• Medicare Sales Field Agent…

    Humana (Miami Lakes, FL)
    …must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work ... **Become a part of our caring community and help us...The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,… more
    Humana (10/04/25)
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  • Medicare Billing Specialist- Onsite

    Community Health Systems (La Follette, TN)
    …+ 1-2 years of experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations ... **Job Summary** The Medicare Billing Specialist is responsible for performing timely...physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the… more
    Community Health Systems (09/09/25)
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  • OneHome - Medical Director

    Humana (Charleston, WV)
    **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 ... SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (11/27/25)
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  • PCO Medical Director - UM…

    CenterWell (Annapolis, MD)
    …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...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    CenterWell (11/06/25)
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  • Medical Director - OneHome

    Humana (Boise, ID)
    **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 ... SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (11/27/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Jefferson City, MO)
    …a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and ...to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all… more
    Humana (11/15/25)
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  • Medical Director - Medicaid N.…

    Humana (Indianapolis, IN)
    **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...group practice management. + Utilization management experience in a medical management review organization, such as Medicare more
    Humana (10/25/25)
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  • Associate Medical Director

    CenterWell (Las Vegas, NV)
    …the lives of our patients, and the healthcare industry as a whole. The Associate Medical Director serves as a health-care professional and capable of handling a ... **Become a part of our caring community and help us...variety of health-related problems. The Associate Medical Director requires a solid understanding of… more
    CenterWell (10/29/25)
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  • Medical Director Aetna Duals Center…

    CVS Health (Des Moines, IA)
    …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports ... related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in… more
    CVS Health (11/13/25)
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  • Hospice Medical Director

    Gentiva (Madison, WI)
    …Hospice and Palliative Medicine board certification and/or Hospice Medical Director Certification Board certification preferred. + Current Medicare Provider ... Transform Care through Compassionate Hospice Leadership.** We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert… more
    Gentiva (11/19/25)
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