/25/25)
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  • Medical Director - National Medicare

    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. The ... Medical Director work assignments involve moderately complex to complex issues...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (08/21/25)
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  • Hospice Medical Director , Team…

    AccentCare, Inc. (San Antonio, TX)
    Overview Find Your Passion and Purpose in a dual role of Hospice Medical Director and Team Physician Reimagine Your Career in Hospice As a medical ... incredible memories while providing world-class patient care. The Hospice Medical Director (HMD) will be responsible for...30 hours per week and their families, including: * Medical , dental, and vision coverage * Paid time… more
    AccentCare, Inc. (06/02/25)
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  • Medical Director - NorthEast Region

    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. The ... Medical Director work assignments involve moderately complex to complex issues...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (07/25/25)
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  • Medical Director -Pharmacy Appeals

    Humana (Austin, TX)
    …clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... case-by-case consideration of the Medicare rules, Humana policies and medical necessity. The Medical Director 's...Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D… more
    Humana (08/22/25)
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  • Medical Director

    Elevance Health (Houston, TX)
    ** Medical Director ** _Please note that per...several times per week. Specific requirements and expectations for time onsite will be discussed as part ... policy t_ _his role enables associates to work virtually full- time , with the exception of required in-person training sessions,...an accommodation is granted as required by law._ The ** Medical Director ** is responsible for the administration… more
    Elevance Health (08/23/25)
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  • Medical Director -Medicaid (ABH TX)

    CVS Health (Austin, TX)
    … will be a "Work from Home" position primarily supporting Aetna Better Health of Texas. The Medical Director is part of a centralized team that supports the ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...range represents the base hourly rate or base annual full- time salary for all positions in the job grade… more
    CVS Health (08/08/25)
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