- Humana (Juneau, AK)
- …Typically reports to Lead depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- CenterWell (Boston, MA)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- MyFlorida (Orlando, FL)
- OPERATIONS & MGMT CONSULTANT MGR - SES - 79010568 Date: Nov 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 865168 Agency: Business and Professional Regulations Working Title: OPERATIONS & MGMT CONSULTANT MGR - SES - 79010568 Pay Plan: SES Position Number:… more
- Guthrie (Cortland, NY)
- …as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. + Serves ... Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination,...requirements and to assist in ensuring generation of clean claims in a timely manner + Securing authorization as… more
- Guthrie (Sayre, PA)
- …Leads any payer specific external claim audit activity, worked in combination with Management , Compliance, Medical Records and Clinical Operations. 9. Serves as ... Insurance Billing Specialists I and related support staff. Works closely with Director , Manager, Supervisor and Application Analyst on day to day priorities and… more
- Fluor (Greenville, SC)
- …and resolution of claims * Work with Construction, Engineering, Supply Chain Management , Legal, and Insurance and Risk Management to assist in facilitating ... Defense and the Intelligence Community. **Job Description** This position assists in the management of prime contracts in conjunction with the Project Director … more
- Ryder System (Cheyenne, WY)
- …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... Auto Liability Claims , Physical Damage Repairs and Property and Cargo Claims including the management of loss control activities and third-party provider… more
- Humana (Honolulu, HI)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- JB Hunt Transport (Lowell, AR)
- …(Required) **Work Experience:** Legal, Management -Entry Level **Job Opening ID:** 00608233 Director I, Cargo Claims and OS&D (Open) **_"This job description ... **Job Title:** Director I, Cargo Claims and OS&D...ROI, develop action plans to address issues. + Provide management guidance, coaching and mentoring to team members, as… more