• Medical Director - Pharmacy…

    Humana (Indianapolis, IN)
    …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... requires a case by case consideration of the Medicare rules, Humana policies and medical necessity. The Medical Director will collaborate with clinicians and… more
    Humana (12/03/25)
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  • Lead Director , Pharmacy…

    CVS Health (Indianapolis, IN)
    …And we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the ... internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
    CVS Health (12/07/25)
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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...overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for… more
    Humana (10/25/25)
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  • Remote Medical Director Indiana

    Centene Corporation (Indianapolis, IN)
    …teams to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing ... + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the...complex cases and medical necessity appeals . + Participates in provider network development and new… more
    Centene Corporation (11/09/25)
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  • Remote Medical Director -Indiana

    Centene Corporation (Indianapolis, IN)
    …teams to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing ... perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the...complex cases and medical necessity appeals . + Participates in provider network development and new… more
    Centene Corporation (11/07/25)
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  • Medical Director Associate…

    Elevance Health (Indianapolis, IN)
    …medication dispensing services to drive affordability and improve member outcomes. The ** Medical Director Associate- CarelonRx** supports pharmacy prior ... ** Medical Director Associate - CarelonRx** **Location:**...is met and we are in compliance with all Pharmacy Benefit Management regulatory requirements. **How you will make… more
    Elevance Health (12/18/25)
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  • Medical Director - Medicaid…

    CVS Health (Indianapolis, IN)
    …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... Better Health Plan of Oklahoma. This UM (Utilization Management) Medical Director will be a "Work from...inpatient or outpatient services, acute and post acute services, pharmacy , appeals and state fair hearings. You… more
    CVS Health (12/19/25)
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  • Chief Psychiatrist - Behavioral Health…

    Humana (Indianapolis, IN)
    …and build collaborative care models in their practices + Coordinates with the Medical Director to integrate the administration and management of behavioral and ... in this role collaborates closely with Clinical Services and the Chief Medical Officer(CMO) to integrate the day-to-day administration and strategic management of… more
    Humana (10/23/25)
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