• Director , Credentialing

    Community Health Systems (Palmer, AK)
    **Job Summary** The Director , Credentialing is responsible for leading and overseeing the credentialing and re- credentialing processes for healthcare ... the organization. This role ensures compliance with regulatory standards, manages credentialing operations, and maintains accurate and up-to-date records of provider… more
    Community Health Systems (11/06/25)
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  • PCO Medical Director - UM - Full Time

    CenterWell (Juneau, AK)
    …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...Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent organizational,verbaland written communication skills. +… more
    CenterWell (11/06/25)
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  • Behavioral Health Medical Director…

    Humana (Juneau, AK)
    …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 to complex issues...Federal or State Governmental organizations, and able to pass credentialing requirements + Excellent verbal and written communication skills… more
    Humana (11/11/25)
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  • Medical Director - Medicaid N. Central

    Humana (Juneau, AK)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/25/25)
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  • Medical Director - National Outpatient…

    Humana (Juneau, AK)
    …of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The ... Medical Director work assignments involve moderately complex to complex issues...Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills.… more
    Humana (11/07/25)
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  • Medical Director - OneHome

    Humana (Juneau, AK)
    …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 whether services provided by… more
    Humana (10/30/25)
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  • OneHome - Medical Director - Part Time

    Humana (Juneau, AK)
    …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 whether services provided by… more
    Humana (10/17/25)
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  • Medical Director - Acute Rehab Team

    Humana (Juneau, AK)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... this knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/07/25)
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  • Medical Director - Claims Management

    Humana (Juneau, AK)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/01/25)
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  • Medical Director - Mid West Region

    Humana (Juneau, AK)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
    Humana (09/16/25)
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