• Medical Director - Care Plus - Florida

    Humana (Harrisburg, PA)
    …or data requires an in-depth evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with 30-60 days of hire. ... of hire.** **Required Qualifications** + MD or DO degree + **Valid Florida Medical license ** + 5+ years of direct clinical patient care experience post residency… more
    Humana (06/28/25)
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  • Medical Director - Spine

    CVS Health (Pittsburgh, PA)
    …System eg, Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * MD or DO,Board Certification in a ... Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * MD or DO,Board Certification in a Orthopedic Spine… more
    CVS Health (08/08/25)
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  • Medical Director, Grievances

    UPMC (Pittsburgh, PA)
    …Family Practice, Internal Medicine, or Emergency Medicine Physician with a Pennsylvania Medical License for a Medical Director, Grievances role ... certified in Internal Medicine or Family Practice highly preferred. -Pennsylvania Medical License required. **Licensure, Certifications, and Clearances:** +… more
    UPMC (08/16/25)
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  • Regional Medical Director, Care Management…

    UPMC (Pittsburgh, PA)
    …duties as assigned, adhering to system-wide competencies and behaviors. Licensure / Certification: + Medical license in the state of PA / license eligibility ... The Regional Medical Director, CC/DP and Utilization Review, provides clinical...utilization, and length of stay (LOS) strategic oversight. The Medical Director will report to the Vice President of… more
    UPMC (07/11/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Harrisburg, PA)
    …Care Industry. *Prior UM (Utilization Management) experience *Active and current state medical license without encumbrances *M.D. or DO, Board Certification in ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for ...Medical Director role, you will provide oversight for medical policy implementation. You will support the Medical more
    CVS Health (08/08/25)
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  • Medical Consultant- Remote

    UNUM (Harrisburg, PA)
    …Specifications** + Professional Degree (MD, DO, PhD, PsyD) + Active, unrestricted US medical license + Board certification required for physicians in their area ... Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US… more
    UNUM (08/01/25)
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  • Medical Director, Commercial Products

    UPMC (Pittsburgh, PA)
    …Doctor of Medicine or Doctor of Osteopathy from an accredited school. + Pennsylvania Medical License + Experience managing commercial plans + 5-10 years of ... Purpose: The Medical Director, Commercial Products will possess extensive experience...having a keen understanding of population health management. The Medical Director, Commercial Products will also have experience within… more
    UPMC (08/22/25)
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  • Medical Oncologist

    UPMC (Williamsport, PA)
    …dedicated to providing the best patient experience. BC/BE medical oncologist Must be qualified for a medical license in the Commonwealth of Pennsylvania. ... (part of the Hillman Cancer Center) located in Williamsport, Pennsylvania seeks BC/BE Medical Oncologist to join our nationally recognized cancer team comprised of … more
    UPMC (06/02/25)
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  • Associate Medical Director, Cardiology

    Evolent (Harrisburg, PA)
    …Certification in Cardiology** (with Cardiology training and clinical experience). + **Unrestricted medical license ** in the state of residence and willingness to ... for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance… more
    Evolent (06/03/25)
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  • Medical Director - Utilization Management

    UPMC (Pittsburgh, PA)
    …of Medicine or Doctor of Osteopathy from an accredited school, and a Pennsylvania medical license . The ideal candidate will have 5-10 years of clinical ... The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC Health… more
    UPMC (06/12/25)
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