• Molina Healthcare (Dallas, TX)
    …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...second level behavioral health clinical reviews, peer reviews and appeals . * Supports behavioral health committees for quality compliance.… more
    job goal (12/15/25)
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  • Medical Director -Dermatology…

    Elevance Health (Grand Prairie, TX)
    ** Medical Director -Dermatology Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... employment, unless an accommodation is granted as required by law. The ** Medical Director -Dermatology Appeals ** is responsible for the review of appeals… more
    Elevance Health (12/11/25)
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  • Behavioral Health Medical Director…

    Elevance Health (Grand Prairie, TX)
    **Behavioral Health Medical ** ** Director -Psychiatrist** ** Appeals ** **Location:** This role enables associates to work virtually full-time, with the ... Friday. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
    Elevance Health (11/19/25)
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  • Medical Director ( Appeals )

    Health Care Service Corporation (Richardson, TX)
    …development. **Job Summary** This Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical Appeal Reviews And Interacts ... Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of… more
    Health Care Service Corporation (12/12/25)
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  • Associate Medical Director - Sleep…

    Elevance Health (Grand Prairie, TX)
    **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit Management/Utilization Review** **Virtual:** ... an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management… more
    Elevance Health (12/13/25)
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  • Medical Director (NV)

    Molina Healthcare (Dallas, TX)
    …reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * ... JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and ...* Participates in and maintains the integrity of the appeals process, both internally and externally. * Responsible for… more
    Molina Healthcare (11/21/25)
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  • Medical Director , Behavioral Health

    Molina Healthcare (Dallas, TX)
    …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
    Molina Healthcare (10/17/25)
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  • Rehab Admissions Liaison - NeuroTransitional…

    Select Medical (Dallas, TX)
    …for Rehabilitation - Neuro Transitional Rehabilitation** A joint venture with Select Medical & Baylor Scott & White Health Dallas, TX **Rehab Admissions Liaison ... toward the next level of care, while building relationships in the local medical community to help grow referrals and admissions into our Neuro Transitional… more
    Select Medical (12/13/25)
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