• Medical Director - Commercial

    CVS Health (Des Moines, IA)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...will focus primarily on review appeal cases for denied medical services. This includes First Level Appeals more
    CVS Health (05/16/25)
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  • Corporate Medical Director

    Humana (Des Moines, IA)
    … (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the… more
    Humana (04/24/25)
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  • Medical Director - Medicare…

    Humana (Des Moines, IA)
    Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse ... scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (05/14/25)
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  • Medical Director - Pacific SW Region

    Humana (Des Moines, IA)
    **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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (05/10/25)
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  • Medical Director - Care Plus…

    Humana (Des Moines, IA)
    **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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (04/24/25)
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  • Medical Director - Medicaid N.…

    Humana (Des Moines, IA)
    **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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (05/14/25)
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  • Medical Director - Florida

    Humana (Des Moines, IA)
    **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...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (05/22/25)
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  • Behavioral Health Medical Director

    Elevance Health (West Des Moines, IA)
    **Behavioral Health Medical Director - Child Psychiatrist** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... Fulltime position, Monday through Friday. Open to part-time. The **Behavioral Health Medical Director - Child Psychiatrist** is responsible for completing … more
    Elevance Health (05/18/25)
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  • Clinical Integration Specialist

    Trinity Health (Des Moines, IA)
    …the Regional Director of Quality, Access and Growth for the Medical Group. **What You'll Do:** + Knows, understands, incorporates, and demonstrates the MercyOne ... of the Clinical Integration Specialist is to assist and support the Director in quality and safety strategies, plans, and regulatory requirements that improve… more
    Trinity Health (04/23/25)
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