- 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...an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical… more
- Elevance Health (South Portland, ME)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... as required by law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as the Operational Medical … more
- Humana (Augusta, ME)
- …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 to complex issues where the analysis of situations or data requires an… more
- 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 (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 ... this knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- 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 provides medical interpretation… more
- Elevance Health (South Portland, ME)
- ** Medical Director -PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... unless an accommodation is granted as required by law. The ** Medical Director -PSCCR** is responsible for the administration of physical and/or behavioral health… more
- Otsuka America Pharmaceutical Inc. (Augusta, ME)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs, CNS Early Assets will be responsible… more
- Humana (Augusta, ME)
- …a part of our caring community and help us put health first** The Corporate Medical Director (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 … more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Medical Director (MD) provides clinical leadership and direction to the utilization & ... drive short and long-range clinical programming, quality management, and external relationships. The Medical Director reports to the Vice President Health Plan … more
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