• Merck & Co. (ME)
    …Job Description We are seeking a Growth and Improvement minded Regional Medical Scientific Director - Cardiopulmonary & Pulmonary Hypertension that can ... must reside within the defined territory Summary, Focus And Purpose The Regional Medical Scientific Director - Cardiopulmonary & Pulmonary Hypertension is a… more
    HireLifeScience (12/11/25)
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  • PCO Medical Director - UM - Part…

    CenterWell (Augusta, ME)
    **Become 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...data requires an in-depth evaluation of variable factors. The Medical Director relies on medical more
    CenterWell (11/06/25)
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  • Medical Director

    Genesis Healthcare (Orono, ME)
    …balance flexibility, with no on call! We are seeking a Fee-For-Service Attending Physician/ Medical Director for our Orono Commons Center, located in Orono, ME. ... This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family Medicine with LTC Experience.… more
    Genesis Healthcare (10/22/25)
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  • Medical Director - Medicaid N.…

    Humana (Augusta, ME)
    **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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (10/25/25)
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  • Medical Director , Nat'l OP Medicare

    Humana (Augusta, ME)
    …a part 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 where the analysis of situations or data requires an in-depth… more
    Humana (12/13/25)
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  • OneHome - Medical Director - Part…

    Humana (Augusta, ME)
    **Become a 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… more
    Humana (11/27/25)
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  • Medical Director - OneHome

    Humana (Augusta, ME)
    **Become a 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… more
    Humana (11/27/25)
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  • Medical Director - IP Claims…

    Humana (Augusta, ME)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... 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 (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Augusta, ME)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... 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 (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Augusta, ME)
    …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 ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (11/15/25)
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