• Medical Director , Medical

    Highmark Health (Dover, DE)
    …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
    Highmark Health (12/24/25)
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  • Medical Director Medicaid

    Humana (Dover, DE)
    **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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (01/18/26)
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  • Medical Director - IP Claims…

    Humana (Dover, DE)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Dover, DE)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Dover, DE)
    …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (11/15/25)
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  • Behavioral Health Medical Director

    Humana (Dover, DE)
    …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...at large. ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (01/13/26)
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  • Grievances and Appeals Corporate Medical

    Humana (Dover, DE)
    …part of our caring community and help us put health first** The Corporate Medical Director provides medical interpretation and decisions about the ... and determining the best course of action. The Corporate Medical Director provides medical interpretation...at large. ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (01/18/26)
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  • Plan Performance Medical Director

    Elevance Health (Wilmington, DE)
    **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... locations can be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician… more
    Elevance Health (01/08/26)
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  • Senior Medical Director , Clinical…

    Sumitomo Pharma (Dover, DE)
    …a dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Development - Oncology. The senior medical ... of the overall product development plan, based on strong medical and scientific principles, knowledge of compliance and regulatory...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
    Sumitomo Pharma (01/14/26)
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  • Senior Medical Director , Clinical…

    Sumitomo Pharma (Dover, DE)
    …dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
    Sumitomo Pharma (12/27/25)
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